The Science of Motion Sickness
Motion sickness is a common disturbance of the inner ear that is caused by repeated motion [1.7.1]. It occurs when the brain receives conflicting signals from the inner ears, eyes, and other parts of the body that sense motion [1.3.1]. This sensory mismatch can lead to classic symptoms like dizziness, nausea, and vomiting [1.3.3]. While nearly everyone can experience motion sickness if the stimulus is strong enough, some individuals are more prone to it, including women and children between the ages of 3 and 12 [1.7.3].
How Travel Sickness Tablets Work
The most common over-the-counter (OTC) travel sickness medications belong to a class of drugs called first-generation antihistamines [1.3.4]. Medications like dimenhydrinate (Dramamine) and meclizine (Bonine) work by blocking histamine (H1) receptors in the brain [1.3.1]. By preventing histamine from activating the brain's vomiting center, these drugs effectively reduce or prevent the symptoms of motion sickness [1.3.4].
The Calming Effect: A Primary Side Effect
The primary reason people ask, 'Do travel sickness tablets calm you?' is because of their most common side effect: drowsiness or sedation [1.2.4]. The same mechanism that blocks nausea-inducing signals also affects alertness. First-generation antihistamines can cross the blood-brain barrier and affect the central nervous system, leading to feelings of drowsiness, dizziness, and reduced mental alertness [1.4.4, 1.2.6]. This sedative effect is so pronounced in some ingredients, like promethazine, that it is considered the most sedating option [1.4.1].
Comparison of Common Travel Sickness Medications
Different travel sickness tablets have varying active ingredients and levels of sedation. Understanding these differences can help you choose the right one for your journey.
Active Ingredient | Common Brand Names | Sedation Level | Key Characteristics |
---|---|---|---|
Dimenhydrinate | Dramamine Original | High | Fast-acting, typically taken every 4-6 hours. Strong sedative effects [1.5.3, 1.2.6]. |
Meclizine | Bonine, Dramamine Less Drowsy | Moderate | Longer-lasting (up to 24 hours), generally considered less drowsy than dimenhydrinate [1.5.3]. |
Cyclizine | Marezine, Bonine for Kids | Moderate to High | Effective, with slightly less sedation than dimenhydrinate [1.4.2]. Approved for children over 6 [1.4.2]. |
Promethazine | Phenergan (Prescription) | Very High | The most sedating option, often used for intense motion stimuli [1.4.1]. |
Ginger (Herbal) | Dramamine Non-Drowsy | None | A non-medicated, natural option that works by easing nausea without causing drowsiness [1.5.3, 1.8.6]. |
Can You Use Travel Sickness Tablets for Anxiety or Sleep?
Because of their sedative properties, some people misuse travel sickness tablets as a sleep aid or to self-medicate for anxiety [1.6.2]. While meclizine may help with dizziness associated with panic attacks, there is no evidence it decreases anxiety long-term [1.6.3]. Using these medications off-label for sleep or anxiety is not recommended and can be risky. Misuse can lead to increased side effects, potential for overdose, and even adverse mental health effects like paranoia or emotional instability [1.6.1, 1.6.2]. It is crucial to use these medications only as directed for motion sickness.
Important Safety Precautions
Due to the sedative effects, you must take precautions when using these medications:
- Do not drive or operate heavy machinery until you know how the medicine affects you [1.2.7].
- Avoid alcohol and other central nervous system depressants (like sedatives, tranquilizers, or sleeping pills), as they will amplify the drowsy effect [1.2.5, 1.2.7].
- Consult a doctor or pharmacist before use, especially if you have conditions like glaucoma or are pregnant [1.2.4].
Drug-Free Alternatives for Motion Sickness
If you want to avoid medication, several alternatives may help prevent or reduce symptoms:
- Behavioral Techniques: Sit in the front of a car, get fresh air, and focus your gaze on a fixed point on the horizon [1.8.2, 1.8.3].
- Ginger: Consuming ginger in the form of capsules, tea, or candies has been shown to ease nausea [1.8.6].
- Acupressure Bands: These wristbands apply pressure to a specific point on the wrist (the P6 point), which may help reduce nausea for some individuals [1.8.5].
- Distraction: Listening to music or practicing breathing exercises can help distract you from the sensation of motion [1.8.4].
Conclusion
So, do travel sickness tablets calm you? Yes, many formulations do, but this calming sensation is actually sedation—a side effect of the antihistamines used to treat motion sickness [1.2.4]. While this drowsiness might be a welcome bonus for a traveler hoping to sleep through a long flight, it is not a treatment for anxiety and carries risks, such as impaired alertness [1.6.4]. For those needing to stay alert, less-drowsy or non-drowsy ginger-based formulas are better options [1.5.3]. Always read the label and consult with a healthcare professional to choose the safest and most effective option for your needs.
For more information from an authoritative source, you can visit the CDC's page on Motion Sickness.