Table 1. Comparison of dosages, side effects and measures of effectiveness for various medications used to prevent seasickness Marketed in the US Generic name: Recommended Children’s dosage (6- Interval to be Most common side effects: Severity of motion and/or Mexico as: 12 years): effective/ duration of drug is effective effectiveness (hours)1 against: 1 DRAMAMINE
every 4-6 hrs as needed; hrs as needed; dosage
increased sensitivity to the sun, excitability in children.
MAREZINE PHENERGAN STUGERON TRANSDERM SCOP(OLAMINE)
as necessary. Do not tear patch in half!
(Oral Scopolamine)
dilation of the eyes disorientation, confusion, hallucinations, difficulty urinating.
1From a study for the Public Health Agency of Canada by the Committee to Advise on Tropical Medicine and Travel titled “Statement on Motion Sickness”
Table 2. Comparison of contraindications and complications for various medications used to prevent seasickness Marketed in the US Generic name: Avoid taking with: Do not take if: Seek doctor’s advice if any of the and/or Mexico as: following apply: DRAMAMINE
disease, urinary system problems, irregular heart beat or heart disease, diabetes, ulcers, hypertension, pregnant
MAREZINE
prostate gland, urinary problems, pregnant
PHENERGAN STUGERON TRANSDERM SCOP(OLAMINE)
irregular heart beat or heart disease, psychotic illness, stomach or intestinal blockage; taking anti-cholinergics; children; elderly; pregnant
(Oral Scopolamine)
prostate gland, kidney/liver disease, urinary system problems, irregular heart beat or heart disease, psychotic illness, stomach or intestinal blockage; taking anti-cholinergics; children; elderly; pregnant
Table 3. Survey results from 28 respondents who had tried one or more seasickness medications
Generic name: Of tried, % Of tried, % Reported side effects (in order of ineffective1: side effects: frequency): prefer2: recommend2: DRAMAMINE MAREZINE PHENERGAN STUGERON TRANSDERM SCOP(OLAMINE)
problems, impaired/drugged, rash, balance problems, inability to concentrate, inability to be woken, hallucinations
SCOPACE3 (Oral Scopolamine) 1In severe weather/for severe symptoms 2Percent of total respondents who prefer or recommend for moderate to severe symptoms/weather (Note: Some respondents did not prefer or recommend any drugs.) 3Too small a sample size to draw conclusions
Pharmacy Savings Program SELECT GENERIC DRUG LIST The Pharmacy Savings Program provides you with savings on select generic medications included on this list. The prices for DRUG NAME these select generic medications are based on whether it is a ALLERGIES & COLD AND FLU 30-day supply* or 90-day supply* and its pricing tier:$5 for a 30-day supply and $10 for a 90-day supply
Warfarin reversal – Emergent Surgery or Invasive Procedure and INR ≥ 2 Authors: Colleen Morton MD, David Dries MD, Gary Collins MD, Michael McGonigal MD Approved: 2/4/2014 PURPOSE: To provide guidelines for reversal of Warfarin in a patient who needs an emergent surgery or invasive procedure and has an INR ≥ 2. Kcentra (prothrombin complex concentrate, contains plasma-derived F