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How to Study Placebo Responses in Motion Sickness with a Rotation Chair Paradigm in Healthy Participants
Published on: December 14, 2014
Is there a role for nonsedating antihistamines in motion sickness? Fallout from space research may soon benefit your
1University of Texas Medical Branch, Galveston, USA.
Abstract:
The rotating chair test, a novel research technique for simulating motion sickness, is used to study the effect of nonsedating oral antihistamines in preventing or forestalling motion sickness. After receiving terfenadine, astemizole, doxepin, or placebo, four groups of male volunteers were rotated at accelerating speed, and they made head movements out of the axis of rotation until they perceived that vomiting would occur if additional head movements were made. Those pretreated with doxepin or terfenadine experienced a statistically significant prophylactic effect, as measured by increased tolerance to Coriolis stimulation. This suggests that selective peripheral H1 antihistamine action may protect against motion sickness.
Insights
Nonsedating antihistamines like doxepin and terfenadine can prevent motion sickness. This study found these drugs significantly increased tolerance to Coriolis stimulation, suggesting a protective effect against nausea.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Motion sickness is a common condition often simulated using rotating chair tests.
- Antihistamines are frequently used to treat or prevent motion sickness, but their efficacy varies.
- Nonsedating antihistamines offer an alternative with fewer side effects.
Purpose of the Study:
- To investigate the effectiveness of nonsedating oral antihistamines in preventing motion sickness.
- To evaluate the prophylactic effects of terfenadine, astemizole, and doxepin against motion sickness.
Main Methods:
- A rotating chair test was employed to simulate motion sickness in male volunteers.
- Participants received terfenadine, astemizole, doxepin, or a placebo.
- Volunteers performed head movements until the point of perceived vomiting, with tolerance measured.
Main Results:
- Doxepin and terfenadine demonstrated a statistically significant prophylactic effect against motion sickness.
- These antihistamines increased tolerance to Coriolis stimulation, a key factor in motion sickness.
- Astemizole did not show a significant protective effect compared to the placebo.
Conclusions:
- Selective peripheral H1 antihistamine action appears to protect against motion sickness.
- Doxepin and terfenadine are effective in preventing motion sickness, likely through H1 receptor antagonism.
- Further research into H1 antihistamines for motion sickness prevention is warranted.
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