Question:
..your on a long bus ride and after 5 minutes of riding the bus u start to feel really nauseous...
Answers:
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Motion sickness is a symptom complex that usually includes nausea, often accompanied by vague abdominal discomfort, vomiting, dizziness, and related symptoms; it is caused by repetitive angular and linear acceleration and deceleration. Behavioral change and drug therapy can help prevent or control symptoms.Why Does the Honda Accord V6 cost so much more than Hyundai Sonata V6?
Treatment and Prevention
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Several interventions are available, and all are more effective when used for prevention than when used after symptoms develop. People prone to motion sickness should take prophylactic drugs before symptoms start. ScopolamineSome Trade Names
TRANSDERM-SCOP
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is available as a prescription transdermal patch or in oral form. The patch is a good choice for longer trips because after being applied behind the ear at least 4 h before travel (optimally 8 to 12 h), it is effective for up to 72 h as it releases about 1 mg. The oral form of scopolamineSome Trade Names
TRANSDERM-SCOP
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is given as 0.4 mg to 0.8 mg 1 h before travel and then q 8 h as needed. Adverse effects, which include drowsiness, blurred vision, dry mouth, and bradycardia, occur less commonly with patches. Inadvertent contamination of the eye with patch residue may cause a fixed and widely dilated pupil. Additional adverse effects of scopolamineSome Trade Names
TRANSDERM-SCOP
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in the elderly can include confusion, hallucinations, and urinary retention. ScopolamineSome Trade Names
TRANSDERM-SCOP
is contraindicated in people who are at risk of angle-closure glaucoma. ScopolamineSome Trade Names
TRANSDERM-SCOP
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can be used by children > 12 yr in the same dosages as for adults. Use in children < 12 yr is probably safe but is not recommended.
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Alternatively, beginning 1 h before departure, susceptible people may be given nonprescription dimenhydrinate, diphenhydramineSome Trade Names
BENADRYL
NYTOL
Drug Information
, or meclizineSome Trade Names
ANTIVERT
BONINE
Drug Information
25 to 50 mg po qid (dimenhydrinate for children 2 to 6 yr, 12.5 to 25 mg q 6 to 8 h, maximum 75 mg/day; for children 6 to 12 yr, 25 to 50 mg q 6 to 8 h, maximum 150 mg/day); promethazineSome Trade Names
PHENERGAN
Drug Information
25 to 50 mg po bid (for children < 12 yr, 0.5 mg/kg bid); or cyclizine 50 mg po qid (for children 6 to 12 yr, 25 mg tid) to minimize vagal-mediated GI symptoms. However, all of these drugs are anticholinergic and can cause adverse effects, especially in the elderly.
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If vomiting occurs, an antiemetic can be given rectally or parenterally to be effective. If vomiting is prolonged, IV fluids and electrolytes may be required for replacement and maintenance.
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Some nondrug therapies are unproven but may be helpful. These include use of wristbands that apply acupressure and wristbands that apply electrical stimulation. Both can be safely used by people of all ages. Ginger (1 to 2 g) may help prevent motion sickness.
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Susceptible people should minimize exposure by positioning themselves where motion is the least (eg, in the middle of a ship close to water level, over the wings in an airplane). If traveling in a motor vehicle, driving or riding in the front passenger seat is best. Whatever the form of transportation, rear-facing seats should be avoided. A supine or semirecumbent position with the head supported is best. Adequate ventilation helps prevent symptoms. Reading should be avoided. Keeping the axis of vision at a 45° angle above the horizon and whenever possible focusing on stationary objects help reduce susceptibility. Alcoholic beverages and overeating before or during travel increase the likelihood of motion sickness. Small amounts of fluids and bland food should be consumed frequently during extended travel; some people find that dry crackers and carbonated beverages, especially ginger ale, are best. If air travel time is short, food and fluids should be avoided. In the space adaptation syndrome, movement, which aggravates the symptoms, should be avoided.
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PERSONAL NOTE: I prefer Dramamine for motion sickness.
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