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Motion sickness Motion sickness may affect travelers at any time during their trip. In most cases, symptoms can be minimized with use of dimenhydrinate (50 to 100 mg every 4 to 6 hours) or meclizine (25 mg every 6 hours) beginning at least 1 hour before motion. The transdermal scopolamine patch (Transderm-Scop) has returned to the market and is well tolerated. All of these medications have anticholinergic side effects, and they should be prescribed cautiously, especially in the elderly. Some patients have reported relief with pressure-point bands (eg, Sea Bands) worn on the wrist; however, objective evidence of benefit is lacking.
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Jet lag Jet lag is a common problem for travelers who cross multiple time zones. Symptoms include agitation, insomnia, poor concentration, and generalized fatigue. Adjustment usually takes 1 day for each time zone crossed (eg, 5 days to adapt to crossing five time zones). Before a long trip, travelers can begin the adjustment process by going to bed 1 hour earlier or later each day for every time zone to be crossed, which helps entrain new circadian rhythms. Other preventive measures include avoiding alcohol and carbonated drinks before and during a flight, minimizing dehydration by drinking six to eight 8-oz glasses of water or fruit juice daily, and allowing for a flexible, relaxing schedule after arrival at the destination.
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