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A Cruising Guide for the Reluctant Mate


      

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RE: [world-cruising] Sea Sickness

From: Baumgart, James (no email)
Date: Tue Mar 21 2006 - 16:57:33 EST

  • Next message: lavida: "RE: [world-cruising] Sea Sickness"

     I would suggest trying all the remedies and see what works for you.
    Most people get over sea sickness. A few never do. You may be in that
    category. Transderm Scope (the patch) works for my wife. But you can't
    wear it too long or there are side effects. Try ginger (helps me).
    Here is something I saved from Sailnet

    Diet For most people, diet is the most important factor in preventing
    seasickness. Rich and spicy foods eaten even the day before can trigger
    the process. Coffee should not be taken and, in fact it will almost
    guarantee seasickness. If you drink tea, it should be weak and hot
    chocolate should be made with water. When you're feeling ill, bland
    foods such as crackers or bread nibbled slowly work best, with sips of
    carbonated drinks. Interestingly, while actually eating you generally
    won't feel ill. It is important to keep hydrated, but avoid citrus
    juices.

    Alcohol can have an extremely negative affect, even if it's as little as
    one beer or glass of wine. Sadly, one of the worst scenarios comes from
    what we all are likely to do before a long trip; to go out for a
    sumptuous dinner ashore, accompanied of course with wine. One of my
    worst days at sea was in the Bay of Biscay after a magnificent dish of
    'fruits de mer.' At the time, we hadn't planned to leave the next day,
    but a weather window had unexpectedly appeared and it's hard to give up
    such an opportunity.

    Eating ginger, preferably raw or in capsule, or even gingersnaps, is an
    ancient remedy for settling the stomach. We always complete a meal with
    crystallized ginger and it has become a regular item on board.

    After over 70,000 miles on Bagheera, and many more miles running charter
    yachts and ocean racing, having to deal with seasickness is really just
    a minor inconvenience in my seafaring lifestyle. Although the remedies
    (see below) may appear grueling, they are not as demanding or inhibiting
    as they sound when combined with some common-sense practices, they can
    significantly improve life aboard. Being in the best position on the
    boat soon becomes second nature and we generally have simple meals the
    first two days anyway, so time spent below is kept at a minimum except
    to sleep. Watch schedules can also be organized to allow sufficient time
    for me to gain my sea legs. Although I am always on deck to lift the
    anchor when we depart a port, Andy, who doesn't suffer from seasickness,
    takes the first watch. This gives me time to take medication and have it
    take effect while I'm sleeping, before coming on watch three hours
    later. After living it up in port and stowing the supplies, I do a lot
    of sleeping during the first two days at sea. By this time I am rested
    and have gained my sea legs, so I can thoroughly enjoy the rest of the
    passage as well as planning our next exciting landfall.

     Remedies for Mal de Mer Seasick pills are commonly used both by
    novices and circumnavigators, but you should take them well in advance.
    Being alert on watch is imperative, it is important to find a brand that
    controls nausea but does not cause drowsiness. There are many types on
    the market and trying out different ones is really worthwhile. Once you
    find a brand that suits you, buy a large supply as you might not find
    them in the next port let alone the next country! Always check dosages
    and restrictions carefully. Here's a list of the most common treatments
    available: Cinnarizine (Stugeron(r)) Manufactured in Britain, this is
    probably the most popular and sucessful medication among cruisers. It is
    also sold in Mexico and in many ex-British protectorates such as the
    British Virgin Islands. We also found it in Australia and South Africa
    under different generic (brand) names. It is not available in the US or
    Canada. The dosage guidelines call for 30 mg taken one to two hours
    before exposure, and 15 mg every six to eight hours thereafter. It
    appears to be effective in all conditions and most users claim that they
    find it as effective as a scopalamine patch. Dimenhydrinate
    (Dramamine(r) ,Gravol(r)) Most in-house brands of these over-the-counter
    preparations come as regular tablets, chewable tablets, long-acting
    capsules, liquid preparations, suppositories, and injectable
    preparations. Although popular among travelers, the main disadvantage
    for cruisers is the tendency to cause drowsiness, feelings of vertigo,
    and the fact that it may not be as effective as other medications in
    extreme conditions. Meclizine (Bonamine,(r) New Dramamine(r)) This has
    long been used by cruisers for less-severe conditions, but make sure
    that you test it for drowsiness before heading over the horizon. It is
    available in a tablet that can be chewed, swallowed, or dissolved in the
    mouth. Cyclizine Commonly sold as Marzine(r) in the US and used as an
    oral preparation, it is only available as an intra-muscular preparation
    in Canada. This also does not seem to be as effective in rough
    conditions. Promethazine (Phenergan(r)) Available in tablet and syrup
    form, Promethazine is often used in severe conditions, but due to its
    disadvantage of causing extreme drowsiness, it may be taken with an
    amphetamine-like agent. Such is the 'Navy cocktail' of Phenergan and
    Ephedrine, which was developed for the astronaut program and now used by
    cruisers. Available in tablet and syrup form, once nausea has begun,
    Phenergan(r) suppositories can be used. Dextroamphetamine
    (Dexedrine(r)) Although amphetamines have significant effects on motion
    sickness, as with Promethazine, their main use appears to be only for
    severe situations when they are used in conjunction with other
    medications, (available in short or long lasting preparations).
    Scopolamine Patch (Transderm-V(r)) Scopolamine is very popular among
    cruisers for long trips in preventing seasickness as well as reducing
    irritability produced by a constantly moving, hot, humid environment.
    The Scopolamine patch is placed behind the ear at least eight hours
    before exposure and is replaced after 72 hours. Only the concurrent use
    of two patches is recommended. (As the transderm V relies on a
    controlled release, the whole patch should be used.) Although the long
    period of coverage is convenient for cruisers, the delay in
    effectiveness is a disadvantage if a decision is made to leave without
    advance warning. If departing port earlier than expected, taking another
    medication to 'tide you over' is not recommended as mixing drugs can
    cause a severe case of malaise. In many places, Scopolamine patches are
    only sold under prescription for this reason. Conversely, a delay in
    departure, with much of the patch being used up while still in port, can
    make this an expensive resource. Like most medications, Scopolamine
    patches can have side effects, typically dryness of the mouth and
    temporary blurring of vision, so check this out in advance of an ocean
    passage. Pressure-point bands Commonly sold in drug stores 'travel
    bands' or Dea pressure-point wristbands, developed from Chinese
    acupuncture principles, are very successful in suppressing seasickness
    for some cruisers.

     

    -----Original Message-----
    From:
    [mailto:] On Behalf Of k5av
    Sent: Tuesday, March 21, 2006 1:48 PM
    To:
    Subject: [world-cruising] Sea Sickness

    Becoming seasick is a reality for me. I have never sailed for longer
    than a few days of which I was sick most of the time. Had 3-5 feet
    plus. If I had stayed aboard longer, 38' Hunter, would it finally go
    away? Three days, Four days...?

    Also, if I used a prescription medication (Scopace or other), would
    it reduce or even eliminate the symptoms until I got my sea
    legs/equalized my inner ear?

    Many thanks, John in TX

     
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  • Next message: lavida: "RE: [world-cruising] Sea Sickness"

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