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SEA SICKNESS TREATMENT-MAL DA MER


CAPTAIN TONY ALLEN is a pharmacist by profession and certainly knows a thing or two about SEASICKNESS as he has observed it on his vessel at certain times. There is nothing worse for the sufferer as all they want to do is go home. Of course as soon as they hit dry land recovery is almost instant.

So what can you do to try and PREVENT and TREAT sea-sickness. There are a few definite things to follow.

1. If you are a likely sufferer do not eat a large greasy breakfast breakfast on the day of the event.
2. Avoid caffeine drinks like coffee.
3. DO NOT INDULGE in alcohol binge drinking with your friends the night before the trip.
4. Go to bed early, so that your not tired.
5. Take an ANTI-SEASICKNESS preparation the NIGHT BEFORE your trip.
6. Take an ANTI-SEASICKNESS preparation on the morning of your trip immediately after rising.
7. Eat a very light breakfast.
8. Drink ample fluids.

WHAT ANTI-SEASICKNESS preparations do I recommend. I know the first two on my list are very effective but are only available in the UK. We do carry a small supply on our vessel.

1. STUGERON 25mg tablets. If your coming from the UK and are a sufferer I recommend that you purchase STUGERON 25mgm tablets (Generic name CINNARIZINE). This is available as an over the counter remedy in the UK. These are not available in the USA. I now carry a supply on the boat, so just ask.
Dosage:
25 mg may be taken 2 hours before the start of the journey and 12,5 mg to 25 mg may be repeated every 8 hours during the journey when necessary.


2. HYOSCINE HBR 0.3mg tablets. The BRITISH MERCHANT SHIPPING ACT (Medical Stores) REGULATIONS requires that vessels carry HYOSCINE Hbr 0.3mg tablets. These are effective for some persons but the main side effect is a dry mouth. We carry a supply on our vessel. This is available as an over the counter remedy in the UK called KWELLS. Not to be used in children under 12 years.
Dosage:
Adults-Take one to start with and repeat in 6hrs.

Here in the USA there are medical treatments that can prevent the problem or reduce the symptoms once they have started. Over-the-counter medicines include the following:

3. DRAMAMINE (dimenhydrinate) Dose: 50 to 100 milligrams every 4 to 6 hours. (Causes drowsiness) Used originally by astronauts to combat the effect of motion sickness.

4. ANTIVERT or BONINE brands of the generic medicine meclizine. Dose: 25 to 50 milligrams once daily, and Benadryl (diphenhydramine) Dose: One every 4 to 6 hours, and are all most effective if taken one hour prior to leaving.

Dramamine and Benadryl have children’s dosing as well. They are all effective but can cause some drowsiness and dry mouth.

5. SCOPOLAMINE (SCOPODERM TTS) is available by prescription in pill & patch form. Scopace Dose: 0.4 to 0.8 milligram tablet every 6 hours taken one hour before leaving; or in patch form, Transderm Scop, which you put on behind the ear 4 hours before going out. It can be worn for up to 3 days before changing. Scopolamine is generally the most effective, but with more side effects, including dilating your pupil if you touch the patch and then rub your eye.

6. GINGER as an over-the-counter supplement, taken orally, 1,000 milligrams every 6 hours, or in foods (i.e. ginger snaps) May be helpful?

7. WRIST BANDS (ACUPRESSURE & SEA BANDS) Several types of wrist bands that provide electrical or mechanical stimulation of an acupuncture point on the inner aspect of the wrist are claimed to help prevent or treat seasickness. There is some evidence that they may help with nausea in pregnancy or chemotherapy, but medical studies have been mixed on treating motion sickness and the claims they make are difficult to substantiate.



8. Eating dry biscuits when symptoms occur. May be helpful to some?

9. And last of all, watch the horizon and try to balance your body as sea-sickness is caused by the otoliths in your ears not responding to motion.

Whatever medical treatment you decide on using, it may be a good idea to try the medication prior to your trip, to see if the side effects are tolerable.


Captain Tony ALLEN. M.R.Pharm.S.
Registered Member of the Pharmaceutical Society of Great Britain #62419

 (US. Coastguard Certified Captain. No: 1139644. TWIC CARD HOLDER    R.Y.A. Yachtmaster Offshore C.O.S.)

 


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