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.Box Simple ways to prevent travel sickness 2, 4

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