7 This is now in line with New Zealand regulations. In Australia, sedating antihistamines have recently become prescription-only for children less than two years of age. 6 There are no specific paediatric data for these drugs in motion sickness and dosing has been extrapolated from studies done in adults. Fatalities have been reported when over-the-counter products containing antihistamines were given to young children to treat coughs and colds. Given their lack of efficacy and potential to cause serious adverse drug reactions, such as hallucinations, agitation and breathing difficulties, antihistamines (H1 receptor antagonists) should not be used to prevent or treat motion sickness in children less than two years of age and should be used with caution in older children. Hyoscine is less sedating than antihistamines, but has more anticholinergic effects. Studies were predominantly in adult males. Try to keep calm – motion sickness is more likely to happen if a child is worried about having an episodeĮfficacy and safety Hyoscine hydrobromide (scopolamine)Ī systematic review of 14 controlled trials involving hyoscine found it to be more effective than placebo, but not superior to antihistamines.Ensure ventilation either from open window or air conditioning – avoid overheating.Feed the child a light snack before travelling – avoid heavy, greasy meals.Have the child recline as much as possible.If flying, sit over the aeroplane wing – the ride tends to be less bumpy.If travelling by car, seat child near the front of the vehicle, that is, middle rather than third row in a larger vehicle.Avoid unnecessary head movements by using pillows or a headrest.Do not encourage reading or focusing on games while travelling.out of the window, on the horizon where practical Focus child's attention elsewhere, e.g.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.Box Simple ways to prevent travel sickness 2, 4 Placing a cool cloth on your child's forehead also might help. 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. Nondrowsy antihistamines don't appear to be effective at treating motion sickness. Read the product label carefully to determine the correct dose and be prepared for possible side effects, such as drowsiness. Both medications work best if taken about an hour before traveling. 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. If your child is prone to car sickness, try distracting him or her during car trips by talking, listening to music or singing songs. Adequate air ventilation might help prevent car sickness. 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. Don't give your child a large meal immediately before or during car travel. If your child naps, traveling during nap time might help. Encourage your child to look at things outside the car rather than focusing on books, games or screens. To prevent car sickness in children, you might try the following strategies: While the problem doesn't seem to affect most infants and toddlers, children ages 2 to 12 are particularly susceptible. It's not clear why car sickness affects some children more than others.
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