Lakesailor
Well-Known Member
Chuck 'em overboard.
advice from sailing medics please
- Thread starter deep denial
- Start date
georgeo
Well-Known Member
Hi. My advice is to use adequate prophylaxis, started WELL before you set off. I personally favour cinnarizine (stugeron), the first tablet taken the night before. Do all the usual, avoid heavy alchohol use, full english breakfasts etc, and very important, don't get cold (or wet if you can help it). Once seasickness established, there is no good evidence base for what to do. Surprising really, as one might have thought the services would have looked carefully at this (survival in rafts etc), but maybe their research is classified. Domperidone is available as suppository, as is ondansetron (and also as a 'melt' formulation, taken by mouth). Ondansetron is the most powerful anti emetic we have, but VERY expensive. And I personally have not used it in this situation, nor do I know anyone who has. Would be good to share information on this, if available. best of luck.
Oliveoyl
Well-Known Member
Another vote for suppositories. I know Brits are notoriously reluctant to have medecine administered via this route, but its probably easier to stick a suppo up the bum during a race than to inject.
AntarcticPilot
Well-Known Member
[ QUOTE ]
OK NOT a doc, but I work in the op theatre (anaesthetic side): we have found that the most effective preventer of post anaesthetic nausea and vomiting is either Ondansetron or Granisetron, obviously we use them in injectable form, but may be available in tablet form (we don't give tablets in theatre !). They are both VERY good if expensive, could be worth a glance in the BNF. Have fun !
[/ QUOTE ]
Ondansetron is used in tablet form for nausea control in chemotherapy patients. I am not a doctor, my late wife had long lasting chemotherapy.
OK NOT a doc, but I work in the op theatre (anaesthetic side): we have found that the most effective preventer of post anaesthetic nausea and vomiting is either Ondansetron or Granisetron, obviously we use them in injectable form, but may be available in tablet form (we don't give tablets in theatre !). They are both VERY good if expensive, could be worth a glance in the BNF. Have fun !
[/ QUOTE ]
Ondansetron is used in tablet form for nausea control in chemotherapy patients. I am not a doctor, my late wife had long lasting chemotherapy.
deep denial
Well-Known Member
[quoteOndansetron is used in tablet form for nausea control in chemotherapy patients. .
[/ QUOTE ]
The trouble is that medicines which work against one form of sickness do not necessarily work against another - for example prochlorperazine, which has little action against seasickness. Ondansetron is not licensed for seasickness - that doesn't mean that it won't work, and I will try to find out more.
[/ QUOTE ]
The trouble is that medicines which work against one form of sickness do not necessarily work against another - for example prochlorperazine, which has little action against seasickness. Ondansetron is not licensed for seasickness - that doesn't mean that it won't work, and I will try to find out more.
AntarcticPilot
Well-Known Member
[ QUOTE ]
[quoteOndansetron is used in tablet form for nausea control in chemotherapy patients. .
[/ QUOTE ]
The trouble is that medicines which work against one form of sickness do not necessarily work against another - for example prochlorperazine, which has little action against seasickness. Ondansetron is not licensed for seasickness - that doesn't mean that it won't work, and I will try to find out more.
[/ QUOTE ]
Sorry; I wasn't suggesting it as a sea-sickness solution; I was responding to another poster who wasn't aware of it's being available in tablet form. And I am afraid I have slight knowledge of most forms of anti-nausea medication; my wife used most of them at one time or another! Including the old stand-bys of ginger and peppermint. Sadly, none were effective.
[quoteOndansetron is used in tablet form for nausea control in chemotherapy patients. .
[/ QUOTE ]
The trouble is that medicines which work against one form of sickness do not necessarily work against another - for example prochlorperazine, which has little action against seasickness. Ondansetron is not licensed for seasickness - that doesn't mean that it won't work, and I will try to find out more.
[/ QUOTE ]
Sorry; I wasn't suggesting it as a sea-sickness solution; I was responding to another poster who wasn't aware of it's being available in tablet form. And I am afraid I have slight knowledge of most forms of anti-nausea medication; my wife used most of them at one time or another! Including the old stand-bys of ginger and peppermint. Sadly, none were effective.
Chris_Robb
Well-Known Member
Hi, the most effective seasickness remedy I have come across is the wonderful Ginger nut biscuits done to the following recipe:
Ginger Nut Biscuits Ingredients
1 egg
pinch salt
125g butter
1 cup sugar
1 tsp cinnamon
2 cups plain flour
1 tsp golden syrup
2 tsp ground ginger
1 tsp of crumbled hashish
1/2 tsp bicarbonate of soda
The crew should for obvious reasons not have more than one, and perhaps it should be restricted to only to those suffering badly, and not for those engaged in active work for 3 hours after taking the said remedy
/forums/images/graemlins/laugh.gif
Actually it does work, but I do not know how much of the magic ingredent is required........
Ginger Nut Biscuits Ingredients
1 egg
pinch salt
125g butter
1 cup sugar
1 tsp cinnamon
2 cups plain flour
1 tsp golden syrup
2 tsp ground ginger
1 tsp of crumbled hashish
1/2 tsp bicarbonate of soda
The crew should for obvious reasons not have more than one, and perhaps it should be restricted to only to those suffering badly, and not for those engaged in active work for 3 hours after taking the said remedy
/forums/images/graemlins/laugh.gif
Actually it does work, but I do not know how much of the magic ingredent is required........
anthonyr
New Member
Not a doc but a happy guinea pig.
I used Buccastem in the 2007 Fastnet. I felt sick at one point and went to vomit. However I could not - which is what Buccastem is meant to stop. Once I realised I was not/could not vomit and hence could stop worrying about when/if I would vomit I felt good and could concentrate on the boat and not my stomach. I did find Buccastem made me feel drowsy and my lips tingled. By comparison we had 7 of 11 crew who had used wrist bands, ginger biscuits, patches who were out of action. I have not found any single solution for all people so I now carry Buccastem, electric wrist band and ginger biscuits. Some of my crew use patches (not sure of brand) and whilst they don't seem to get sick I would rate their general awareness as about 80% of their normal state - possibly no different than mine on Buccastem but hard to self gauge. To state the obvious I'd feel nervous if I loaded a watch with people on medication.
I used Buccastem in the 2007 Fastnet. I felt sick at one point and went to vomit. However I could not - which is what Buccastem is meant to stop. Once I realised I was not/could not vomit and hence could stop worrying about when/if I would vomit I felt good and could concentrate on the boat and not my stomach. I did find Buccastem made me feel drowsy and my lips tingled. By comparison we had 7 of 11 crew who had used wrist bands, ginger biscuits, patches who were out of action. I have not found any single solution for all people so I now carry Buccastem, electric wrist band and ginger biscuits. Some of my crew use patches (not sure of brand) and whilst they don't seem to get sick I would rate their general awareness as about 80% of their normal state - possibly no different than mine on Buccastem but hard to self gauge. To state the obvious I'd feel nervous if I loaded a watch with people on medication.
Master_under_Dog
Well-Known Member
Not a doctor either but Stugeron works for me. I can feel pretty sick when down below struggling to get oilies and life jacket on but once on deck I am fine. I have never vomited. No observable side effects such as sleepiness. After about 18 hours I can stop taking them.
However I know others who feel very drowsy after taking them.
Michael
However I know others who feel very drowsy after taking them.
Michael
grumpy_o_g
Well-Known Member
A slightly different question to the OP if I may - all the pharmacy anti-seasickness stuff (scopaderm, etc.) conatain dire warning about using if you have high blood pressure or cardiac problems. Do they really cause problems or is the usual CYA routine? If it is not suitable for anyone taking blood-pressure medication is there one that is?
I have tried asking my GP (who's very good) but she freely admitted she'd no specialist knowledge and would just go by the text books.
I have tried asking my GP (who's very good) but she freely admitted she'd no specialist knowledge and would just go by the text books.