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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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Specific guidelines for required and recommended vaccines are available in two publications from the Centers for Disease Control and Prevention (CDC): Health Information for International Travel ("The Yellow Book") and "Summary of Health Information for International Travel" ("The Blue Sheet"), which is updated weekly. Another publication, "The Green Sheet," provides up-to-date sanitation inspection reports for cruise ships. Current advice is also available from the CDC's automated International In addition, numerous online sites provide travel alerts and advice to travelers. Guidelines for international travel also may be obtained from local health departments.
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