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Motion Sickness

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Motion sickness happens when the movement you see is different from what your inner ear senses. This can cause dizziness, nausea, and vomiting. You can get motion sick in a car, or on a train, airplane, boat, or amusement park ride. Motion sickness can make traveling unpleasant, but there are strategies to prevent and treat it.

Preventing motion sickness without medicine

Avoiding situations that cause motion sickness is the best way to prevent it, but that is not always possible when you are traveling. The following strategies can help you avoid or lessen motion sickness.

  • Sit in the front of a car or bus.
  • Choose a window seat on flights and trains.
  • If possible, try lying down, shutting your eyes, sleeping, or looking at the horizon.
  • Stay hydrated by drinking water. Limit alcoholic and caffeinated beverages.
  • Eat small amounts of food frequently.
  • Avoid smoking. Even stopping for a short period of time helps.
  • Try and distract yourself with activities, such as listening to music.
  • Use flavored lozenges, such as ginger candy.

Using medicines for motion sickness

Medicines can be used to prevent or treat motion sickness, although many of them cause drowsiness. Talk to a healthcare professional to decide if you should take medicines for motion sickness. Commonly used medicines are diphenhydramine (Benadryl), dimenhydrinate (Dramamine), and scopolamine.

Special Consideration for Children

family in airport

Motion sickness is more common in children ages 2 to 12 years old.

Some medicines used to prevent or treat motion sickness are not recommended for children. Talk to your healthcare professional about medicines and correct dosing of medicines for motion sickness for children. Only give the recommended dosage.

Although motion sickness medicines can make people sleepy, it can have the opposite effect for some children, causing them to be very active. Ask your doctor if you should give your child a test dose before traveling.

More Information

Motion Sickness in CDC Yellow Book

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  • Motion sickness: First aid

Any type of transportation can cause motion sickness. It can strike suddenly, progressing from a feeling of uneasiness to a cold sweat, dizziness and vomiting. It usually quiets down as soon as the motion stops. The more you travel, the more easily you'll adjust to being in motion.

You might avoid motion sickness by planning ahead. When traveling, avoid sitting in the rear of the vehicle or in seats that face backward. Pick seats where you'll feel motion least:

  • By ship, request a cabin in the front or middle of the ship near the water level.
  • By plane, ask for a seat over the front edge of a wing. Once aboard, direct the air vent flow to your face.
  • By train, take a forward-facing seat near the front and next to a window.
  • By automobile, drive or sit in the front passenger's seat. Children should be in age-appropriate seats and restraints.

If you're susceptible to motion sickness:

  • Focus on the horizon or on a distant, stationary object. Don't read or use electronic devices while traveling.
  • Keep your head still, while resting against a seat back.
  • Don't smoke and don't sit near smokers.
  • Avoid strong odors, spicy and greasy foods, and alcohol.
  • Take an antihistamine, which you can buy without a prescription. Medicines include dimenhydrinate (Dramamine, Driminate, others) and meclizine (Dramamine Less Drowsy, Travel-Ease, others). Dimenhydrinate is safe for children older than age 2. Take these medicines at least 30 to 60 minutes before you travel. Expect drowsiness as a side effect.
  • Consider scopolamine, available in a prescription adhesive patch called Transderm Scop. Several hours before you plan to travel, apply the patch behind your ear for 72-hour protection. Talk to your health care provider before using the medicine if you have health problems such as glaucoma or urine retention.
  • Try ginger. A ginger supplement combined with ginger snaps, ginger ale or candied ginger might help curb nausea.
  • Eat lightly. Some people find that nibbling on plain crackers and sipping cold water or a carbonated drink without caffeine help.
  • Ferri FF. Motion sickness. In: Ferri's Clinical Advisor 2023. Elsevier; 2023. https://www.clinicalkey.com. Accessed Nov. 29, 2022.
  • Bennett JE, et al. Protection of travelers. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 29, 2022.
  • Priesol AJ. Motion sickness. https://www.uptodate.com/contents/search. Accessed Nov. 29, 2022.
  • Motion sickness. Centers for Disease Control and Prevention. https://wwwnc.cdc.gov/travel/page/motion-sickness. Accessed Nov. 29, 2022.
  • Kc Leung A, et al. Motion sickness: An overview. Drugs in Context. 2019; doi:10.7573/dic.2019-9-4.
  • Dimenhydrinate oral. Facts & Comparisons eAnswers. https://fco.factsandcomparisons.com. Accessed Nov. 29, 2022.

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Motion Sickness

Last Updated June 2023 | This article was created by familydoctor.org editorial staff and reviewed by Deepak S. Patel, MD, FAAFP, FACSM

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What is motion sickness?

Motion sickness is a sick feeling triggered by movement. It occurs in cars, buses, trains, planes, or boats. It can occur on amusement rides or virtual reality experiences. Seeing the movement of others or things can trigger it. This condition is not life-threatening, however, it can make traveling unpleasant. Planning ahead helps prevent, avoid, or reduce the effects. Other triggers include:

  • Being in the back seat of a car unable to see the horizon
  • Reading in the car
  • Not getting enough air in the car

Motion sickness is common in older people, pregnant women, and children between the ages of 5 and 12. Also, it’s common in people who have migraine headaches. It may be genetic. Once the motion stops, you’ll gradually feel better. In rare cases, the condition is triggered by a problem with your inner ear. This could be due to fluid buildup or an ear infection. Parkinson’s disease is another cause of the condition.

Symptoms can strike without warning. They can get worse quickly. You may feel sick to your stomach (nausea). Other symptoms include vomiting, pale skin, headache, a cold sweat, dizziness, and irritability.

What causes motion sickness?

Motion sickness is an imbalance between what you see and what you feel. In the car, the car is moving forward. However, your body is standing still. This imbalance is what causes you to feel sick.

You may notice a pattern of sickness when you travel. See your doctor if you experience motion sickness repeatedly. Your doctor will do a physical exam. They will look inside your ears and at your eyes. Your doctor will ask you questions about your health history before recommending treatment.

Prevention Tips

If you know you get motion sickness when traveling, plan ahead. These steps can prevent it or relieve the symptoms:

  • Take motion sickness medicine one to two hours before traveling.
  • Choose the right seat. The front passenger seat is best in the car. Choose the midpoint on a boat. Sit over the wing on a plane. Face forward on a train. Sit near a window on a train. These seats have fewer bumps. They allow you to see the horizon. If you are on a cruise, book a cabin in the front or middle of the ship. Request a room that is closest to the water level.
  • Get plenty of air. Use the air conditioner or roll down the window in a car. Direct the vent toward you on a plane. Sit near a window when you’re on a covered boat.
  • Avoid things you can’t change. For example, don’t ride on a speed boat. Waves and bumps can make you sick. If you can’t avoid it, take medicine in advance.
  • Don’t read while riding in a car, plane, or boat. Look out the window at the horizon. Look at a distant object.
  • Lie down when you feel sick.
  • Avoid a heavy meal before or during travel. Eat small portions of plain food instead. Don’t eat greasy, spicy, or acidic foods before or during travel.
  • Drink lots of water. Avoid alcohol.
  • Talk to your doctor about different therapies. This might include pressure bands (worn on your wrist).

If your symptoms last longer than a few days, see your doctor.

Common medicines that treat motion sickness include Benadryl, Dramamine, and scopolamine. The American Academy of Family Physicians (AAFP) recommends scopolamine. It eases nausea and vomiting. It does not make you sleepy. A skin patch works best.

Antihistamines (one brand name: Benadryl) are helpful. However, these usually make you sleepy. Non-drowsy antihistamines are not effective in treating or preventing motion sickness. Another type of medicine is called antiemetics. These are used to treat nausea and vomiting.

Some of these medicines are prescription. Some are available over-the-counter. Talk to your doctor to determine which is best for you. These medicines work best when taken before you travel.

Once nausea begins, eat a few, plain crackers and drink clear, fizzy drinks (ginger ale is best) to relieve nausea.

Living with motion sickness

Planning ahead is the best advice for motion sickness. If your symptoms are mild, medicines are effective. Be sure to carry the proper medications with you while traveling.

Questions to ask your doctor

  • Can medicine help after the symptoms start?
  • Is motion sickness a sign of a more serious health problem?
  • Can I take motion sickness medicine if I am pregnant or breastfeeding?
  • Are motion sickness medicines safe to take with other medicines?

Centers for Disease Control and Prevention, Motion Sickness

National Institutes of Health, U.S. National Library of Medicine, Motion Sickness

Last Updated: August 11, 2021

This article was contributed by: familydoctor.org editorial staff and Alex Rice

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Copyright © American Academy of Family Physicians

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

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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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Motion sickness

Travel sickness.

Peer reviewed by Dr Hayley Willacy, FRCGP Last updated by Dr Colin Tidy, MRCGP Last updated 16 Mar 2023

Meets Patient’s editorial guidelines

In this series: Health advice for travel abroad Travelling to remote locations Ears and flying Jet lag Altitude sickness

Motion sickness (travel sickness) is common, especially in children. It is caused by repeated unusual movements during travelling, which send strong (sometimes confusing) signals to the balance and position sensors in the brain.

In this article :

What causes motion sickness, how long does motion sickness last, motion sickness symptoms, how to stop motion sickness, natural treatments for motion sickness, motion sickness medicines, what can a doctor prescribe for motion sickness, what should i do if i'm actually sick, what is mal de debarquement syndrome.

Continue reading below

Motion sickness is a normal response to repeated movements, such as going over bumps or around in a circle, send lots of messages to your brain. If you are inside a vehicle, particularly if you are focused on things that are inside the vehicle with you then the signals that your eyes send to the brain may tell it that your position is not changing, whilst your balance mechanisms say otherwise.

Your balance mechanisms in your inner ears sense different signals to those that your eyes are seeing which then sends your brain mixed, confusing messages. This confusion between messages then causes people to experience motion sickness.

Is motion sickness normal?

Motion sickness is a normal response that anyone can have when experiencing real or perceived motion. Although all people can develop motion sickness if exposed to sufficiently intense motion, some people are rarely affected while other people are more susceptible and have to deal with motion sickness very often.

Triggers for motion sickness

Motion sickness can also be triggered by anxiety or strong smells, such as food or petrol. Sometimes trying to read a book or a map can trigger motion sickness. Both in children and adults, playing computer games can sometimes cause motion sickness to occur.

Motion sickness is more common in children and also in women. Fortunately, many children grow out of having motion sickness. It is not known why some people develop motion sickness more than others. Symptoms can develop in cars, trains, planes and boats and on amusement park rides, etc.

Symptoms typically go when the journey is over; however, not always. In some people they last a few hours, or even days, after the journey ends.

There are various symptoms of motion sickness including::

Feeling sick (nausea and vomiting).

Sweating and cold sweats.

Increase in saliva.

Headaches .

Feeling cold and going pale.

Feeling weak.

Some general tips to avoid motion sickness include the following.

Prepare for your journey

Don't eat a heavy meal before travelling. Light, carbohydrate-based food like cereals an hour or two before you travel is best.

On long journeys, try breaking the journey to have some fresh air, drink some cold water and, if possible, take a short walk.

For more in-depth advice on travelling generally, see the separate leaflets called Health Advice for Travel Abroad , Travelling to Remote Locations , Ears and Flying (Aeroplane Ear) , Jet Lag and Altitude Sickness .

Plan where you sit

Keep motion to a minimum. For example, sit in the front seat of a car, over the wing of a plane, or on deck in the middle of a boat.

On a boat, stay on deck and avoid the cafeteria or sitting where your can smell the engines.

Breathe fresh air

Breathe fresh air if possible. For example, open a car window.

Avoid strong smells, particularly petrol and diesel fumes. This may mean closing the window and turning on the air conditioning, or avoiding the engine area in a boat.

Use your eyes and ears differently

Close your eyes (and keep them closed for the whole journey). This reduces 'positional' signals from your eyes to your brain and reduces the confusion.

Don't try to read.

Try listening to an audio book with your eyes closed. There is some evidence that distracting your brain with audio signals can reduce your sensitivity to the motion signals.

Try to sleep - this works mainly because your eyes are closed, but it is possible that your brain is able to ignore some motion signals when you are asleep.

Do not read or watch a film.

It is advisable not to watch moving objects such as waves or other cars. Don't look at things your brain expects to stay still, like a book inside the car. Instead, look ahead, a little above the horizon, at a fixed place.

If you are the driver you are less likely to feel motion sickness. This is probably because you are constantly focused on the road ahead and attuned to the movements that you expect the vehicle to make. If you are not, or can't be, the driver, sitting in the front and watching what the driver is watching can be helpful.

Treat your tummy gently

Avoid heavy meals and do not drink alcohol before and during travelling. It may also be worth avoiding spicy or fatty food.

Try to 'tame your tummy' with sips of a cold water or a sweet, fizzy drink. Cola or ginger ale are recommended.

Try alternative treatments

Sea-Bands® are acupressure bands that you wear on your wrists to put pressure on acupressure points that Chinese medicine suggests affects motion sickness. Some people find that they are effective.

Homeopathic medicines seem to help some people, and will not make you drowsy. The usual homeopathic remedy is called 'nux vom'. Follow the instructions on the packet.

All the techniques above which aim to prevent motion sickness will also help reduce it once it has begun. Other techniques, which are useful on their own to treat motion sickness but can also be used with medicines if required, are:

Breathe deeply and slowly and, while focusing on your breathing, listening to music. This has been proved to be effective in clinical trials.

Ginger - can improve motion sickness in some people (as a biscuit or sweet, or in a drink).

There are several motion sickness medicines available which can reduce, or prevent, symptoms of motion sickness. You can buy them from pharmacies or, in some cases, get them on prescription. They work by interfering with the nerve signals described above.

Medicines are best taken before the journey. They may still help even if you take them after symptoms have begun, although once you feel sick you won't absorb medicines from the stomach very well. So, at this point, tablets that you put against your gums, or skin patches, are more likely to be effective.

Hyoscine is usually the most effective medicine for motion sickness . It is also known as scopolamine. It works by preventing the confusing nerve messages going to your brain.

There are several brands of medicines which contain hyoscine - they also come in a soluble form for children. You should take a dose 30-60 minutes before a journey; the effect can last up to 72 hours. Hyoscine comes as a patch for people aged 10 years or over. (This is only available on prescription - see below.) Side-effects of hyoscine include dry mouth , drowsiness and blurred vision.

Side-effects of motion sickness medicines

Some medicines used for motion sickness may cause drowsiness. Some people are extremely sensitive to this and may find that they are so drowsy that they can't function properly at all. For others the effects may be milder but can still impair your reactions and alertness. It is therefore advisable not to drive and not to operate heavy machinery if you have taken them. In addition, some medicines may interfere with alcohol or other medication; your doctor or the pharmacist can advise you about this.

Antihistamines

Antihistamines can also be useful , although they are not quite as effective as hyoscine. However, they usually cause fewer side-effects. Several types of antihistamine are sold for motion sickness. All can cause drowsiness, although some are more prone to cause it than others; for example, promethazine , which may be of use for young children on long journeys, particularly tends to cause drowsiness. Older children or adults may prefer one that is less likely to cause drowsiness - for example, cinnarizine or cyclizine.

Remember, if you give children medicines which cause drowsiness they can sometimes be irritable when the medicines wear off.

See the separate article called How to manage motion sickness .

There are a number of anti-sickness medicines which can only be prescribed by your doctor. Not all of them always work well for motion sickness, and finding something that works may be a case of trial and error. All of them work best taken up to an hour before your journey, and work less well if used when you already feel sick. See also the separate leaflet called Nausea (Causes, Symptoms, and Treatment) for more detailed information about these medicines .

Hyoscine patch

Hyoscine, or scopolamine, patches are suitable for adults and for children over 10 years old. The medicine is absorbed through your skin, although this method of medicine delivery is slow so the patch works best if applied well before your journey.

You should stick the patch on to the skin behind the ear 5-6 hours before travelling (often this will mean late on the previous night) and remove it at the end of the journey.

Prochlorperazine

Prochlorperazine is a prescription-only medicine which works by changing the actions of the chemicals that control the tendency to be sick (vomit), in your brain. One form of prochlorperazine is Buccastem®, which is absorbed through your gums and does not need to be swallowed. Buccastem® tastes rather bitter but it can be effective for sickness when you are already feeling sick, as it doesn't have to be absorbed by the stomach.

Metoclopramide

Metoclopramide is a tablet used to speed up the emptying of your tummy. Slow emptying of the tummy is something that happens when you develop nausea and vomiting, so metoclopramide can help prevent this. It prevents nausea and vomiting quite effectively in some people. It can occasionally have unpleasant side-effects, particularly in children (in whom it is not recommended). Metoclopramide is often helpful for those who tend to have gastric reflux, those who have slow tummy emptying because of previous surgery, and those who have type 1 diabetes. Your GP will advise whether metoclopramide is suitable for you.

Domperidone

Domperidone , like metoclopramide, is sometimes used for sickness caused by slow tummy emptying. It is not usually recommended for motion sickness but is occasionally used if other treatments don't help. Domperidone is not a legal medicine in some countries, including the USA.

Ondansetron

Ondansetron is a powerful antisickness medicine which is most commonly used for sickness caused by chemotherapy, and occasionally used for morning sickness in pregnancy. It is not usually effective for motion sickness. This, and its relatively high cost means that it is not prescribed for motion sickness alone. However, for those undergoing chemotherapy, and for those who have morning sickness aggravated by travel, ondansetron may be helpful.

If you're actually sick you may find that this relieves your symptoms a little, although not always for very long. If you've been sick:

Try a cool flannel on your forehead, try to get fresh air on your face and do your best to find a way to rinse your mouth to get rid of the taste.

Don't drink anything for ten to twenty minutes (or it may come straight back), although (very) tiny sips of very cold water, coke or ginger ale may help.

After this, go back to taking all the prevention measures above.

Once you reach your destination you may continue to feel unwell. Sleep if you can, sip cold iced water, and - when you feel ready - try some small carbohydrate snacks. Avoid watching TV (more moving objects to watch!) until you feel a little better.

The sensation called 'mal de debarquement' (French for sickness on disembarking) refers to the sensation you sometimes get after travel on a boat, train or plane, when you feel for a while as though the ground is rocking beneath your feet. It is probably caused by the overstimulation of the balance organs during your journey. It usually lasts only an hour or two, but in some people it can last for several days, particularly after a long sea journey. It does not usually require any treatment.

Persistent mal de debarquement syndrome is an uncommon condition in which these symptoms may persist for months or years.

Dr Mary Lowth is an author or the original author of this leaflet.

Further reading and references

  • Spinks A, Wasiak J ; Scopolamine (hyoscine) for preventing and treating motion sickness. Cochrane Database Syst Rev. 2011 Jun 15;(6):CD002851.
  • Lackner JR ; Motion sickness: more than nausea and vomiting. Exp Brain Res. 2014 Aug;232(8):2493-510. doi: 10.1007/s00221-014-4008-8. Epub 2014 Jun 25.
  • Leung AK, Hon KL ; Motion sickness: an overview. Drugs Context. 2019 Dec 13;8:2019-9-4. doi: 10.7573/dic.2019-9-4. eCollection 2019.
  • Zhang LL, Wang JQ, Qi RR, et al ; Motion Sickness: Current Knowledge and Recent Advance. CNS Neurosci Ther. 2016 Jan;22(1):15-24. doi: 10.1111/cns.12468. Epub 2015 Oct 9.
  • Van Ombergen A, Van Rompaey V, Maes LK, et al ; Mal de debarquement syndrome: a systematic review. J Neurol. 2016 May;263(5):843-854. doi: 10.1007/s00415-015-7962-6. Epub 2015 Nov 11.

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

Next review due: 14 Mar 2028

16 mar 2023 | latest version.

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Motion sickness

Motion sickness is feeling dizzy, or feeling or being sick when travelling by car, boat, plane or train. You can do things to prevent it or relieve the symptoms.

Check if you have motion sickness

Symptoms of motion sickness may include:

  • feeling sick (nausea)
  • feeling cold and going pale

How to ease motion sickness yourself

Do reduce motion – sit in the front of a car or in the middle of a boat look straight ahead at a fixed point, such as the horizon breathe fresh air if possible – for example, by opening a car window close your eyes and breathe slowly while focusing on your breathing distract children by talking, listening to music or singing songs break up long journeys to get some fresh air, drink water or take a walk try ginger, which you can take as a tablet, biscuit or tea don’t.

do not read, watch films or use electronic devices

do not look at moving objects, such as passing cars or rolling waves

do not eat heavy meals, spicy foods or drink alcohol shortly before or during travel

do not go on fairground rides if they make you feel unwell

A pharmacist can help with motion sickness

You can buy remedies from pharmacies to help prevent motion sickness, including:

  • tablets – dissolvable tablets are available for children
  • patches – can be used by adults and children over 10
  • acupressure bands – these do not work for everyone

A pharmacist will be able to recommend the best treatment for you or your child.

Causes of motion sickness

Motion sickness is caused by repeated movements when travelling, like going over bumps in a car or moving up and down in a boat, plane or train.

The inner ear sends different signals to your brain from those your eyes are seeing. These confusing messages cause you to feel unwell.

Page last reviewed: 19 June 2023 Next review due: 19 June 2026

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Why We Get Motion Sick, and How to Stop It

Experts say prevention is the best cure.

vomiting in car travel medicine

By Melinda Wenner Moyer

Road trips are never easy, but they are far more unpleasant when your child repeatedly vomits in the back seat because they’re carsick. I know, because that’s what happens whenever I drive more than an hour with my 8-year-old. She’s now had enough practice to neatly throw up into a plastic bag, but I feel for her every time it happens and wonder what I can do to ease her misery.

This summer, we took multiple road trips, and we tried many remedies: moving her position inside the car, acupressure wristbands , bizarre-looking anti-motion sickness glasses , Dramamine. Some things worked better than others, and during each experiment I wondered why motion sickness — nausea and vomiting induced by riding in cars, boats, planes or using virtual reality devices — occurs in the first place. Why are some people more susceptible than others? Are there research-backed cures, or is trial-and-error really the best approach? I interviewed four motion sickness experts to get answers.

The causes aren’t clear, but motion sickness may have evolved for a reason.

Most experts believe that people feel motion sick when the parts of their brain responsible for maintaining balance receive conflicting sensory information, often due to a difference between what they’re feeling and what they’re seeing. Usually, when you turn your head, take a step or initiate any kind of motion, your brain receives signals from your inner ear about what that should feel like. When you’re sitting inside a car or boat but still feel a sense of motion from the vehicle, your brain notices a sensory conflict and you start to feel sick. (Similarly, virtual reality devices cause motion sickness because your eyes receive motion signals that your body doesn’t feel.) Other experts, including Thomas Stoffregen, a psychologist at the University of Minnesota, argue that the body’s inability to stabilize itself while in motion plays a role.

Some researchers speculate that motion sickness evolved to protect us from poisoning. When our perceptual experiences don’t line up with what is expected, “the brain goes, ‘aha, maybe I’ve been poisoned,’” said John Golding, an applied psychologist at the University of Westminster in Britain. We then feel nauseated and start vomiting, ostensibly to eliminate these potential poisons from the body.

Kids do not typically start experiencing motion sickness until the age of 4 or 5, if they ever do, because their bodies have to first build an internal model of what various motions should feel like, Dr. Golding explained. The peak age for motion sickness is around 8 — this explains my daughter — and susceptibility decreases over the tween years as kids’ bodies start to naturally habituate to and resolve these sensory conflicts. But of course, many adults experience motion sickness, too.

Prevention is the best cure.

One key tidbit I learned from my interviews is that it’s hard to alleviate motion sickness once it fully sets in on a given trip, so it’s far better to try to prevent it from happening or to take steps to alleviate it when it’s starting.

The best way to prevent motion sickness is to look out at the horizon when you’re moving in a car, boat or plane — this helps to eliminate the sensory mismatch, because your eyes see that you’re moving, Dr. Golding said. (You don’t, however, want to focus on the ground or trees rushing by, because that movement is too fast to provide you with a sense of stability.) When we shifted my daughter’s booster seat from the side of the back seat, where her view was of my headrest, to the middle, where she looked out the front windshield and saw the car moving, she was much less likely to feel sick. Dr. Golding also suggested trying to keep your head fairly still, but added that it’s always a bad idea to read or look at devices, because you’re focusing your eyes on something that isn’t moving.

Some medications can help prevent motion sickness, such as those containing dimenhydrinate, meclizine or scopolamine. (All of these drugs cause drowsiness, and scopolamine can also cause blurred vision and problems urinating.) Dr. Golding emphasized that the medications work best when given 45 minutes to an hour before a trip starts, and that they don’t work as well — if at all — once motion sickness has set in. That’s in part because, once you feel sick, your digestion slows and the drugs are less likely to get into your system, Dr. Golding said. (Also, if you vomit, you’ll throw the drugs right up.)

He added that there is some research suggesting that focusing on your breathing can prevent motion sickness, too. Before a trip, he suggested practicing breathing in deeply and keeping your breaths slow and steady, and to try to do this while you’re traveling, too.

Also, be on the lookout for early motion sickness symptoms, which include yawning and fatigue, said Charles Oman, an aerospace engineer at the Massachusetts Institute of Technology, who studies motion sickness. If you or a family member is starting to feel tired or sick and you’re in a car and have the time, it may help to make a pit stop until everyone feels better, he said. If possible, then wait an additional 10 to 15 minutes before starting to drive again. If you’re starting to feel sick and you’re able to lie down (something you probably can’t do in a car, but perhaps in a boat), that may also help, he said.

Some alternative treatments work better than others.

I have succumbed to motion sickness from time to time — especially on boats — and I swear by the acupressure wristbands that push on a point three finger-widths above the wrist joint on the forearm. According to traditional Chinese medicine, this pressure point plays a role in regulating nausea . But research suggests these wristbands typically don’t work any better than a placebo, said Andrea Bubka, a psychologist at Saint Peter’s University in New Jersey. That said, the placebo effect can be strong, and Dr. Golding emphasized that if these treatments work for you or a family member, you might as well keep using them. (I certainly will, although they haven’t worked for my daughter.)

As for the weird anti-motion sickness glasses that were recommended to me by a friend, there isn’t yet scientific evidence on how well they work, but Dr. Bubka said she’s heard anecdotally that they ease motion sickness symptoms because their circular rims contain liquid that moves as your body moves, providing an artificial horizon. However, when my daughter wore them while watching her iPad on a car trip, she still felt sick, so I’m not convinced (but perhaps we should try them while she’s not on her iPad).

When it comes to the effects of ginger, experts disagree. Dr. Stoffregen said that eating ginger snaps or ginger candies before a trip can help prevent motion sickness, as can sipping ginger ale, as long as it contains real ginger and not artificial flavoring. But Dr. Bubka said she hasn’t seen good research supporting ginger’s benefits.

Three days ago, my family had the opportunity to put many of these suggestions to the test when we embarked on an ‌eight-hour car journey home from Maine. Hoping to minimize the chance that my daughter got sick — and wanting to let her watch her iPad on the long drive — I gave her dimenhydrinate (Dramamine) 45 minutes before we started off. I also sat her in the middle of the back seat and told her to look at the horizon if she started to feel woozy. It was a success: One of our first vomit-free, whine-free family travel experiences in years.

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An earlier version of this article misidentified the active ingredient in Dramamine. It is dimenhydrinate, not diphenhydramine. (Diphenhydramine is in dimenhydrinate.)

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Motion Sickness: Symptoms, Who's at Risk, and How to Prevent It

  • Who Is at Risk
  • Medications
  • Health Conditions
  • When to Get Help

Motion sickness ( kinetosis ) causes symptoms that include dizziness, nausea , and headache . It occurs when you're moving (in a car, for example) and your brain receives mixed signals from your body, inner ear, and eyes about its surroundings. For instance, if you're below deck on a boat, your inner ear may sense rolling waves but your eyes don't see them. It is also called vertigo or seasickness , and is common in both children and adults, though some risk factors make it more likely.

Motion sickness also can occur due to flight simulators, gaming, amusement park rides, and other "virtual reality" experiences. Self-driving (automated) vehicles also lead to episodes of motion sickness, as people read or work on other tasks rather than driving themselves.

This article explains the symptoms of motion sickness, their causes, and who's at risk. It presents tips on managing your symptoms and ways to prevent motion sickness before it happens.

Illustration by Maritsa Patrinos for Verywell Health

Who Is at Higher Risk for Motion Sickness?

Studies have shown that essentially everyone has the potential to get motion sickness because it's related to the vestibular system (and its ear-related role in motion, balance, and coordination).  It's common, with one study finding up to 25% of large ship passengers (even more on smaller boats) will develop motion sickness within two to three days of the start of an ocean voyage.

For some people, it starts right away, while others only feel sick after they’ve been moving for a long time. Some people are more likely to get motion sickness, including:

  • Children aged 2 to 12 years (it can occur in younger children)
  • Younger adults (compared with those over age 60)
  • People who are pregnant
  • People who get migraine headaches

Other factors that contribute to risk include:

  • Alcohol and drug use
  • Being sleep deprived
  • Poor airflow in a vehicle
  • Certain odors, including diesel fuel or cigarette smoke

A small study has shown that people who don't know when or how motion will occur may have more difficulty. Facing forward and watching the horizon may help deal with unpredictable motion and motion sickness.

Hormones and Motion Sickness

Females are more likely than males to get motion sickness, partly because of hormones.  Estrogen , the primary female sex hormone, can contribute to symptoms of nausea and dizziness. Studies have shown that the menstrual cycle, as well as estrogen drugs or supplements, can affect how someone experiences motion sickness.

Symptoms of Motion Sickness

Symptoms of motion sickness can vary significantly from person to person, and the degree to which you feel ill can be less severe or more severe than other people who suffer from vertigo.

Nausea and vomiting are common, but they are not the only symptoms of motion sickness. Other symptoms may include:

  • Cold sweats and clammy hands
  • Hyperventilation (rapid breathing)
  • Sensitivity to smells
  • Loss of appetite (clinically called anorexia )
  • Excessive salivation
  • Warm, flushed sensation

Sopite Syndrome

Some people have a subcategory of motion sickness called sopite syndrome. The main symptoms of sopite syndrome include:

  • Drowsiness and lethargy
  • Mild depression
  • Reduced ability to focus on an assigned task

Nausea and vomiting are not symptoms of sopite syndrome, which is one way it’s different from more common types of motion sickness. Sopite symptoms also may occur alone, or they may last longer than other motion sickness symptoms. The precise cause remains unclear, but it's possible another mechanism (including ear-related) is at work.

Medications Can Cause Motion Sickness

Motion sickness symptoms (or their increased severity) can be caused by certain medications. Both prescription drugs and over-the-counter (OTC) medications can cause side effects that result in motion sickness symptoms even when you’re not actually moving.

Nausea, dizziness, and feeling off balance are the vertigo-like side effects that can occur with a wide range of medications. Some of the common medications that may cause these symptoms include:

  • Antibiotics such as penicillin, Suprax (cefixime), and Cipro (ciprofloxacin)
  • Estrogen-containing medications such as birth control pills and hormone replacement therapy
  • Bisphosphonates , such as Binosto (alendronate)
  • Lanoxin ( digoxin )
  • Inbrija (levodopa)
  • Narcotic pain medications like Kadian (morphine), OxyContin ( oxycodone ), or Hysingla ER (hydrocodone)
  • Non-steroidal anti-inflammatories like Advil (ibuprofen) and Aleve (naproxen)
  • Selective serotonin reuptake inhibitors such as Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline)
  • Statins such as Crestor (rosuvastatin) and Zocor (simvastatin)

Even if you do feel discomfort, do not skip or stop taking your medications without talking to your provider.

If you will be traveling and are worried about motion sickness occurring or being more severe with a medication, talk to your healthcare provider. They may say that you can safely take your dose in a different way (for example, at a different time) to help prevent symptoms. 

Motion Sickness Symptoms and Health Conditions

Motion sickness usually stops within eight hours of ending the activity or movement. If your symptoms do not get better when you stop moving, it could be another condition that causes the same symptoms as motion sickness and you should talk to your provider.

Conditions that can cause similar symptoms to motion sickness include:

  • Fluid in the ear
  • Benign paroxysmal positional vertigo (BPPV)
  • Meniere’s disease

Talk to your healthcare provider about your symptoms to ensure an accurate diagnosis.

Treatment for Motion Sickness

There are a few treatment options for motion sickness. If you're taking medication before traveling, your healthcare provider may suggest a small dose before your trip to see how well it works.

Common medications for treating motion sickness include:

  • Bonine (meclizine)
  • Dramamine (dimenhydrinate)
  • Phenergan ( promethazine )

Other options include:

  • Anticholinergic drugs , including scopolamine (like the Transderm Scop patch)
  • Benzodiazepines like Valium (diazepam)
  • Dopamine receptor antagonists like Reglan (metoclopramide)

Acupuncture and other complementary medicine options, such as using the P6 pressure point to control nausea , exist for treating motion sickness. Some experts recommend ginger. However, there is limited research support for their benefits, and motion sickness remains easier to prevent than treat.

Preventing Motion Sickness

Changing your activities or position can help with motion sickness, though reading often leads to motion sickness. Lying down can help, as does limiting your visual input (for example, trees that seem to move as you pass them).

You can also try:

  • Sitting in the front seat, if in a vehicle
  • Turning air vents toward your face
  • Keeping your head still
  • Avoiding heavy meals or alcohol use

Natural remedies may help with motion sickness symptoms and their prevention. Try deep breathing exercises, which have been shown to help with seasickness in simulated exercises.

Physical therapy to help you adapt to motion may help, as can transcutaneous electrical nerve stimulation ( TENS ) using a small device that generates impulses. Cognitive behavioral therapy also may help to treat anxiety related to motion sickness.

Try Not to Think About Motion Sickness

Research has suggested that people who think they will get motion sickness are more likely to. You might be able to avoid or at least prevent motion sickness from getting worse by changing your thoughts and finding a distraction.

When to See a Healthcare Provider

Most people see a healthcare provider for motion sickness ahead of planned travel, in order to seek preventive treatment, but other situations do arise. The most common complications of motion sickness include vomiting that leads to dehydration and electrolyte imbalances , which can be treated easily. These conditions can, however, cause serious illness in some people.

Other conditions with symptoms similar to motion sickness include:

  • Low blood sugar ( hypoglycemia ), which requires immediate care in people diagnosed with diabetes
  • Stroke , a life-threatening condition that requires immediate intervention
  • Traumatic head injury and concussion, commonly caused by sports injuries or accidents

If you feel sick after you hit your head or were in an accident, go to the emergency room or call 911.

Keep in mind that motion sickness usually goes away fairly quickly once you’ve stopped moving. If it’s been more than eight hours and you’re still having symptoms, call your provider.

While nausea and vomiting are common, they are not the only symptoms of motion sickness. Some people have other symptoms like fatigue and mood changes. Medications, hormones, and certain activities can make you more likely to get motion sickness.

It's easier to prevent motion sickness than treat it, so talk to your healthcare provider about medication and other treatment options.

If feelings of illness do not go away after the motion stops, your symptoms could be due to another condition. See your healthcare provider if you have motion sickness symptoms that last longer than eight hours.

Icahn School of Medicine at Mount Sinai. Motion Sickness .

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Foster M, Singh N, Kwok K, Macefield VG. Vestibular modulation of skin sympathetic nerve activity in sopite syndrome induced by low-frequency sinusoidal motion. J Neurophysiol . 2020 Dec 1;124(6):1551-1559. doi: 10.1152/jn.00177.2020. 

Leung AK, Hon KL. Motion sickness: an overview . Drugs Context . 2019 Dec 13;8:2019-9-4. doi: 10.7573/dic.2019-9-4. 

Lipson S, Wang A, Corcoran M, Zhou G, Brodsky JR. Severe motion sickness in infants and children . Eur J Paediatr Neurol . 2020 Sep;28:176-179. doi:10.1016/j.ejpn.2020.06.010.

Laitinen L, Nurmi M, Ellilä P, Rautava P, Koivisto M, Polo-Kantola P. Nausea and vomiting of pregnancy: associations with personal history of nausea and affected relatives . Arch Gynecol Obstet . 2020 Oct;302(4):947-955. doi: 10.1007/s00404-020-05683-3. 

Jones MLH, Le VC, Ebert SM, Sienko KH, Reed MP, Sayer JR. Motion sickness in passenger vehicles during test track operations . Ergonomics . 2019 Oct;62(10):1357-1371. doi: 10.1080/00140139.2019.1632938.

Peddareddygari LR, Kramer PD, Hanna PA, Levenstien MA, Grewal RP. Genetic Analysis of a Large Family with Migraine, Vertigo, and Motion Sickness . Can J Neurol Sci . 2019 Sep;46(5):512-517. doi: 10.1017/cjn.2019.64.

Kuiper OX, Bos JE, Schmidt EA, Diels C, Wolter S. Knowing What's Coming: Unpredictable Motion Causes More Motion Sickness . Hum Factors . 2020 Dec;62(8):1339-1348. doi: 10.1177/0018720819876139.

Smith PF, Agrawal Y, Darlington CL. Sexual dimorphism in vestibular function and dysfunction . J Neurophysiol . 2019;121(6):2379-2391. doi:10.1152/jn.00074.2019

Centers for Disease Control and Prevention. Motion Sickness .

Varis N, Leinonen A, Perälä J, Leino TK, Husa L, Sovelius R. Delayed Drowsiness After Normobaric Hypoxia Training in an F/A-18 Hornet Simulator . Aerosp Med Hum Perform . 2023 Sep 1;94(9):715-718. doi:10.3357/AMHP.6238.2023. 

Altissimi G, Colizza A, Cianfrone G, et al. Drugs inducing hearing loss, tinnitus, dizziness and vertigo: an updated guide . Eur Rev Med Pharmacol Sci . 2020;24(15):7946-7952. doi:10.26355/eurrev_202008_22477

Seattle Children's Hospital. Motion sickness .

Hromatka BS, Tung JY, Kiefer AK, Do CB, Hinds DA, Eriksson N. Genetic variants associated with motion sickness point to roles for inner ear development, neurological processes and glucose homeostasis .  Hum Mol Genet . 2015;24(9):2700-2708. doi:10.1093/hmg/ddv028

Golding JF, Patel M. Meniere's, migraine, and motion sickness . Acta Otolaryngol. 2017;137(5):495-502. doi:10.1080/00016489.2016.1255775

Koch A, Cascorbi I, Westhofen M, Dafotakis M, Klapa S, Kuhtz-Buschbeck JP. The neurophysiology and treatment of motion sickness .  Dtsch Arztebl Int . 2018;115(41):687-696. doi:10.3238/arztebl.2018.0687

Stromberg SE, Russell ME, Carlson CR.  Diaphragmatic breathing and its effectiveness for the management of motion sickness . Aerosp Med Hum Perform. 2015;86(5):452-7.

Huppert D, Benson J, Brandt T. A historical view of motion sickness - a plague at sea and on land, also with military impact .  Front Neurol . 2017;8:114. doi:10.3389/fneur.2017.00114

Shen Y, Qi X. Update on diagnosis and differential diagnosis of vestibular migraine . Neurol Sci . 2022;43(3):1659-1666. doi:10.1007/s10072-022-05872-9

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Motion sickness

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  • Motion sickness is also known as travel sickness, car sickness or sea sickness.
  • If you have motion sickness, you are likely to have nausea and may vomit and feel clammy.
  • You can help prevent motion sickness by looking outside of the vehicle or focusing on the horizon.
  • Symptoms usually end once the motion stops.
  • You can try travel sickness treatments to help prevent motion sickness.

What is motion sickness?

Motion sickness is feeling unwell when moving on any type of transport. It is also known as ‘travel sickness’, 'car sickness' or 'sea sickness'. It is a normal response to certain types of movement.

There are a few ways to prevent and manage motion sickness.

What are the symptoms of motion sickness?

Nausea is the main symptom of motion sickness. But you might also experience other symptoms, including:

  • vomiting or retching
  • cold sweating
  • lack of appetite
  • dry mouth or excess saliva
  • increased sensitivity to smell

If you are prone to motion sickness, you may quickly feel sick if you read a book or look at your phone when in a moving vehicle.

You might feel better after vomiting, and symptoms will generally improve once you stop moving. But you can also feel the after-effects of motion sickness for a few hours or a few days before fully recovering.

What causes motion sickness?

Motion sickness is thought to be caused by your senses being confused when what you see is different to the signals felt by your inner ear balance system .

If you are feeling anxious about travel, this can make motion sickness worse.

You can get motion sick when:

  • travelling by car, bus, boat, train or aeroplane
  • on amusement park rides
  • playing virtual reality video games or simulations

Motion sickness is a common problem. It is most frequent in children aged between 2 and 12 years. If other family members get motion sickness, it is more likely that you will too.

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If you already have a condition that causes nausea, such as morning sickness or migraines , you may be more likely to experience motion sickness.

How is motion sickness diagnosed?

You don’t need to see a doctor or get any tests for a diagnosis of motion sickness. There is a pattern of feeling unwell during travel or movement, so you will probably know if you have it.

If you often feel dizzy or nauseous at other times too, discuss this with your doctor.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

How is motion sickness treated and prevented?

Practical tips.

Here are some tips for preventing motion sickness:

  • Look out of the window, and focus on the horizon instead of looking at a book or a screen.
  • Try to sit or lie still and rest your head on a pillow or headrest.
  • Sit close to the front of a car, bus or train.
  • If flying, sit still and close your eyes during take-off and landing.
  • Listen to music and breathe mindfully .
  • Open the window or air vent for fresh air.
  • Eat lightly before and during the trip and avoid alcohol. Sip water instead.

Pressure bands worn on your wrists may help prevent motion sickness in some people.

If you are travelling by sea, after a few days of exposure to the motion you will likely adapt and get used to it.

You can try taking travel sickness medicines to prevent motion sickness. These may include:

  • antihistamines
  • antiemetics (medications to prevent and treat nausea and vomiting)

There might be side effects, such as drowsiness. Ask your pharmacist or doctor for advice on what to take. Getting advice is especially important:

  • for children
  • if you are taking other medicines
  • if you are pregnant

If you are using a travel sickness medicine, you should take it about half an hour before travel. If you have motion sickness and you already feel nauseous, it is probably too late to take a medicine. Eating a few plain crackers or having a clear, fizzy drink may help.

If you or your child regularly suffer from motion sickness, make sure you have a container, plastic bags and wipes handy. Take a break for some fresh air when needed.

Resources and support

Ask your doctor or pharmacist how to prevent and treat motion sickness.

Visit the Australian Government Smart Traveller website for more travel health advice.

You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

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Last reviewed: October 2023

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If motion sickness is spoiling your trip, these 9 tips will come in handy

motion sickness

Excited for your next trip but worried about the nausea and the dizziness that’s going to play spoilsport? We so feel for you sister, but this time we would not let motion sickness spoil your trip. We understand you’ve been waiting for Covid-19 restrictions to lift, so that you can take a much-needed break.

So, let’s get started!

9 revitalizing tips that will prevent motion sickness when you are on the go

1. choose an appropriate seat.

Did you know? The front passenger seat should be chosen to prevent motion sickness , when you travel by car. While going on a boat, you have to choose seats somewhere in the middle. Try to take a seat over the wing on a plane. You will need to face forward on a train, and try to sit near the window.

motion sickness

2. Get that much-needed air

“You will have to make sure that you get enough air while traveling. Use the air conditioner in the car. Try to direct the vent toward you on a plane. Sit near a window to get air, while on a boat. That will surely help you feel better,” says Dr. Jinendra Jain, consultant physician, Wockhardt Hospital, Mumbai.

3. Avoid reading while traveling

If you are an avid reader and have motion sickness, avoid reading while you are in a car, plane, or boat. It may be essential for you to look at a distant object that will help you distract from feeling sick. Also, you need to avoid watching other moving objects like cars passing by, or even movies.

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4. Avoid heavy meals before traveling

“If you have motion sickness , you should eat small portions of plain food. Don’t eat oily spicy or acidic foods before or during travel. These foods aggravate acidity and you may feel nauseated. Try to stay hydrated, drink enough water, and say NO to alcohol,” suggests Dr Jain.

motion sickness

5. Lying down is a good option

Lying down for some people will make their motion sickness better. You can do so when you travel by car or even train. For some people, standing up may be a better position. You can stand while traveling on a train or a boat.

6. Listen to music

Listening to music can be soothing, calm you down, and help you overcome nausea by distracting you. Go for any music of your choice.

7. Chew on basil leaves while traveling

Doing so will help you tackle symptoms of motion sickness like nausea and vomiting.

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8. Take frequent breaks

If you are traveling by car, you need to take breaks. Just walk around and try to breathe fresh air.

motion sickness

9. Take the help of motion sickness medicines

“A majority of people feel nauseated, pukish, dizzy and even get a headache, while traveling. Thus, it is imperative for them to take motion sickness medication, one to two hours before traveling. Take medication after consulting a doctor,” says Dr Jain.

So, take a break from motion sickness and let the excitement prevail!

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betterhealth.vic.gov.au

Motion sickness

Actions for this page.

  • Some people are particularly sensitive to certain kinds of motion.
  • Symptoms of motion sickness include dizziness, nausea and vomiting, burping, and sweating.
  • Treatment is often best taken before the motion begins.

On this page

Risk factors for motion sickness, symptoms of motion sickness, long-term or repeated exposure to motion, reducing the risk of motion sickness, treatment for motion sickness, where to get help.

Motion sickness may occur in response to certain types of movement, whether it is the person or what they are looking at (for example, a movie screen) that is moving. Motion sickness is not considered to be a disease as it can occur in nearly every person. Some people are particularly sensitive to certain motion and very little may be required before they feel ill. Children between the ages of two and 12 years are particularly prone to motion sickness. In part, motion sickness is thought to take place when there is a mismatch between the information that the brain receives from the inner ear balance mechanism (vestibular system) and what the eyes ‘see’. For example, if the eyes tell the brain that a person is stationary (such as looking at the interior of a cabin on a ship), but the vestibular system senses head movements (due to motion of the ship), then this is thought to cause a mismatch of messages to the brain and leads to motion sickness. Frequent vomiting can lead to dehydration and low blood pressure , so it is important to seek prompt medical attention if this occurs. Motion sickness is also known as travel sickness, airsickness, carsickness or seasickness.

While most people may experience motion sickness, some factors may make motion sickness more likely to occur, including:

  • Women are generally more susceptible than men.
  • Children are more susceptible than adults (generally between the ages of two and 12 years).
  • Hormonal factors include pregnancy , menstrual cycle factors and oral contraceptives .
  • Other balance disorders may be a factor, particularly vestibular disease and migraine .
  • A person who has experienced motion sickness in the past may have worse symptoms on future trips by expecting to feel sick.

Symptoms can range from mild to serious, and can include:

  • generally feeling unwell and tired
  • excessive production of saliva
  • nausea, vomiting

If a person is exposed to motion for an extended period (for example, during a long journey at sea) or has repeated exposures, their brain may adapt in time to the constant motion and they may no longer experience motion sickness.

There are different things you can try in order to prevent motion sickness or at least reduce its effects, including:

  • During motion, look at an earth-fixed object. For example, if you are on a boat, try and look at the horizon or land masses from the deck, rather than the inside of the cabin. Also, car passengers should sit in the front seat and look through the window, rather than sitting in the rear and looking at objects moving with the interior of the car (such as reading a book).
  • Motion sickness does not usually occur when movement is under a person’s control. The driver of a car is less likely to get motion sickness than a passenger. Position yourself where you will experience the least motion, such as over the wings in an aeroplane or in the centre of a ship.
  • The larger the vehicle, the less susceptible it is to motion so, if possible, try to travel on a ship rather than a small boat.
  • Some people find that closing their eyes is the best way to eliminate sensory confusion.
  • Avoid alcohol for 24 hours before travelling and during the trip.
  • Make sure you have plenty of fresh air. Fumes or smoke can exacerbate symptoms.
  • On brief journeys, try not to eat or drink anything.
  • On long journeys, eat and drink sparingly and often.
  • Anxiety worsens symptoms. Use relaxation techniques and if your anxiety is marked, you could consider professional counselling.

Medications either calm the nerves of the inner ear or soothe the brain’s vomiting centre. However, nearly all motion sickness pills are most effective if they are taken before you feel sick. Some motion sickness pills may cause drowsiness as a side effect. You may need to experiment with different medication to find which one works best for you. Ask your doctor or pharmacist for more information. Research suggests that ginger can help to ease the symptoms of motion sickness. You could chew on raw ginger or make a quick tea by adding minced ginger to boiling water.

  • Your GP (doctor)
  • Psychologist or counsellor
  • Motion sickness, The Merck Manual of Diagnosis and Therapy External Link , eds R. Berkow, M. Beers, A. Fletcher & R. Bogin. Merck & Co., Inc., Whitehouse Station, NJ, USA.

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More information, related information.

  • Altitude sickness
  • Vision or hearing impairment
  • Eyes - common problems

From other websites

  • External Link Balance disorders – Royal Victorian Eye & Ear Hospital.
  • External Link Motion sickness, clinical vestibular diseases and vertigo – Vestibular Disorders Association.

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  1. Motion sickness (travel sickness): Causes, remedies, and symptoms

    Scopolamine - the most commonly prescribed medication for motion sickness. It must be taken before symptoms start. It is available as a patch that is placed behind the ear 6-8 hours before ...

  2. Motion Sickness

    Motion Sickness. Motion sickness happens when the movement you see is different from what your inner ear senses. This can cause dizziness, nausea, and vomiting. You can get motion sick in a car, or on a train, airplane, boat, or amusement park ride. Motion sickness can make traveling unpleasant, but there are strategies to prevent and treat it.

  3. Motion Sickness: Best Fixes If Traveling Makes You Ill

    In the hours before you travel, avoid alcohol and greasy foods but make sure to drink lots of water and get plenty of rest. While traveling, eat dry crackers and avoid cigarette smoke. If your ...

  4. Motion Sickness: Medication, Home Remedies, Devices

    Medication. If you can't keep it at bay, there are two kinds of medicine you can take for motion sickness. The first is antihistamines, both prescription and over-the-counter.These are the most ...

  5. Motion Sickness: What It Is, Causes, Symptoms & Treatment

    Car: Sit in the front passenger seat. Cruise ship: Book a cabin toward the front or middle of the ship. If you can, choose one on a lower level, closer to the water. ... Motion sickness can make travel a miserable experience and take the fun out of playing a video game or an immersive virtual reality game. Fortunately, there are things you can ...

  6. Motion sickness: First aid

    Motion sickness: First aid. Any type of transportation can cause motion sickness. It can strike suddenly, progressing from a feeling of uneasiness to a cold sweat, dizziness and vomiting. It usually quiets down as soon as the motion stops. The more you travel, the more easily you'll adjust to being in motion.

  7. Motion Sickness: How to Stop, Symptoms, Causes, Pills & Patch

    Motion sickness is the feeling you get when the motion you sense with your inner ear is different from the motion you visualize. It is a common condition that occurs in some people who travel by car, train, airplane, or boat. Many people suffer from this condition if they ride on a roller coaster or other similar amusement park rides.

  8. Motion Sickness

    If you can't avoid it, take medicine in advance. Don't read while riding in a car, plane, or boat. Look out the window at the horizon. Look at a distant object. Lie down when you feel sick. Avoid a heavy meal before or during travel. Eat small portions of plain food instead. Don't eat greasy, spicy, or acidic foods before or during travel.

  9. Prevention and Treatment of Motion Sickness

    To prevent and reduce symptoms of motion sickness, passengers should look forward at a fixed point on the horizon and avoid close visual tasks. C. 2 - 5. To prevent and reduce symptoms of motion ...

  10. Motion Sickness: What Is It, Symptoms, Treatment, and More

    Motion sickness can occur with any mode of travel (e.g., car, train, boat, airplane), during amusement park rides, and even in virtual reality (VR) environments, such as in video game simulators. Common symptoms include stomach awareness, nausea and vomiting, drowsiness, and spatial disorientation. Motion sickness can be diagnosed based on a ...

  11. Motion Sickness (Travel Sickness): Prevention and Treatment

    Ondansetron. Ondansetron is a powerful antisickness medicine which is most commonly used for sickness caused by chemotherapy, and occasionally used for morning sickness in pregnancy. It is not usually effective for motion sickness. This, and its relatively high cost means that it is not prescribed for motion sickness alone.

  12. Travel Motion Sickness (Meclizine) Oral: Uses, Side Effects ...

    Find patient medical information for Travel Motion Sickness (meclizine) oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings.

  13. Travel Sickness Oral: Uses, Side Effects, Interactions ...

    Drowsiness, constipation, blurred vision, or dry mouth /nose/throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To relieve dry mouth, suck ...

  14. Motion sickness

    Motion sickness is caused by repeated movements when travelling, like going over bumps in a car or moving up and down in a boat, plane or train. The inner ear sends different signals to your brain from those your eyes are seeing. These confusing messages cause you to feel unwell. Find out more about motion sickness, an unpleasant combination of ...

  15. Motion sickness Information

    Causes. Motion sickness happens when the body, the inner ear, and the eyes send conflicting signals to the brain. This most often happens when you are in a car, boat, or airplane, but it may also happen on flight simulators or amusement park rides. From inside a ship's cabin, your inner ear may sense rolling motions that your eyes cannot see.

  16. Why We Get Motion Sick, and How to Stop It

    When it comes to the effects of ginger, experts disagree. Dr. Stoffregen said that eating ginger snaps or ginger candies before a trip can help prevent motion sickness, as can sipping ginger ale ...

  17. Motion Sickness: Surprising Causes and Symptoms

    Health Conditions. Treatment. Prevention. When to Get Help. Motion sickness ( kinetosis) causes symptoms that include dizziness, nausea, and headache. It occurs when you're moving (in a car, for example) and your brain receives mixed signals from your body, inner ear, and eyes about its surroundings.

  18. Motion Sickness: Symptoms, Causes, Treatment, Prevention

    Motion sickness can strike quickly and make you break out in a cold sweat and feel like you need to throw up. Other common symptoms include: Dizziness. Increase in saliva production. Loss of ...

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    Motion sickness is nausea caused by riding in a car, airplane, train, or boat. It can also cause vomiting, sweating, and headache. ... Try ginger, ginger tea, or ginger ale before you travel. Try an over-the-counter medicine, such as dimenhydrinate (Dramamine), diphenhydramine (Benadryl), or meclizine (Bonine), about an hour before you travel. ...

  20. Motion sickness

    Key facts. Motion sickness is also known as travel sickness, car sickness or sea sickness. If you have motion sickness, you are likely to have nausea and may vomit and feel clammy. You can help prevent motion sickness by looking outside of the vehicle or focusing on the horizon. Symptoms usually end once the motion stops.

  21. Motion sickness: How to prevent vomiting while travelling?

    6. Listen to music. Listening to music can be soothing, calm you down, and help you overcome nausea by distracting you. Go for any music of your choice. 7. Chew on basil leaves while traveling. Doing so will help you tackle symptoms of motion sickness like nausea and vomiting.

  22. Motion sickness

    Motion sickness is also known as travel sickness, airsickness, carsickness or seasickness. Risk factors for motion sickness. ... rather than sitting in the rear and looking at objects moving with the interior of the car (such as reading a book). Motion sickness does not usually occur when movement is under a person's control. The driver of a ...