Is there a role for nonsedating antihistamines in motion sickness? Fallout from space research may soon benefit your

R L Kohl1

  • 1University of Texas Medical Branch, Galveston, USA.

The Journal of Respiratory Diseases
|April 1, 1991
PubMed

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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