travel sickness medication for 2 year old

Dramamine® For Kids

Dramamine® for Kids is the only medicated motion sickness relief product formulated just for children ages 2-12 from the #1 Pharmacist Recommended Brand.

● Treats symptoms on the spot ● Prevents nausea, dizziness, vomiting & queasiness ● Safe, precise dose in a fun, chewable grape flavor ● Convenient travel case

Available in an 8-count box.

To prevent motion sickness, the first dose should be taken 1/2 to 1 hour before starting activity.

To prevent or treat motion sickness, see below:

• Children 2 to under 6 years: give ½ to 1 chewable tablet every 6-8 hours; do not give more than 3 chewable tablets in 24 hours, or as directed by a doctor
• Children 6 to under 12 years: give 1 to 2 chewable tablets every 6-8 hours; do not give more than 6 chewable tablets in 24 hours, or as directed by a doctor

Other information

• Phenylketonurics: contains phenylalanine 0.375 mg per tablet
• Store at room temperature 20°-25°C (68°-77°F)

Ingredients

Active Ingredient (in each tablet)

Ingredient: Dimenhydrinate 25mg Purpose: Antiemetic     

Inactive Ingredients Aspartame, citric acid, flavor, magnesium stearate, methacrylic acide copolymer, sorbitol

Do not use  for children under 2 years of age unless directed by a doctor

Ask a doctor before use if the child has:

• A breathing problem such as emphysema or chronic bronchitis

Ask a doctor or a pharmacist before use if the child is  taking sedatives or tranquilizers.

When using this product:

• Marked drowsiness may occur
• Avoid alcoholic drinks
• Alcohol, sedatives, and tranquilizers may increase drowsiness
• Be careful when driving a motor vehicle or operating machinery

If pregnant or breast-feeding,  ask a doctor before use.

Keep out of reach of children.  In case of accidental overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

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How to Travel With Medication Needed for a Sick Child

When traveling with medication for a sick child, be aware of these potentially complicating factors

• Travel Tips
• Medical Kits
• Who Shouldn't Fly
• Can Airlines Refuse?

Traveling with a sick child is often manageable with the right preparations. But if your child has or is suspected to have a serious contagious illness, like whooping cough or COVID-19, or poses a health risk to others, you will need to delay your trip until your child's condition is stabilized.

Many world destinations prohibit medications, like Adderall , that are commonly used by children in the United States. Certain medications, like insulin pens and epipens, usually need to be declared, since needles are prohibited on planes. Before you leave, research your destination carefully to ensure you are compliant.

This article explains what medicines you can and cannot take when traveling. It also provides a handful of tips for navigating airports and country-specific regulations.

Tips for Traveling With a Sick Child

Whether you are traveling by land, sea, or plane, the key to navigating travel with a sick child is getting (and staying) organized.

It's a good idea to keep all medications and supplies in a separate, clear "medical kit," so that they are easy to find and can be quickly retrieved when you need them.

The following tips and Transportation Security Administration (TSA) recommendations can help you organize your medical kit and prepare for your journey with a sick child.

Organizing Medications

Although medications can be packed in checked or carry-on luggage, it's best to bring them in your carry-on. That way, they will be available if you need them on the plane or in the airport.

While organizing your medical kit, consider including:

• Solid medications (such as pills or oral powders), which are permitted in carry-on or checked luggage in unlimited quantities, but will need to be Xd-rayed at the security checkpoint
• Extra medications in case your trip is extended or your medications get lost

TSA does not require passengers to bring medications in prescription bottles, so you can bring them in a pill organizer if you like. Laws vary between states and countries regarding prescription labeling, though. Check with the embassy at your destination to learn the respective laws.

Preparing Liquids and Other Types of Medications

Liquid medications are allowed in carry-on or checked bags, but you will need to follow a few regulations when flying with them:

• Medically necessary liquid medications can be brought in your carry-on or checked luggage in reasonable quantities. Tell an officer that you have a medically necessary liquid before starting the screening process. You may be asked to open the liquid medication for additional screening.
• Insulin is allowed in carry-on or checked luggage in reasonable quantities. At the security checkpoint, place insulin in a separate bin for X-ray screening.
• Nebulizers are allowed in carry-on bags but must be removed from the carrying case and X-rayed at the security checkpoint. Liquids associated with nebulizers are permitted in reasonable quantities.

As for injectables, inhalers, pumps, and aerosols:

• EpiPens can be packed in carry-on or checked luggage in reasonable quantities but must be declared to TSA officers at the security checkpoint for inspections.
• Insulin pumps are permitted in carry-on or checked luggage but must be accompanied by insulin. Tell TSA officers if you have diabetes and are wearing an insulin pump at the start of security screening.
• Medically necessary aerosols , such as metered-dose inhalers , are allowed in carry-on or checked bags in reasonable quantities but must be presented to TSA officers at the security checkpoint.
• Glucose monitors with metal or lithium batteries should be carried in carry-on luggage and should be presented to TSA officers at the security checkpoint.
• Inhalers are permitted in carry-on or checked luggage in reasonable quantities but will need to be X-rayed at the security checkpoint.

Federal regulations prohibit passengers from bringing their own supplemental oxygen onto airplanes. If you or your child require supplemental oxygen, you will need to call the airline at least 72 hours before your flight to arrange in-flight supplemental oxygen.

If you do not want a medical item to be X-rayed, you may request a visual inspection instead. Make this request before sending your items through the X-ray tunnel.

Not Sure if You Can Bring It?

Use the TSA "What Can I Bring?" website to find specific instructions related to most medications and medical supplies. This website provides instructions for external medical devices (such as feeding tubes), mercury thermometers, personal oxygen, syringes, and more.

Readying a "Back-Up" Plan

Plan where you will go for medical attention if needed. Write important numbers and addresses down and keep them in your medical kit.

Is there a children's hospital, pediatrician, or clinic where you are staying or on your travel route? This is especially important for international travelers and when you are on a cruise.

Even facilities that promote family travel and provide licensed healthcare providers for sick travelers are not guaranteed to have a pediatrician available in case of severe illness. 

The nearest children's hospital or local medical society may be able to help you find a pediatrician if you are traveling and your child gets sick.

When traveling in another country, an international clinic , your travel agency, the U.S. Embassy, or the U.S. Consulate may be able to help you locate a pediatrician.​

If your child has a chronic medical problem, consider acquiring a medical alert bracelet for them to wear, just in case they get sick and you aren't around. This is especially important if your child has severe allergies, diabetes, seizures, or another condition that may require sudden and specific medical care.

Informing Your Healthcare Provider

Before leaving, schedule a checkup with a pediatrician and/or pediatric specialist to ensure your child's medical problems are stable.

Be transparent about your plans with the healthcare provider—they may be able to offer you some travel tips that are specific to your child's condition.

Depending on your destination, certain vaccinations may be recommended for you and/or your child to protect from disease. The CDC provides detailed information about recommended vaccines for every country in the world.

If you are traveling internationally, take some time to review the country-specific recommendations, and make a list of any vaccines your child does not have. It may help to bring this list to your provider's office in case you have questions.

Contacting Your Pharmacist for Refills

If you lose a prescription while traveling internationally, contact your healthcare provider and explain your situation. Your provider may be able to write you a new prescription that you can bring to a pharmacy near you. You can also visit a local urgent care to see if they can help.

If you are traveling within the United States, you can:

• Find a nearby pharmacy that is in-network with your insurance provider.
• Call or visit the pharmacy and explain your situation.
• Call your home pharmacy and ask them to transfer your medication to your pharmacy of choice.

In the past, in order to have your prescription transferred, you would need to contact your healthcare provider and ask them to cancel the prescription then re-submit it to a new pharmacy. According to regulations updated in 2023, however, all you need to do is contact your home pharmacy directly and ask them to initiate the switch.

There is one important caveat to the updated regulations. Prescriptions may only be transferred between pharmacies once . So, if you want to transfer a prescription back to your original pharmacy after your trip, you will need to have it canceled and re-submitted by your healthcare provider.

Complying with Laws and Regulations

Different states and countries have different laws regarding the types and quantities of medications that travelers are permitted to bring.

For example, France permits travelers to only bring the amount of medication needed for the duration of the trip. And, if the medication is a narcotic , a written letter to customs providing the name and dosage of the medication is required.

Meanwhile, countries like Japan, Singapore, and much of Europe have banned Adderall, Ritalin, and a number of other medications that are common in the United States.

Bringing controlled drugs into a foreign country can come with steep consequences, from local fines, to jail time and deportation. In Singapore, having as little as three grams of morphine can result in the death penalty.

TSA advises international travelers to prepare "requisite medical documentation" from their prescribing physician at least two months before departure. The documentation should include:

• The prescribing physician's contact information and/or credentials
• The diagnosis and treatment
• The medication regimen, including any need for needles or syringes

Additionally, the name on the prescription, container, and traveler's passport must match.

If a medication contains narcotics, you may need to submit an application to the country's Narcotics Control Division or Food and Drug Administration for permission prior to entry.

For psychotropic medications , including antidepressants, you may need to notify the medical officer at the embassy in your home country. Do this well in advance so that all appropriate parties are aware before you arrive at customs.

What Else Should Go in a Medical Kit?

Your medical kit should contain everything you need to manage your child's health condition, as well as other medical items your child may only need on occasion.

Things to include in a travel medicine kit might include:

• A pain and fever reducer, such as ibuprofen and/or acetaminophen
• A steroid cream for itching
• An antihistamine for hives and other allergic reactions
• A cough and cold medicine for older children
• An antibiotic ointment (in a container of 3.4 ounces or less—unless medically necessary)
• A regular first aid kit

Keep in mind that if you are bringing an aerosol medication in your carry-on, it must be medically necessary. Aerosol insecticides, for example, are permitted in checked luggage only.

Is My Child Too Sick to Fly?

Do not fly if you or your child has a contagious disease that poses a serious threat to other people, such as:

• Tuberculosis
• Rubella (German measles)
• Whooping cough (pertussis)
• Meningococcal disease (meningitis)
• Severe flu or another respiratory illness

If you or your child has a history of the following conditions, see your healthcare provider for an evaluation before you travel to ensure the condition is stable:

• Cardiovascular disease
• Lung disease
• Mental illness
• Recent surgery
• Deep vein thrombosis or pulmonary embolism
• Sickle cell disease

Travel is rarely contraindicated (advised against) during a normal pregnancy. However, it's best to delay travel if your pregnancy requires close medical supervision. Reasons not to travel when pregnant include:

• You are in active or premature labor
• You have a suspected ectopic pregnancy
• You have vaginal bleeding
• You have a history of preeclampsia

Cabin air pressure changes can lead to barotrauma , recognizable by pain in the ear during take-off. Although barotrauma is rarely dangerous, it can lead to dizziness, hearing loss, or permanent tinnitus. To reduce these risks, consult with a healthcare provide before travel if your child has:

• An ear, nose, or sinus infection
• Severe congestion
• Had recent ear, nose, throat, or abdominal surgery

Will the Airline Refuse My Sick Child?

You or your child may be denied boarding if you have or are suspected to have a serious contagious illness that poses a public health threat.

Airline officials will suspect contagious illness if you or your child has one or more of the following symptoms:

• Difficulty breathing
• Persistent cough
• Decreased consciousness
• Sudden confusion
• Unexplained bruising or bleeding
• Persistent diarrhea
• Persistent vomiting
• Headache with stiff neck
• Appearing obviously unwell
• Symptoms of other contagious diseases

Less than 1% of passengers are denied boarding in the United States each year. Nonetheless, airline officials are permitted to deny boarding or remove any person from a flight who appears obviously sick, or who is believed to pose a health threat to others.

Inform the airport security screener if your child has any special needs for going through security, or if they might get upset during the security procedures because of their medical condition.

Before you travel with a sick child, give yourself plenty of time to organize a medical bag with daily medications, medical supplies, and any other extras your child may need. Most medications are permitted in carry-on or checked luggage. However, if you plan to fly with a medication that is liquid, aerosol, or involves needles, you will need to declare it to TSA officers at the security checkpoint.

Depending on your destination, you may need to prepare medical documentation, especially if you need to travel with a narcotic or psychotropic drug. There can be steep consequences for bringing controlled substances into another country, so don't take chances. If you have questions about traveling with your medications, contact a physician or use resources provided by TSA to learn more.

Centers for Disease Control and Prevention. Air travel .

Harvard Global Support Services. Tips for traveling with medication .

American Diabetes Association. What can I bring with me on the plane .

Transportation Security Administration. Can you pack your meds in a pill case and more questions answered .

Transportation Security Administration. What can I bring? .

Transportation Security Administration. Insulin .

United States Drug Enforcement Administration. Revised regulation allows DEA-registered pharmacies to transfer electronic prescriptions at a patient's request .

France in the United States. Information for private individuals - Medicine .

Transportation Security Administration. Traveling with medication .

Centers for Disease Control and Prevention. Protecting travelers' health from airport to community: Investigating contagious diseases on flights .

Centers for Disease Control and Prevention. Pregnant travelers .

Centers for Disease Control and Prevention. Preventing spread of disease on commercial aircraft: Guidance for cabin crew .

GAO. Airline consumer protections .

U.S. Department of Transportation. Bumping & oversales .

By Vincent Iannelli, MD  Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. 

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• Children's health

What causes car sickness in children and how can I prevent it?

Car sickness is a type of motion sickness. Motion sickness occurs when the brain receives conflicting information from the inner ears, eyes, and nerves in the joints and muscles.

Imagine a young child sitting low in the back seat of a car without being able to see out the window — or an older child reading a book in the car. The child's inner ear will sense motion, but his or her eyes and body won't. The result might be an upset stomach, cold sweat, fatigue, loss of appetite or vomiting.

It's not clear why car sickness affects some children more than others. While the problem doesn't seem to affect most infants and toddlers, children ages 2 to 12 are particularly susceptible.

To prevent car sickness in children, you might try the following strategies:

• Reduce sensory input. Encourage your child to look at things outside the car rather than focusing on books, games or screens. If your child naps, traveling during nap time might help.
• Carefully plan pre-trip meals. Don't give your child a large meal immediately before or during car travel. If the trip will be long or your child needs to eat, give him or her a small, bland snack — such as dry crackers and a small drink — before it's time to go.
• Provide air ventilation. Adequate air ventilation might help prevent car sickness.
• Offer distractions. If your child is prone to car sickness, try distracting him or her during car trips by talking, listening to music or singing songs.
• Use medication. If you're planning a car trip, ask your child's doctor about using an over-the-counter antihistamine, such as dimenhydrinate (Dramamine) or diphenhydramine (Benadryl), to prevent car sickness. Both medications work best if taken about an hour before traveling. Read the product label carefully to determine the correct dose and be prepared for possible side effects, such as drowsiness. Nondrowsy antihistamines don't appear to be effective at treating motion sickness.

If your child starts to develop car sickness, stop the car as soon as possible and let your child get out and walk around or lie on his or her back for a few minutes with closed eyes. Placing a cool cloth on your child's forehead also might help.

If these tips don't help or if your child's car sickness makes travel difficult, talk to your child's doctor about other options.

Jay L. Hoecker, M.D.

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• Concussion in children
• Brunette GW, et al., eds. Motion sickness. In: CDC Yellow Book 2020: Health Information for International Travel. Oxford University Press; 2019. https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-by-air-land-sea/motion-sickness. Accessed Feb. 24, 2020.
• Motion sickness. Merck Manual Professional Version. https://www.merckmanuals.com/professional/injuries-poisoning/motion-sickness/motion-sickness#. Accessed Feb. 24, 2020.
• Priesol AJ. Motion sickness. https://www.uptodate.com/contents/search. Accessed Feb. 24, 2020.
• Altmann T, et al., eds. Head, neck, and nervous system. In: Caring for Your Baby and Young Child: Birth to Age 5. 7th ed. Bantam; 2019.

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• Section 8 - Cruise Ship Travel
• Section 8 - Airplanes & Cruise Ships: Illness & Death Reporting & Public Health Interventions

Motion Sickness

Cdc yellow book 2024.

Author(s): Ashley Brown

Motion sickness describes the physiologic responses to travel by air, car, sea, train, and virtual reality immersion. Given sufficient stimulus, all people with functional vestibular systems can develop motion sickness. People vary in their susceptibility, however.

Risk For Travelers

Risk factors for motion sickness include age, sex, preexisting medical conditions, and concurrent medications. Children aged 2–12 years are especially susceptible, but infants and toddlers are generally immune. Adults >50 years are less susceptible to motion sickness. Pregnancy, menstruation, and taking hormone replacement therapy or oral contraceptives have also been identified as potential risk factors. People with a history of migraines, vertigo, and vestibular disorders are more prone to motion sickness. Some prescriptions can worsen motion sickness–associated nausea.

Clinical Presentation

Motion sickness typically occurs after a triggering motion or event. People with motion sickness commonly experience dizziness; headache; nausea, vomiting, or retching; sweating. For a complete list of motion sickness–associated signs and symptoms, see Box 8-06 .

Box 8-06 Motion sickness symptoms

Anorexia Apathy Cold sweats Drowsiness Generalized discomfort Headache Hyperventilation Increased sensitivity to odors Loss of appetite Nausea Salivation, excessive Sweating Vomiting or retching Warm sensation

Neurophysiology

When sensory input does not align with expected patterns (neural mismatch), patients suffer dizziness and nausea. Sensory conflict theory (the most widely accepted explanation for motion sickness) proposes that the condition is caused by conflict between the visual, vestibular, and somatosensory systems, and involves complex neurophysiologic signaling between multiple nuclear regions, neurotransmitters, and receptors. Medications used to prevent and treat motion sickness are thought to work by suppressing the signals that contribute to neural mismatch.

Nonpharmacologic Prevention & Interventions

Travelers can use nonpharmacologic interventions to prevent or treat motion sickness (see  Box 8-07 ). Awareness and avoidance of situations that tend to trigger symptoms are the primary defenses against motion sickness.

Box 8-07 Non-pharmacologic prevention & interventions for motion sickness: a checklist for travelers

☐ Be aware. Try to avoid situations that tend to trigger your symptoms. ☐ Optimize your position to reduce motion or motion perception (e.g., drive a vehicle instead of riding in it; sit in the front seat of a car or bus; sit over the wing of an aircraft; hold your head firmly against the back of the seat; choose a window seat on flights and trains). ☐ Reduce sensory input. Lie face down, shut your eyes, try sleeping, look at the horizon. ☐ Maintain hydration by drinking water, eating small meals frequently, and limiting alcoholic and caffeinated beverages. ☐ Get plenty of sleep or rest. Being sleep-deprived can worsen motion sickness symptoms. ☐ Avoid smoking. Quitting (even short-term) reduces susceptibility to motion sickness. ☐ Try using distractions. Controlled breathing, listening to music, or using aromatherapy scents like mint, lavender, or ginger. Flavored lozenges also might help. ☐ Some people recommend using acupressure or magnets to prevent or treat nausea, although scientific data are lacking on how effective these interventions are for preventing motion sickness. ☐ Gradually expose yourself to continuous or repeated motion sickness triggers. Most people, in time, notice a reduction in motion sickness symptoms.

Medications used to treat motion sickness can vary in effectiveness and side effects; suggest travelers take a trial dose of medication at home before departure to find what works best for them. The most frequently used antihistamines to treat motion sickness include cyclizine, dimenhydrinate, meclizine, and promethazine (oral and suppository); nonsedating antihistamines appear to be less effective. Other commonly used motion sickness medications include anticholinergics (e.g., scopolamine [hyoscine, oral and transdermal]); benzodiazepines; dopamine receptor antagonists (e.g., metoclopramide, prochlorperazine); and sympathomimetics (often used in combination with antihistamines).

Complementary approaches with anecdotal evidence of effectiveness for preventing or treating motion sickness (e.g., acupressure and magnets, ginger, homeopathic remedies, pyridoxine [vitamin B6]) might be effective for individual travelers but cannot generally be recommended (see Sec. 2, Ch. 14, Complementary & Integrative Health Approaches to Travel Wellness ). Clinical trials have shown that ondansetron, a commonly used antiemetic, is ineffective in preventing nausea associated with motion sickness.

Children & Motion Sickness

For children aged 2–12 years, dimenhydrinate (Dramamine), 1–1.5 mg/kg per dose, or diphenhydramine (Benadryl), 0.5–1 mg/kg per dose up to 25 mg, can be given 1 hour before travel and every 6 hours during the trip. Because some children have paradoxical agitation with these medications, encourage parents to try a test dose before departure. Oversedating young children with antihistamines can be life-threatening. Scopolamine can cause dangerous adverse effects in children and should not be used.

The following authors contributed to the previous version of this chapter: Stefanie K. Erskine

Bibliography

Golding JF, Gresty MA. Pathophysiology and treatment of motion sickness. Curr Opin Neurol. 2015;28(1):83–8. 

Leung AK, Hon KL. Motion sickness: an overview. Drugs Context. 2019;8:2019-9-4. 

Priesol AJ. Motion sickness. Deschler DG, editor. Waltham (MA): UpToDate; 2021. Available from:  www.uptodate.com/contents/motion-sickness . 

Schmäl F. Neuronal mechanisms and the treatment of motion sickness. Pharmacology. 2013;91(3-4):229–41. 

Zhang L, Wang J, Qi R, Pan L, Li M, Cai Y. Motion sickness: current knowledge and recent advance. CNS Neurosci Ther. 2016;22(1):15–24.

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Hyoscine for travel sickness

Joy rides, kwells, scopoderm.

Peer reviewed by Sid Dajani Last updated by Michael Stewart, MRPharmS Last updated 21 Nov 2022

Meets Patient’s editorial guidelines

Follow the dosage directions on the label or pack. Do not take more than the recommended dose.

If you are taking tablets, take a dose about 30 minutes before you travel.

If you have been prescribed a patch, apply it to the skin behind your ear 5-6 hours before your journey starts.

Hyoscine may make you sleepy. If this happens, do not drive and do not use tools or machines.

In this article :

About hyoscine, before taking hyoscine, how to use hyoscine, getting the most from your treatment, can hyoscine cause problems, how to store hyoscine, important information about all medicines.

Continue reading below

Hyoscine is an effective medicine for travel sickness . It works by preventing the confusing messages going to your brain.

There are a number of different brands of tablet available which contain hyoscine as a salt, called hyoscine hydrobromide. You can buy these without a prescription at pharmacies. There are two strengths of tablets available: 300 microgram tablets for adults, and 150 microgram tablets for children. The dose for younger children will require halving a tablet.

There is also a product called Scopoderm® 1.5 mg patch. This is a patch for people aged 10 years or over. You stick the patch on to the skin behind your ear 5-6 hours before your journey, and then remove it at the end of the journey. The patch releases hyoscine through your skin and into your bloodstream.

One of the other effects of hyoscine is that it causes a dry mouth. It is sometimes prescribed by doctors for this reason, rather than to prevent travel sickness.

There is also a similar-sounding medicine called hyoscine butylbromide. This is an antispasmodic medicine which is used to relieve pain caused by tummy (abdominal) cramps. There is more information about this in a separate medicine leaflet called Hyoscine butylbromide tablets .

To make sure this is the right treatment for you, before you (or your child) start taking hyoscine, it is important that your doctor or pharmacist knows:

If you are pregnant or breastfeeding.

If you are unwell and have a high temperature (fever).

If you have digestive system problems such as reflux disease, diarrhoea, or ulcerative colitis.

If you have an eye condition called glaucoma.

If you have high blood pressure, a fast heart rate, or any other heart problems.

If you have problems with your liver, kidneys or prostate gland.

If you have epilepsy.

If you have a condition causing muscle weakness, called myasthenia gravis.

If you have Down's syndrome.

If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

If you have ever had an allergic reaction to a medicine.

Before you start this treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about hyoscine, including a full list of the side-effects which you may experience from taking it.

Recommended doses are as follows:

For adults and children over 10 years of age: 150-300 micrograms.

For those aged 4-10 years: 75-150 micrograms.

For those aged 3-4 years: 75 micrograms.

You should take a dose of tablets 30-60 minutes before the start of the journey, and then repeat the dose after six hours if needed. There is a maximum number of tablets that can be taken in any 24-hour period, so remember to check the directions on the label carefully to make sure that you (or your child) do not take more than the recommended daily amount.

Read the label on the pack carefully to see whether the tablets should be sucked or chewed, or simply swallowed with a drink of water.

If you have been prescribed Scopoderm® 1.5 mg patches:

Stick one patch to the skin just behind your ear 5-6 hours before the start of your journey and remember to remove it after your arrival.

The effect of the patch can last up to 72 hours, so it is suitable for people taking long journeys.

Once removed, fold the patch in half so it sticks together and dispose of it carefully.

Remember to wash your hands after handling the patches, and also it is important to clean behind your ear after you have removed the patch. This is to make sure you remove any remaining traces of hyoscine from your skin.

Do not apply more than one patch at a time and do not cut the patches unless your doctor or a pharmacist tells you to.

Hyoscine can make you sleepy, and if you are using the patches, you may still feel sleepy the following day. If this happens, do not drive and do not use tools or machines until you feel well again. Also, avoid drinking alcohol, as this will increase the feelings of sleepiness.

When you buy any medicines, you should always check with a pharmacist that they are safe to take alongside your other medicines. This is particularly important with hyoscine because it can increase the side-effects from some other treatments.

Other things which can help to prevent travel sickness are:

Looking out of a window or sitting with your head tilted slightly backwards.

Taking regular breaks in your journey to have some fresh air and drink some cold water.

Breathing deeply and slowly while you listen to music.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with hyoscine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Important: on rare occasions more serious side-effects can occur when using hyoscine hydrobromide patches (Scopoderm ® patches). This is more likely if using the patches in a way the manufacturer did not intend, for example cutting patches or using more than one patch. People using hyoscine patches, or their carers, should be alert for signs that the dose is too high. These can include: a high temperature (fever), difficulty passing urine, confusion, disorientation, seeing or hearing things that are not there (hallucinations), fits or convulsions, reduced consciousness and difficulty breathing. If you notice any of these symptoms, remove the patch(es) immediately and seek medical help.

Keep all medicines out of the reach and sight of children.

Store in a cool, dry place, away from direct heat and light.

Never take more than the recommended dose. If you suspect that you or someone else has taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.

If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website .

Further reading and references

• Manufacturer's PIL, Kwells® Kids ; Dexcel Pharma Ltd, The electronic Medicines Compendium. Dated May 2022.
• Manufacturer's PIL, Kwells® 300 microgram tablets ; Dexcel Pharma Ltd, The electronic Medicines Compendium. Dated May 2022.
• Manufacturer's PIL, Joy-Rides® Tablets ; Teva UK Limited, The electronic Medicines Compendium. Dated October 2020.
• Manufacturer's PIL, Scopoderm® 1.5 mg Patch ; GlaxoSmithKline Consumer Healthcare, The electronic Medicines Compendium. Dated August 2021.
• Medicines Complete BNF 87th Edition ; British Medical Association and Royal Pharmaceutical Society of Great Britain, London.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

Next review due: 20 Nov 2025

21 nov 2022 | latest version.

Last updated by

Peer reviewed by

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Motion Sickness

Is this your child's symptom.

• Dizziness or nausea from spinning or rolling motions

Symptoms of Motion Sickness

• Dizziness and unsteady walking
• Nausea and vomiting are also common
• Before age 6, the main symptom is dizziness and the need to lie down.
• After age 12, the main symptom is nausea (feeling sick to the stomach).

Causes of Motion Sickness

• Symptoms are mainly triggered by motion. Sea sickness or amusement park sickness are the most common types. Fun-park rides that spin or whirl are some of the main causes. The Tilt-a-whirl is a good example of a ride to avoid. Also seen during travel by train, aircraft and even car.
• The cause is a sensitive center in the inner ear. This center helps to maintain balance.
• As a car passenger driving on winding roads, 25% of people will have symptoms. Under extreme conditions (e.g., high seas) over 90% of people have symptoms.
• Strongly genetic: If one parent has it, 50% of the children will have it.
• It is not related to emotional problems. The child cannot control it with will power.
• Motion sickness symptoms are often worse in children.

When to Call for Motion Sickness

Call doctor or seek care now.

• Your child looks or acts very sick
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• Motion sickness symptoms last more than 8 hours
• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• You have other questions or concerns

Self Care at Home

• Motion sickness symptoms

Seattle Children's Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

• Federal Way
• Virtual Urgent Care

Care Advice for Motion Sickness

• Motion sickness is a common normal reaction that occurs in 25% of people.
• Caused by increased sensitivity of the inner ear.
• It is not related to emotional problems or any physical disease.
• In the future, take a special medicine ahead of time to prevent it.
• Here is some care advice that should help.
• Have your child lie down and rest. If your child goes to sleep, all the better.
• Give only sips of clear fluids. Water is best. Do this until the stomach settles down.
• Prepare for vomiting. Keep a vomiting pan handy.
• Usually, children don't vomit more than once with motion sickness.
• All symptoms of motion sickness usually go away in 4 hours after stopping the motion.
• As for the future, people usually don't outgrow motion sickness. Sometimes, it becomes less severe in adults.
• Buy some dimenhydrinate tablets (such as Dramamine) at your drug store. No prescription is needed. In the future, give it to prevent motion sickness.
• It comes in 50 mg regular and chewable tablets or in 25 mg Kids chewable tablets.
• Dosage by age: do not use under age 2.
• 2 to 5 years (12.5 mg): ½ Kids chewable
• 6 to 11 years (25 mg): 1 Kids chewable
• 12 and older (50 mg): 1 regular tablet or chewable
• Give the medicine 1 hour before traveling or going to a fun-park.
• The tablets give 6 hours of protection and are very helpful.
• Benadryl can also be used to prevent motion sickness. Use this if you do not have any Dramamine.
• If your child is over 12 years old, sit him in the front seat.
• Before age 12, have your child sit in the middle back seat. This should help him look out the front window.
• Have your child look out the front window, not the side one.
• Discourage looking at books or movies during car travel.
• Keep a window cracked to provide fresh air.
• Avoid exhaust fumes from other vehicles.
• Meals: Have your child eat light meals before trips. Some children can just tolerate crackers and water.
• Plastic Bags: Always carry a ziplock plastic bag for vomiting emergencies.
• Acupressure bands (such as Sea-Bands) are helpful for some adults.
• There is no reason they shouldn't work for some children.
• Put them on before car trips or other causes of motion sickness.
• The pressure button goes over the center of the wrist. Place ½ inch (1 cm) above the wrist crease.
• Any symptoms last over 8 hours
• You think your child needs to be seen
• Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Last Reviewed: 10/11/2023

Last Revised: 12/30/2022

Copyright 2000-2023. Schmitt Pediatric Guidelines LLC.

Should your child see a doctor?

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ANDREW BRAINARD, MD, MPH, AND CHIP GRESHAM, MD

Am Fam Physician. 2014;90(1):41-46

Patient information : See related handout on motion sickness , written by the authors of this article.

Author disclosure: No relevant financial affiliations.

Motion sickness is a common syndrome that occurs upon exposure to certain types of motion. It is thought to be caused by conflict between the vestibular, visual, and other proprioceptive systems. Although nausea is the hallmark symptom, it is often preceded by stomach awareness, malaise, drowsiness, and irritability. Early self-diagnosis should be emphasized, and patients should be counseled about behavioral and pharmacologic strategies to prevent motion sickness before traveling. Patients should learn to identify situations that will lead to motion sickness and minimize the amount of unpleasant motion they are exposed to by avoiding difficult conditions while traveling or by positioning themselves in the most stable part of the vehicle. Slow, intermittent exposure to the motion can reduce symptoms. Other behavioral strategies include watching the true visual horizon, steering the vehicle, tilting their head into turns, or lying down with their eyes closed. Patients should also attempt to reduce other sources of physical, mental, and emotional discomfort. Scopolamine is a first-line medication for prevention of motion sickness and should be administered transdermally several hours before the anticipated motion exposure. First-generation antihistamines, although sedating, are also effective. Nonsedating antihistamines, ondansetron, and ginger root are not effective in the prevention and treatment of motion sickness.

Motion sickness is a syndrome that occurs when a patient is exposed to certain types of motion and usually resolves soon after its cessation. It is a common response to motion stimuli during travel. Although nausea is a hallmark symptom, the syndrome includes symptoms ranging from vague malaise to completely incapacitating illness. These symptoms, which can affect the patient's recreation, employment, and personal safety, can occur within minutes of experiencing motion and can last for several hours after its cessation.

Nearly all persons will have symptoms in response to severe motion stimuli, and a history of motion sickness best predicts future symptoms. 1 Females, children two to 15 years of age, and persons with conditions associated with nausea (e.g., early pregnancy, migraines, vestibular syndromes) report increased susceptibility.

The pathogenesis of motion sickness is not clearly understood, but it is thought to be related to conflict between the vestibular, visual, and other proprioceptive systems. 2 Rotary, vertical, and low-frequency motions produce more symptoms than linear, horizontal, and high-frequency motions. 1

Clinical Presentation

Although nausea may be the first recognized symptom of motion sickness, it is almost always preceded by other subtle symptoms such as stomach awareness (i.e., a sensation of fullness in the epigastrium), malaise, drowsiness, and irritability. Failure to attribute early symptoms to motion sickness may lead to delays in diagnosis and treatment. Although mild symptoms are common, severely debilitating symptoms are rare 2 ( Table 1 1 , 2 ) .

Behavioral Interventions

Prevention of motion sickness is more effective than treating symptoms after they have occurred. Therefore, patients should learn to identify situations that may lead to motion sickness and be able to initiate behavioral strategies to prevent or minimize symptoms 1 , 2 ( Table 2 1 – 13 ) .

MINIMIZE VESTIBULAR MOTION

Patients should be advised to avoid traveling in difficult weather conditions. If they must travel, they should sit in the part of the vehicle with the least amount of rotational and vertical motion. 2 This is usually the lowest level in trains and buses, close to water level and in the center of boats, and over the wing on airplanes.

HABITUATE TO MOTION

With continuous exposure to motion, symptoms of motion sickness will usually subside in one to two days. Alternatively, slow, intermittent habituation to motion is an effective strategy to reduce symptoms. 1 For example, spending the first night aboard a boat in the marina, followed by a day acclimating in the harbor, is preferable to going straight into the open ocean.

SYNCHRONIZE THE VISUAL SYSTEM WITH THE MOTION

A small study found that focusing on the true horizon (skyline) minimized symptoms of motion sickness. 5 A survey of 3,256 bus passengers suggested that forward vision was helpful in reducing symptoms. 3 Another study indicated that forward vision in a car can reduce symptoms. 4

ACTIVELY SYNCHRONIZE THE BODY WITH THE MOTION

Actively steering the vehicle is an accepted strategy for reducing symptoms of motion sickness, although evidence is limited. 7 Additionally, a small study of automobile passengers found that actively tilting the head into turns was effective in preventing symptoms. 6 A survey of 260 cruise ship passengers supported the common advice to recline and passively stabilize themselves if they are unable to initiate active movements. 8

REDUCE OTHER SOURCES OF PHYSICAL, MENTAL, AND EMOTIONAL DISCOMFORT

Frequent consumption of light, soft, bland, low-fat, and low-acid food can minimize symptoms of motion sickness. 2 Treating gastritis is useful, 2 as is avoiding nausea-inducing stimuli (e.g., alcohol, noxious odors). Discussing symptoms with others can exacerbate the condition. Passengers should be well rested, well hydrated, well fed, and comfortable before beginning travel. Small studies have shown that cognitive behavior therapy, mindful breathing, and listening to music may also reduce symptoms of motion sickness. 9 , 10 , 13

Medications

Medications are most effective when taken prophylactically before traveling, or as soon as possible after the onset of symptoms 2 ( Table 3 1 , 2 , 14 – 23 ) . Medications are most effective when combined with behavioral strategies. To familiarize themselves with common side effects, patients should first take medications in a comfortable environment before using them for motion sickness during travel.

SCOPOLAMINE

Scopolamine, an anticholinergic, is a first-line option for preventing motion sickness in persons who wish to maintain wakefulness during travel. 2 , 20 , 24 A Cochrane review of 14 randomized controlled trials (RCTs) showed that scopolamine is effective for the prevention of motion sickness. 14 A more recent RCT of 76 naval crew members showed that transdermal scopolamine is more effective and has fewer side effects than the antihistamine cinnarizine (not available in the United States). 15 If the recommended dose of scopolamine does not adequately relieve symptoms, the dose may be doubled. Adding a second patch of transdermal scopolamine was well tolerated in a small RCT of 20 sailors. 25

ANTIHISTAMINES

First-generation antihistamines have been used to treat motion sickness since the 1940s. 1 They are generally recommended for patients who can tolerate their sedative effects. 2 , 20 Cyclizine (Marezine), dimenhydrinate, promethazine, and meclizine (Antivert) demonstrated effectiveness in small RCTs of varying quality. 16 – 19 Nonsedating antihistamines are not effective in preventing or treating motion sickness. 26

OTHER MEDICATIONS

Benzodiazepines are occasionally administered for severe symptoms of motion sickness and have been proven effective in a single small study. 27 The serotonin agonist rizatriptan (Maxalt) reduced motion sickness symptoms in a single RCT of 25 patients with recurrent migraines. 28 The serotonin antagonist ondansetron (Zofran) is ineffective for the prevention and treatment of motion sickness. 29 , 30

COMPLEMENTARY AND ALTERNATIVE THERAPIES

Although ginger root is often reported to prevent motion sickness, it had no statistically significant effects in an RCT of 80 naval cadets. 31 A single RCT of pregnant women showed that stimulation of the P6 acupressure point on the anterior wrist increased their tolerance of motion stimuli. 32 Controlled trials of behavioral, pharmacologic, or alternative therapies for motion sickness have demonstrated strong placebo effects. Therefore, treatments are likely to be most effective if the patient believes that they will work. 11 , 12

Data Sources : PubMed was searched using the MeSH headings motion sickness, ships, movement, space motion sickness, and travel. Additional searches were performed in Essential Evidence Plus, UpToDate, Medscape, and BMJ Clinical Evidence. Search dates: March 2012 through March 2014.

Golding JF. Motion sickness susceptibility. Auton Neurosci. 2006;129(1–2):67-76.

Shupak A, Gordon CR. Motion sickness: advances in pathogenesis, prediction, prevention, and treatment. Aviat Space Environ Med. 2006;77(12):1213-1223.

Turner M, Griffin MJ. Motion sickness in public road transport: the relative importance of motion, vision and individual differences. Br J Psychol. 1999;90(pt 4):519-530.

Griffin MJ, Newman MM. Visual field effects on motion sickness in cars. Aviat Space Environ Med. 2004;75(9):739-748.

Bos JE, MacKinnon SN, Patterson A. Motion sickness symptoms in a ship motion simulator: effects of inside, outside, and no view. Aviat Space Environ Med. 2005;76(12):1111-1118.

Wada T, Konno H, Fujisawa S, Doi S. Can passengers' active head tilt decrease the severity of carsickness? Effect of head tilt on severity of motion sickness in a lateral acceleration environment. Hum Factors. 2012;54(2):226-234.

Rolnick A, Lubow RE. Why is the driver rarely motion sick? The role of controllability in motion sickness. Ergonomics. 1991;34(7):867-879.

Gahlinger PM. Cabin location and the likelihood of motion sickness in cruise ship passengers. J Travel Med. 2000;7(3):120-124.

Dobie TG, May JG. The effectiveness of a motion sickness counselling programme. Br J Clin Psychol. 1995;34(pt 2):301-311.

Yen Pik Sang FD, Billar JP, Golding JF, Gresty MA. Behavioral methods of alleviating motion sickness: effectiveness of controlled breathing and a music audiotape. J Travel Med. 2003;10(2):108-111.

Horing B, Weimer K, Schrade D, et al. Reduction of motion sickness with an enhanced placebo instruction: an experimental study with healthy participants. Psychosom Med. 2013;75(5):497-504.

Eden D, Zuk Y. Seasickness as a self-fulfilling prophecy: raising self-efficacy to boost performance at sea. J Appl Psychol. 1995;80(5):628-635.

Denise P, Vouriot A, Normand H, Golding JF, Gresty MA. Effect of temporal relationship between respiration and body motion on motion sickness. Auton Neurosci. 2009;151(2):142-146.

Spinks A, Wasiak J. Scopolamine (hyoscine) for preventing and treating motion sickness. Cochrane Database Syst Rev. 2011;6:CD002851.

Gil A, Nachum Z, Tal D, Shupak A. A comparison of cinnarizine and transdermal scopolamine for the prevention of seasickness in naval crew: a double-blind, randomized, crossover study. Clin Neuropharmacol. 2012;35(1):37-39.

Estrada A, LeDuc PA, Curry IP, Phelps SE, Fuller DR. Airsickness prevention in helicopter passengers. Aviat Space Environ Med. 2007;78(4):408-413.

Brand JJ, Colquhoun WP, Gould AH, Perry WL. (—)-Hyoscine and cyclizine as motion sickness remedies. Br J Pharmacol Chemother. 1967;30(3):463-469.

Weinstein SE, Stern RM. Comparison of marezine and dramamine in preventing symptoms of motion sickness. Aviat Space Environ Med. 1997;68(10):890-894.

Paul MA, MacLellan M, Gray G. Motion-sickness medications for aircrew: impact on psychomotor performance. Aviat Space Environ Med. 2005;76(6):560-565.

Sherman CR. Motion sickness: review of causes and preventive strategies. J Travel Med. 2002;9(5):251-256.

Zajonc TP, Roland PS. Vertigo and motion sickness. Part II: pharmacologic treatment. Ear Nose Throat J. 2006;85(1):25-35.

Gordon CR, Shupak A. Prevention and treatment of motion sickness in children. CNS Drugs. 1999;12(5):369-381.

McDonald K, Trick L, Boyle J. Sedation and antihistamines: an update. Review of inter-drug differences using proportional impairment ratios. Hum Psychopharmacol. 2008;23(7):555-570.

Nachum Z, Shupak A, Gordon CR. Transdermal scopolamine for prevention of motion sickness: clinical pharmacokinetics and therapeutic applications. Clin Pharmacokinet. 2006;45(6):543-566.

Bar R, Gil A, Tal D. Safety of double-dose transdermal scopolamine. Pharmacotherapy. 2009;29(9):1082-1088.

Cheung BS, Heskin R, Hofer KD. Failure of cetirizine and fexofenadine to prevent motion sickness. Ann Pharmacother. 2003;37(2):173-177.

McClure JA, Lycett P, Baskerville JC. Diazepam as an anti-motion sickness drug. J Otolaryngol. 1982;11(4):253-259.

Furman JM, Marcus DA, Balaban CD. Rizatriptan reduces vestibular-induced motion sickness in migraineurs. J Headache Pain. 2011;12(1):81-88.

Muth ER, Elkins AN. High dose ondansetron for reducing motion sickness in highly susceptible subjects. Aviat Space Environ Med. 2007;78(7):686-692.

Hershkovitz D, Asna N, Shupak A, Kaminski G, Bar R, Tal D. Ondansetron for the prevention of seasickness in susceptible sailors: an evaluation at sea. Aviat Space Environ Med. 2009;80(7):643-646.

Grøntved A, Brask T, Kambskard J, Hentzer E. Ginger root against seasickness. A controlled trial on the open sea. Acta Otolaryngol. 1988;105(1–2):45-49.

Alkaissi A, Ledin T, Odkvist LM, Kalman S. P6 acupressure increases tolerance to nauseogenic motion stimulation in women at high risk for PONV. Can J Anaesth. 2005;52(7):703-709.

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Generic name: meclizine [  MEK-li-zeen  ] Brand names: Antivert , Bonine , Bonine Max, Dramamine Less Drowsy , Dramamine Nausea Long Lasting, ... show all 14 brands Travel-Ease, Medivert, Dramamine II, D-Vert, Driminate II, Meclicot, Ru-Vert-M, Meni-D, VertiCalm Dosage forms: oral tablet (12.5 mg; 25 mg; 50 mg), oral tablet, chewable (25 mg; 50 mg) Drug class: Anticholinergic antiemetics

Medically reviewed by Sanjai Sinha, MD . Last updated on Mar 22, 2024.

What is meclizine?

Meclizine is used in adults and children aged 12 years and older to treat or prevent nausea , vomiting and dizziness caused by motion sickness .

Meclizine is also used in adults to treat symptoms of vertigo (dizziness or spinning sensation) caused by disease that affects your inner ear.

Meclizine is most effective if taken before symptoms appear.

Meclizine side effects

Get emergency medical help if you have signs of an allergic reaction to meclizine : hives, difficult breathing, swelling of your face, lips, tongue, or throat.

Common meclizine side effects may include:

drowsiness ;

dry mouth ;

vomiting; or

feeling tired.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Use meclizine only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.

You should not take this medication if you are allergic to meclizine.

Before you take this medicine, tell your doctor if you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or urination problems.

Meclizine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase certain side effects of meclizine.

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by meclizine.

Related/similar drugs ondansetron , hydroxyzine , clonazepam , lorazepam , olanzapine , dexamethasone , promethazine

Before taking this medicine

You should not use meclizine if you are allergic to it.

Do not give meclizine to anyone younger than 12 years old without medical advice.

To make sure this medicine is safe for you, tell your doctor if you have ever had:

breathing problems such as asthma , emphysema , or chronic bronchitis ;

an enlarged prostate or urination problems;

recently used alcohol, sedatives, or tranquilizers; or

liver or kidney disease.

Tell your doctor if you are pregnant or breastfeeding.

How should I take meclizine?

Take meclizine exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Swallow the tablet whole and do not crush, chew, or break it.

You must chew the chewable tablet before you swallow it.

To prevent motion sickness, take meclizine about 1 hour before you travel or anticipate having motion sickness. You may take meclizine once every 24 hours while you are traveling, to further prevent motion sickness.

To treat vertigo, you may need to take meclizine several times daily. Follow your doctor's instructions.

Store at room temperature away from moisture, heat, and light.

Dosing information

Usual Adult Dose for Vertigo:

-25 to 100 mg orally per day in divided doses -Dosing dependent upon clinical response. Use: Management of vertigo associated with diseases affecting the vestibular system.

Usual Adult Dose for Motion Sickness:

-Initial Dose: 25 to 50 mg orally 1 hour before travel -Maintenance Dose: Repeat dose every 24 hours if needed Use: Management of nausea, vomiting, and dizziness associated with motion sickness.

Usual Pediatric Dose for Vertigo:

Age 12 years and older: -25 to 100 mg orally per day in divided doses -Dosing dependent upon clinical response. Use: Management of vertigo associated with diseases affecting the vestibular system.

Usual Pediatric Dose for Motion Sickness:

Age 12 years and older: -Initial Dose: 25 to 50 mg orally 1 hour before travel -Maintenance Dose: Repeat dose every 24 hours if needed Use: Management of nausea, vomiting, and dizziness associated with motion sickness.

What happens if I miss a dose?

Meclizine is used when needed. If you are on a dosing schedule, skip any missed dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking meclizine?

Avoid driving or hazardous activity until you know how meclizine will affect you. Your reactions could be impaired.

Avoid drinking alcohol. Drinking alcohol with this medicine can cause side effects.

What other drugs will affect meclizine?

Using meclizine with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures .

Sometimes it is not safe to use certain medicines at the same time. Some drugs can affect your blood levels of other drugs you use, which may increase side effects or make the medicines less effective.

Other drugs may interact with meclizine, including prescription and over-the-counter medicines, vitamins , and herbal products . Tell your doctor about all other medicines you use.

More about meclizine

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (226)
• Drug images
• Side effects
• Dosage information
• Patient tips
• During pregnancy
• Support group
• Drug class: anticholinergic antiemetics
• Breastfeeding

Patient resources

• Meclizine Chewable Tablets patient information
• Meclizine Tablets

Other brands

Antivert , Meclicot , Dramamine II , Meni-D , Travel Sickness

Professional resources

• Meclizine monograph
• Meclizine (FDA)

Related treatment guides

• Meniere's Disease
• Motion Sickness
• Nausea/Vomiting

Further information

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Who can and cannot take hyoscine hydrobromide - Brand names: Kwells, Joy-Rides, Kwells Kids, Travel Calm, Scopoderm

Who can take hyoscine hydrobromide.

Hyoscine hydrobromide travel sickness tablets can be taken by most adults and children from the age of 3 years.

Patches for travel sickness can be used by most adults and children from the age of 10 years.

Who may not be able to take hyoscine hydrobromide

Hyoscine hydrobromide is not suitable for some people. To make sure it's safe for you, tell a pharmacist or doctor before taking it if you:

• have ever had an allergic reaction to hyoscine hydrobromide or any other medicine
• have an eye problem called primary angle closure glaucoma
• have difficulty peeing or a bowel blockage
• have myasthenia gravis , a condition that causes muscle weakness
• have heart problems, including a very fast heart rate
• have thyroid, kidney or liver problems
• have epilepsy (seizures)
• have digestive problems, such as acid reflux or severe constipation
• have ulcerative colitis
• have a high temperature
• are pregnant or trying to get pregnant, as hyoscine hydrobromide is not recommended in pregnancy

Page last reviewed: 5 October 2022 Next review due: 5 October 2025

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Why is my toddler travel sick?

• Time your journey carefully. Travel sickness is less likely during sleep as your child’s brain is not being stimulated by what she sees around her. Once the journey has actually started and your child begins to feel ill, she may be less likely to go to sleep.
• If possible, try putting your child to bed before you start your journey and transfer your sleepy toddler into her car seat without (hopefully) waking her up. Or try coinciding your journey with nap or sleep time. Some toddlers fall asleep the minute they hit the road!
• Try not to give your toddler a full meal just before travelling. If she vomits, give her small sips of water. Dry crackers can be useful for older toddlers.
• Keep the car cool and well-ventilated and don’t overdress your child in her car seat.
• Try not to distract your toddler with toys or books, as these can make travel sickness symptoms worse. If your toddler is older, encourage her to focus forwards on long-distance objects like lorries, tractors or trees by playing “I spy…” games.
• Put a sun-shade on the window on your child’s side of the car to help her look forward and to protect her from the heat of the sun.
• Avoid any strong smells in the car. Don’t wear strong perfume or use overpowering air-fresheners.
• Don't smoke in the car with your toddler, even with the windows open. Not only would this expose him to the dangerous chemicals in cigarettes, it could also make travel sickness worse. In fact, it's illegal to smoke in a car with anyone under 18 present.
• Make sure your child’s head is well-supported in her car seat to prevent her from moving her head too much.
• Toddlers of all ages respond to music. If it is something she’s familiar with, it’s more likely to distract her from feeling ill. Try putting on a well-loved CD of nursery rhymes or sing a few favourites.
• If you think your toddler is going to be sick, take a couple of towels with you on your journey. Put one over your toddler and another over the car seat before you strap her in. Have a spare set of clothing packed just in case and bring some plastic bags for soggy towels and clothes, as well as some baby wipes to freshen up.
• Anti-sickness medications containing hyoscine can be purchased over the counter from a pharmacist, for children who are two and over. Research studies have shown these to be very effective. Other remedies such as ginger preparations and acupressure bands can be popular. However these have not been medically proven to work.
• Resist the temptation to stop travelling, as research among adults in America has shown that the symptoms do reduce after frequent exposure to travelling. The majority of children do grow out of travel sickness and as your child gets older she can tell you when she begins to feel queasy. So until then, stay calm, be well prepared for each journey and remember that travelling with your toddler gives her a whole wealth of experiences and opportunities, which she’ll remember for the rest of her life.

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Kwells medicines are indicated to prevent travel sickness. Kwells can be used by both kids (above 4 years) and adults.

Kwells is used to prevent all types of Travel Sickness (car, coach, plane, train and ship) and is suitable for use in adults and children over the age of 4 years, (dose adjustments are needed for children between 4-12 yrs of age).

  Kwells travel sickness prevention contains the active ingredient Hyoscine Hydrobromide (0.3mg) and does not contain caffeine (a stimulant) or Dimenhydrinate (may cause drowsiness), which are found in other travel sickness treatments.

  Kwells is the No.1 selling treatment for travel sickness prevention.

  Kwells should be taken at least 30 minutes before commencing your journey as travel sickness is more easily prevented than treated - once vomiting occurs it is almost impossible for oral medication to be absorbed into the body.   

FAQ’s Q: Are there preservatives in Kwells? A: There are no preservatives present in Kwells.   Q: What active ingredients are in Kwells? A: The active ingredient is Hyoscine hydrobromide. Kwells does not contain caffeine or dimenhydrinate.   Q: I get nervous prior to flying and feel airsick when the plane is flying. What can I do? A: The best solution is to take travel sickness prevention 30 minutes prior to flying and when checking ask to be seated over a wing. When on the plane also open the air vent to allow fresh air to flow over your face.  

Q: When traveling by car the kids frequently become air sick. What can I do? A: The best solution is to treat them with travel sickness prevention 30 mins prior to the journey. Kwells can be used for children 4 years and up (refer to pack for dosage instructions). In addition ensure they have eaten 2-3 hours before travelling and drink water during the journey.  When driving they should be safely elevated to allow them to see where they are going.

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International travel documents for children

See what documents a child needs to travel to or from the U.S. alone or with a parent or relative.

Children traveling to the U.S.

All children, including infants, must have their own travel documents such as a passport or document from a Trusted Traveler Program to enter the U.S. If you travel or are going to travel with a child, consider taking the following documents:

• If the child is traveling with only one of their custodial parents, they must have a letter of consent, preferably in English and notarized, from the other parent or signed by both parents. The letter should say "I acknowledge that my son/daughter is traveling outside the country with [the name of the adult] with my permission."
• If one parent has sole custody of the child, a copy of the custody document can take the place of the other parent's letter.
• Parents who frequently cross the border by land with a minor must always carry a letter of permission from the other parent.

U.S. citizen children traveling abroad

Ports of entry in many countries have security measures to prevent international child abduction . If you are traveling alone with your child, you may be required to present documentation proving you are the parent or legal guardian. You may also need a letter of permission from the other parent for your child to travel. 

If your child travels alone, depending on the country, they may be required to present a notarized letter from both parents or their legal guardian. If a minor is traveling abroad and is not accompanied by both parents or a legal guardian, contact the embassy or consulate of the country you will be visiting and ask about entry and exit requirements for that country.

LAST UPDATED: December 6, 2023

Have a question?

Ask a real person any government-related question for free. They will get you the answer or let you know where to find it.

medications for PPD, PPA,

hi everyone… just wondering who feels comfortable sharing their experience with being medicated for PPD and PPA. I’ve been struggling mentally for a while. just generally overwhelmed and very unhappy. My son is 4 months and I have a 2.5 year old daughter. my husband was diagnosed w lymphoma when our baby was just 6 weeks and is now undergoing chemo so needless to say I’m going thru it.

I never had PPD or anything after my first baby but now things have gotten really bad. I know it’s a mix of everything going on in my life on top of being sleep deprived. But these feelings of rage, anxiety, intrusive thoughts and OCD are super hard to manage. Then the mom guilt when I snap just makes me feel like a horrible mom and wife. Because my kids are awesome and my husband is truly a saint so this is all something going on with myself and I know that.

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June 17, 2024

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International travel: Don't forget your child's vaccinations, says pediatrician

by Ernie Mundell

Exploring Europe, taking an African safari, going on a trip to the tropics: In many cases, vaccines are needed for travel, and that's doubly true for children.

According to pediatrician Dr. Lauren Nguyen, researching what vaccines are needed and preparing well before your family's departure is crucial.

"I tell my families that it's best to come in about six weeks prior to international travel," said Nguyen, who's based in Torrance, Calif. and is affiliated with the Children's Hospital Los Angeles Care Network.

Meet with your child's pediatrician to review travel plans, figure out what vaccines are required or recommended based on your travel destination and arrange to get any shots needed. That consultation is probably best done with an in-person visit, not a phone call, Nguyen noted.

Not sure what shots the country you're visiting requires? Head to the U.S. Centers for Disease Control and Prevention's Travelers' Health website for up to date info for countries worldwide.

"The CDC website tells you about any current outbreaks, as well as the recommended vaccines for that country," Nguyen said in a hospital news release.

Besides any special vaccines required by the country you're visiting, make sure your child is up to date on routine shots for seasonal infections like COVID, flu and RSV.

Planning ahead is crucial because many vaccines require multiple doses given weeks apart, Nguyen noted. Pediatricians may also not have large supplies of vaccines for diseases like yellow fever or typhoid, and may need time to order them.

Then there's time needed for vaccines to give your child's immune system a full boost. "It takes about two to four weeks to respond to the vaccine and develop the antibodies," Nguyen explained.

And it's not just about needles: Daily dose malaria pills, for example, need to be started up to two weeks before departure, taken the entire period that you're in a malaria zone, and then taken for a month after you return home.

Vaccine schedules also vary by age, Ngyuen noted. Measles outbreaks are occuring worldwide with greater frequency, and measles vaccine recommendations are different for babies versus older children .

Children typically wait to get the first dose of the measles vaccine between the ages of 12 and 15 months and the second dose between 4 and 6 years of age.

However, for infants "that changes for international travel," Nguyen said. "Children between 6 and 12 months of age should get a first dose of the measles vaccine prior to travel." That first dose should still be followed up by a second dose between the ages of 4 and 6, she added.

Hepatitis A is typically contracted through contaminated water or food. Again, routine vaccination recommendations suggest that a child get their first hep A shot between 12 and 23 months of age.

However, "infants 6 to 11 months old should be vaccinated when protection against hepatitis A is recommended for the destination," Nguyen said. And if your baby is very young—under 2 months of age—you probably shouldn't travel internationally unless it's absolutely necessary, she added.

Another key shot is the meningitis A (MenACWY) vaccine. It's easily transmitted and Nguyen suggests that kids be vaccinated against meningitis A before travel, especially when people are circulating in close quarters, such as on cruise ships .

Kids ages 16 and older should also be immunized against the meningitis B vaccine.

Cruise ships can be hotbeds of infection, so don't forget vaccinations even if you aren't docking at exotic locales.

"The people you'll be on the ship with might have been vacationing all over the world," she explained. "Vaccines can protect your children from a wide range of illnesses these passengers might bring on board."

Besides shots and pills, you can take other steps to keep you and your family safe while abroad. According to Nguyen, these include bringing:

• Insect repellent
• Children's acetaminophen, ibuprofen and Benadryl
• Hydrocortisone cream
• Electrolyte-replacement powder (like Pedialyte), to help curb dehydration
• Your health insurance card

Last but not least, make sure you have adequate travel health insurance so you can access care should any health emergencies arise.

Copyright © 2024 HealthDay . All rights reserved.

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