Abstract
Motion sickness, in susceptible individuals, may ruin an expensive and much anticipated holiday, and in rare cases affect activities of daily living or employment requiring travel. Motion sickness is caused by unaccustomed repetitive movement in the visual, vestibular, and/or proprioceptive systems, particularly if there is a perceived “conflict” between the sensory information being presented to the central nervous system. The travel health professional is in a unique position to offer advice to prevent or treat motion sickness with conservative or pharmacologic advice. All medications may have associated side effects. There are some “desensitization” programs, which, although not validated by multicenter trials, may be helpful for some individuals (Puma method) or for those who develop mal de débarquement syndrome (MdDS).
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