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• Reliefbands

Drug-and-Side-Effect-Free • Clinically Proven • Non-Drowsy

100% Natural, Fast-Acting, Long-Lasting Treatment of Nausea

Effective for the treatment of nausea and vomiting associated with:

Car Sickness

Train Sickness

Air Sickness

Sea Sickness

Amusement Park

Morning Sickness

Chemotherapy

Post-Operative

How It Works

Originally developed for use in hospitals, our patented technology "turns off" feelings of nausea and vomiting without any drugs or side effects! Patented, clinically proven, FDA-Cleared technology gently stimulates the underside of the wrist.

Control Nausea

These pulses travel through the nervous system to the part of the brain that controls nausea and vomiting.

Signal the stomach

The brain then signals to the stomach to reduce nausea, providing relief.

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Thousands of customers trust reliefband® for safe, effective and fast-acting relief from nausea..

I was skeptical at first

"I used it for one of my nasty migraines and it worked. It really worked. I was able to keep my meds and fluids down that help relieve the migraine. Give it a try. It was totally worth the money."

Love this device!!!

"It’s a life changer for nausea and motion sickness/ car sickness! Best thing I’ve found!!! I’m so impressed, I was super skeptical, but it’s made my life so much better!"

Bought this for my trip

"I suffer from severe motion sickness and this helped me to go on plane, bus rides, gondolas and through every single ride without any sickness. Kind of a miracle! Had a great trip thanks to reliefband!"

The Reliefband is AMAZING

"My husband has suffered with anxiety for YEARS which has made him vomit uncontrollably. This thing stopped it. It did what doctors could not/would not do. Thank God!"

This definitely works!!

"My husband won’t cruise without it. This is so much better than the sea sickness patch."

FDA Cleared

The original non-invasive, class II neuromodulation device that is cleared by the FDA for the treatment of nausea and vomiting related to motion sickness, physician diagnosed migraines, hangovers, anxiety, morning sickness, chemotherapy, and post-operative nausea.

DRUG-FREE, NO SIDE EFFECT SOLUTION

Reliefband® is a safe, effective and drug-free alternative to reduce nausea without side effects.

FAST ACTING AND LONG LASTING

Nausea can strike fast. Reliefband® works within minutes of use and will last hours of usage time.

NO RESTRICTIONS

Reliefband® is for everyone including pregnant women and will not interact with other medications.

HOSPITAL PROVEN

Reliefband® is the only OTC wearable device that has been used in hospitals and oncology clinics to treat nausea and vomiting.

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Frequently Asked Questions

Yes, as evidenced by numerous and robust clinical studies, extensive hospital use by prescribing doctors, and positive feedback from consumers all of which demonstrate Reliefband®’s efficacy in the relief of nausea and vomiting from motion sickness, morning sickness, chemotherapy and as an adjunct to antiemetic therapy in reducing post-operative nausea.

Reliefband® generates a proprietary pulse that stimulates the median nerve which is located on the underside of the wrist. These signals travel through the body’s nervous system to the part of the brain which controls nausea, retching and vomiting. The signals have a rebalancing effect, normalizing nerve messages from the brain to the stomach and reducing symptoms of nausea and vomiting.

Reliefband® is indicated for use in the prevention and treatment of nausea and vomiting due to motion sickness, chemotherapy and morning sickness associated with pregnancy. Reliefband® is also indicated as an adjunct to antiemetics in reducing postoperative nausea. Reliefband® is now approved to prevent and treat nausea associated with hangovers, anxiety and physician diagnosed migraines.

Yes, the gel provides a more comfortable and effective delivery of therapy. You should use a drop about the size of a small pea. The drop should be spread in a circular motion onto the skin until a sheen remains, covering an area the size of a large coin (quarter) at the intended contact location on the underside of your wrist.

The Reliefband® Premier lasts 18 hours on a full charge at mid-intensity level. The Reliefband® Sport lasts 30 hours on a full charge at mid-intensity level. The Reliefband® Flex lasts 350 hours on a full charge at mid-intensity level.

If it doesn't help with your nausea, we'll give you your money back!

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If you are not completely satisfied, you can return your Reliefband device within 14 days of purchase for your money back!

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Any orders over $50 will receive free shipping! This offer is only available to customers who purchase within the contiguous United States.

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Can a Wristband Really Get Rid of Nausea and Motion Sickness?

Here’s what we learned about three types of anti-nausea devices.

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Complicating matters is the fact that the placebo effect is common with nausea —people often feel better simply because they believe a treatment is working, not because a reliable mechanism is involved.

For those who want to avoid over-the-counter medications like Dramamine, there are a dozen or so anti-nausea wearables on the market. Here’s what we learned about three types. (One caveat: If you’re newly feeling ill, talk to your doctor first to make sure nothing serious is going on.)

Sea-Band Adult Wristband Natural Nausea Relief

What they are: Wristbands use acupressure (pressure is applied to specific points along meridians on the body to keep energy owing evenly) to provide relief. A band maintains steady pressure on your P6 point, located on your inner arm just below your wrist; this stimulates the median nerve, interrupting “I’m sick” messages sent between the brain and the belly.

What we know: A 2018 study in the journal Cancer found that these types of bands did not significantly reduce nausea in pediatric cancer patients receiving chemo. But older studies showed that they reduced migraine-induced nausea as well as the frequency and severity of nausea in pregnant women.

Should you try it? Sure—the bands are safe and inexpensive. Dr. Szarka says that stimulating the P6 point can work as well as anti-nausea medications for some patients whose nausea is due to motion sickness or anesthesia.

Brands to check out: Sea-Bands are washable elastic bands. Psi Bands are plastic bands with adjustable pressure. Both can be purchased in stores or online ($10 to $15).

Acustimulation Bracelets

Reliefband 1.5 for motion & morning sickness.

What they are: Battery-powered wristbands that use electrical pulses to stimulate the median nerve, disrupting nausea signals (you apply a conductivity gel on your wrist’s P6 point before slipping one on). You can adjust pulse strength depending on how sick you feel.

What we know: Acustimulation looks promising, but research is slim. One small study in the journal Military Medicine found that it prevented nausea among test subjects in a driving simulation. A review of 29 studies turned up mixed results on its ability to ease pregnancy-related nausea.

Should you try it? The fact that it’s drug- and side effect–free makes it an attractive option. “There’s little medical risk, and some people do find the bracelets helpful,” says David Odell, M.D., an assistant professor of thoracic surgery at Northwestern Medicine. But they aren’t cheap.

Brands to check out: Reliefband ($100 to $175, plus the cost of gel refills).

MotionCure Neck Brace

What it is: A battery-powered wrap resembling a travel pillow, marketed to treat nausea caused by “sensory mismatch”—that is, when your eyes and inner ear detect movement while you’re still. Electrical pulses and frequencies are sent to the inner ear as well as the median and vagus nerves in the back of the neck; this is meant to break up nausea signals between the brain and the gastric system.

What we know: There’s no conclusion on whether targeting these areas alleviates nausea from motion sickness.

Should you try it? It is meant only for nausea caused by motion sickness, so it probably won’t help with nausea due to other causes. It does, however, come with a money-back guarantee.

Brands to check out: MotionCure has cornered the market on this one (about $150 online).

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What causes motion sickness—and how can you prevent it?

Traveling by boat, car, or even through virtual reality can make some people queasy. Experts weigh in on what to do about it.

For some travelers, a catamaran sail off Oahu, Hawaii , or a camel ride through the desert in Morocco isn’t an enviable vacation experience. It’s an encounter with nausea, dizziness, and cold sweats.

Motion sickness like this can happen to almost anyone, including children and dogs. Studies suggest that more than half of all people who ride in automobiles experience carsickness . Recent surveys of members of the Indian Navy , Icelandic fishermen , and South Carolina marine biologists indicate that up to 80 percent of individuals who work on boats get seasick sometimes.

“We’re even seeing cybersickness now, with people looking at their phones when riding in the car or wearing glasses for a 3D movie,” says Andrea Bubka , a professor of psychology at Saint Peter’s University in New Jersey, who has extensively studied motion sickness.

Here’s why motion sickness happens and what travelers can do to prevent it.

What causes it

Scientists aren’t sure why some people feel nauseated the second they step on a boat, while others can blithely read long novels while riding in the backseat of a car. But they have a few theories.

Many scholars believe motion sickness is caused by sensory conflict, a discrepancy between what people see and what their bodies are experiencing. “Human beings did not evolve to travel in space shuttles and use virtual-reality video games,” says Marcello Cherchi, a neurologist at Northwestern University’s Feinberg School of Medicine.

Sensory conflict happens when your body feels the heaving of an ocean ferry or the jolting motion of a bus winding through the mountains and your eyes, ears, and other senses can’t catch up. This results in symptoms like a dry mouth, dizziness, upset stomach, or a pounding headache.

However, other scientists believe that people get motion sick because they don’t instinctively change how they sit, stand, or walk in a moving mode of transport. That disconnect causes you to feel ill.  

One of the biggest proponents of this “postural stability theory” is Tom Stoffregen , a professor of kinesiology at the University of Minnesota. “On a boat or plane, you have to learn to move differently—like sailors who get their ‘sea legs’ after a few days,” he says. “The key is physical control of your body, and some individuals adapt more quickly than others.”

Genetics might play a part, too. A 2015 study of 480,000 customers of DNA-testing company 23andme identified 413 genetic markers—many related to balance or eye, ear, and cranial development—that could make an individual predisposed to motion sickness.

Preventing motion sickness  

The easiest way to combat motion sickness is to prevent it from happening in the first place. Hydrate and keep fresh air flowing while traveling, either by opening a window in the car, turning on the air vent above you on the plane, or heading to the deck on a cruise ship.  

“And be careful what you eat when you travel,” says Bubka. Anything that upsets your stomach on dry land—eating too much (or too little), drinking excessive amounts of alcohol or caffeine—could be amplified by motion.  

“Do everything you can to be sure your view isn’t obstructed,” says Natascha Tuznik , a doctor who specializes in travel medicine at the University of California Davis. “Look at the horizon if you’re out to sea and sit in the front seat of the car where you can see the road and what’s coming.” Closely watching what’s coming helps your eyes and inner ears sync more quickly with other bodily functions.

Avoiding triggers and anti-nausea training

Some research suggests that doing physical or mental exercises could help humans train themselves to be less motion sick. The Puma Method , developed by a flight surgeon to serve airsick pilots, uses yoga-like stretches and angular movements to build up anti-nausea conditioning. A 2020 study at England’s University of Warwick found that, after doing 15-minute visuospatial training exercises (finding hidden objects in puzzles, folding paper), many subjects didn’t get sick when taken for car rides.  

“The advantage is that these approaches don’t require medication,” says Cherchi. “The disadvantage is that they can entail considerable discomfort, at least initially.”

People prone to motion sickness can also practice “trigger avoidance,” steering clear of activities that make them bilious. If long bus rides make you turn green, rent a car instead, then sit up front or drive yourself. Those prone to seasickness should take flat-water river cruises or choose larger oceangoing ships with smoother rides.  

Medication—or gadgets—might help

Another way to combat travel-related nausea? Use an over-the-counter motion sickness drug (like Dramamine) or a doctor-prescribed Scopolamine patch (usually worn behind the ear). Both are anticholinergics, which block and inhibit the central nervous system to create a calming effect on the muscles in the stomach and bowels.

However, these medicines only work if used a short time before you set sail or board that flight. Such drugs can also make you groggy, and many people have health conditions that preclude their use. Stoffregen advises travelers who don’t want to take pills to try ginger chews or gingersnaps instead. “There’s well-documented evidence that a little bit of ginger can significantly reduce nausea,” he says.

Multiple gadgets promise to help with motion sickness. Pressure-point wristbands , which rely on acupressure principles, come in models from inexpensive and basic to high-tech and high-priced . Wacky-looking anti-nausea glasses also came to market about two years ago, sporting liquid-filled frames and four round, glass-free lenses. The idea is that the liquid in the specs shifts as you move, creating an artificial horizon.  

While many users report feeling better when using these devices on planes, trains, and automobiles, studies have yet to support their efficacy. “Still, if there’s a placebo effect, and you don’t get sick, then I don’t care about the science,” says Stoffregen. “It’s money well spent.”

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How to manage motion sickness

Peer reviewed by Dr Krishna Vakharia, MRCGP Last updated by Amberley Davis Last updated 7 Feb 2023

Have you ever felt sick or dizzy in a moving vehicle? Perhaps you've also broken out in a cold sweat, felt weak, or developed a headache at the same time? Motion sickness may be common, but this doesn't mean you can't prevent or treat it.

In this article :

Why am i getting motion sickness, how to stop motion sickness, when to see a doctor for motion sickness, further reading.

Continue reading below

Motion sickness - also called travel sickness - can affect anyone, and most people have experienced it at some point in their lives. This is especially true during childhood. In fact, some studies suggest that more than 40% of children get motion sick in a car or on a bus 1 .

Why does this happen? It's all to do with the signals that are sent to your brain while you're in motion. The unusual movements you feel while travelling send lots of messages to the brain, including from mechanisms in your inner ear that send information about your position.

However, your eyes can contradict these messages if they're focused on objects that aren't moving, like the inside of a car. This results in a confusing mix of messages, and it's this confusion that causes motion sickness.

You might be particularly vulnerable to motion sickness. Scientists aren't clear why it can affect some more than others, but this doesn't mean that you can't prevent, ease, or eradicate this unpleasant and inconvenient sensation. The techniques below are usually highly effective and most are non-medical.

1. Eat light before your travel

If you know that you're heading on a car journey, catching the bus, boarding a plane or boat, or riding a fairground ride, be mindful of what you eat and when. Alcohol and heavy meals - especially fatty and spicy food - can upset your stomach, making motion sickness worse. Instead, opt for light meals at least an hour before travelling to give your food time to digest.

2. Plan where you sit

In a vehicle, where you position yourself matters. Always try and face forward and sit as far away as possible from the jittering movements and potent smells of an engine.

To keep motion to a minimum in a:

Car - sit in the front.

Bus - sit by a window.

Train - sit forward-facing by a window.

Boat - sit on the upper deck in the middle.

Plane - sit over the wing.

3. Break long car journeys up

If you're planning a long car journey, it's a good idea to take regular breaks. Getting out the car and taking a short walk in the fresh air gives your brain a break from the mixed signals its receiving about your movement and balance.

4. Put down that book or electronic screen

Focussing your eyes on something that isn't moving while other mechanisms are sensing that you're in motion is a big trigger for motion sickness. This is why many people find they can't read books or watch films for long before feeling sick. Avoid too much electronic screen time - even when you're not travelling, screen scrolling can trigger something similar to motion sickness called cybersickness 2 .

5. Find different stimulants in the vehicle

How else can you entertain yourself? Looking forward at a fixed point, like a horizon, may help prevent motion sickness, but if you need more mental stimulation, you could try listening to music, a podcast, or an audio book with your eyes closed. Not only will this avoid sending confusing signals from your eyes to your brain, but sounds may also distract your brain and reduce sensitivity to these signals.

6. Rest your eyes

If you find resting easy while on the move, keeping your eyes closed is one of the most effective ways to halt the symptoms of motion sickness. Sleeping is even better - alongside shutting off signals from your eyes to your brain, a sleeping brain may also be able to ignore some of the disruptive motion signals it's receiving.

7. Locate fixed points outside the vehicle

When looking out a window or on a boat deck, fix your gaze on something that isn't moving. Watching trees and other cars go by outside a window - or waves roll by on a boat deck - can make motion sickness worse. That isn't to say that you should avoid gazing out altogether - if you feel seasick inside a boat, stepping out onto the deck and finding a fixed point on the horizon can help rectify the mismatch of signals in your brain that tell you you're moving without a visual reference 3 .

Patient picks for Travel related problems

What jet lag really does to your body

Ears and flying

8. breathe in fresh air.

When travelling by road, rail, or seadrink in fresh air as often as possible. Usually, this means sitting by an open window - but be careful to avoid strong petrol or diesel fumes.

9. Focus on your breathing

Some studies show that diaphragmic breathing - taking deep and slow breathes in and out - can help ease the unpleasant side effects of travelling 4 . It's a simple enough technique, but you can learn the most effective way to do it here .

10. Soothe an unsettled tummy

When it comes to treating motion sickness, what you feed your tummy matters. Taking small sips of cold water can help. Some natural food flavourings can also settle your stomach and relieve symptoms:

Ginger flavoured snacks or drinks - effective for all symptoms of motion sickness 5 .

Peppermint flavoured snacks or drinks - have a numbing and calming effect that helps ease nausea and headaches 6 .

11. Try over-the-counter medicines

If these natural techniques aren't enough, your local pharmacy will have motion sickness medicine. This ranges from homeopathic remedies, like acupressure wrist bands, to tablets and patches that usually contain the ingredients hyoscine and antihistamines . Hyoscine is considered the most effective medicine for motion sickness.

If you're getting medicine for your child, ask your pharmacist which brands are suitable for children, and about any side effects.

In nearly all cases, motion sickness naturally stops once your journey is over. You should visit your doctor if:

You're still experiencing symptoms long after the journey has ended.

You feel like you have motion sickness when you haven't been moving.

You're experiencing other symptoms like chest pain or hearing loss.

Your doctor can work out if your motion sickness is particularly severe and may be able to prescribe stronger medicines . They can also investigate if your symptoms are a sign of another health problem that needs addressing.

Henriques et al: Motion sickness prevalence in school children .

Iowa State University: Screentime can maje you feel sick – here are ways to manage cybersickness .

The Vision Therapy Center: The surprising reason why you suffer from motion sickness .

Stromberg et al: Diaphragmatic breathing and its effectiveness for the management of motion sickness .

Nunes et al: Clinical evaluation of the use of ginger extract in the preventive management of motion sickness .

Mohr et al: Peppermint essential oil for nausea and vomiting in hospitalized patients: incorporating holistic patient decision making into the research design .

Article History

The information on this page is written and peer reviewed by qualified clinicians.

7 Feb 2023 | Latest version

Last updated by

Peer reviewed by

7 Feb 2023 | Originally published

Authored by:

Feeling unwell?

Assess your symptoms online for free

Motion sickness

Motion sickness is feeling dizzy, or feeling or being sick when travelling by car, boat, plane or train. You can do things to prevent it or relieve the symptoms.

Check if you have motion sickness

Symptoms of motion sickness may include:

• feeling sick (nausea)
• feeling cold and going pale

How to ease motion sickness yourself

Do reduce motion – sit in the front of a car or in the middle of a boat look straight ahead at a fixed point, such as the horizon breathe fresh air if possible – for example, by opening a car window close your eyes and breathe slowly while focusing on your breathing distract children by talking, listening to music or singing songs break up long journeys to get some fresh air, drink water or take a walk try ginger, which you can take as a tablet, biscuit or tea don’t.

do not read, watch films or use electronic devices

do not look at moving objects, such as passing cars or rolling waves

do not eat heavy meals, spicy foods or drink alcohol shortly before or during travel

do not go on fairground rides if they make you feel unwell

A pharmacist can help with motion sickness

You can buy remedies from pharmacies to help prevent motion sickness, including:

• tablets – dissolvable tablets are available for children
• patches – can be used by adults and children over 10
• acupressure bands – these do not work for everyone

A pharmacist will be able to recommend the best treatment for you or your child.

Causes of motion sickness

Motion sickness is caused by repeated movements when travelling, like going over bumps in a car or moving up and down in a boat, plane or train.

The inner ear sends different signals to your brain from those your eyes are seeing. These confusing messages cause you to feel unwell.

Page last reviewed: 19 June 2023 Next review due: 19 June 2026

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Motion Sickness: Symptoms, Who's at Risk, and How to Prevent It

• Who Is at Risk
• Medications
• Health Conditions
• When to Get Help

Motion sickness ( kinetosis ) causes symptoms that include dizziness, nausea , and headache . It occurs when you're moving (in a car, for example) and your brain receives mixed signals from your body, inner ear, and eyes about its surroundings. For instance, if you're below deck on a boat, your inner ear may sense rolling waves but your eyes don't see them. It is also called vertigo or seasickness , and is common in both children and adults, though some risk factors make it more likely.

Motion sickness also can occur due to flight simulators, gaming, amusement park rides, and other "virtual reality" experiences. Self-driving (automated) vehicles also lead to episodes of motion sickness, as people read or work on other tasks rather than driving themselves.

This article explains the symptoms of motion sickness, their causes, and who's at risk. It presents tips on managing your symptoms and ways to prevent motion sickness before it happens.

Illustration by Maritsa Patrinos for Verywell Health

Who Is at Higher Risk for Motion Sickness?

Studies have shown that essentially everyone has the potential to get motion sickness because it's related to the vestibular system (and its ear-related role in motion, balance, and coordination).  It's common, with one study finding up to 25% of large ship passengers (even more on smaller boats) will develop motion sickness within two to three days of the start of an ocean voyage.

For some people, it starts right away, while others only feel sick after they’ve been moving for a long time. Some people are more likely to get motion sickness, including:

• Children aged 2 to 12 years (it can occur in younger children)
• Younger adults (compared with those over age 60)
• People who are pregnant
• People who get migraine headaches

Other factors that contribute to risk include:

• Alcohol and drug use
• Being sleep deprived
• Poor airflow in a vehicle
• Certain odors, including diesel fuel or cigarette smoke

A small study has shown that people who don't know when or how motion will occur may have more difficulty. Facing forward and watching the horizon may help deal with unpredictable motion and motion sickness.

Hormones and Motion Sickness

Females are more likely than males to get motion sickness, partly because of hormones.  Estrogen , the primary female sex hormone, can contribute to symptoms of nausea and dizziness. Studies have shown that the menstrual cycle, as well as estrogen drugs or supplements, can affect how someone experiences motion sickness.

Symptoms of Motion Sickness

Symptoms of motion sickness can vary significantly from person to person, and the degree to which you feel ill can be less severe or more severe than other people who suffer from vertigo.

Nausea and vomiting are common, but they are not the only symptoms of motion sickness. Other symptoms may include:

• Cold sweats and clammy hands
• Hyperventilation (rapid breathing)
• Sensitivity to smells
• Loss of appetite (clinically called anorexia )
• Excessive salivation
• Warm, flushed sensation

Sopite Syndrome

Some people have a subcategory of motion sickness called sopite syndrome. The main symptoms of sopite syndrome include:

• Drowsiness and lethargy
• Mild depression
• Reduced ability to focus on an assigned task

Nausea and vomiting are not symptoms of sopite syndrome, which is one way it’s different from more common types of motion sickness. Sopite symptoms also may occur alone, or they may last longer than other motion sickness symptoms. The precise cause remains unclear, but it's possible another mechanism (including ear-related) is at work.

Medications Can Cause Motion Sickness

Motion sickness symptoms (or their increased severity) can be caused by certain medications. Both prescription drugs and over-the-counter (OTC) medications can cause side effects that result in motion sickness symptoms even when you’re not actually moving.

Nausea, dizziness, and feeling off balance are the vertigo-like side effects that can occur with a wide range of medications. Some of the common medications that may cause these symptoms include:

• Antibiotics such as penicillin, Suprax (cefixime), and Cipro (ciprofloxacin)
• Estrogen-containing medications such as birth control pills and hormone replacement therapy
• Bisphosphonates , such as Binosto (alendronate)
• Lanoxin ( digoxin )
• Inbrija (levodopa)
• Narcotic pain medications like Kadian (morphine), OxyContin ( oxycodone ), or Hysingla ER (hydrocodone)
• Non-steroidal anti-inflammatories like Advil (ibuprofen) and Aleve (naproxen)
• Selective serotonin reuptake inhibitors such as Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline)
• Statins such as Crestor (rosuvastatin) and Zocor (simvastatin)

Even if you do feel discomfort, do not skip or stop taking your medications without talking to your provider.

If you will be traveling and are worried about motion sickness occurring or being more severe with a medication, talk to your healthcare provider. They may say that you can safely take your dose in a different way (for example, at a different time) to help prevent symptoms. 

Motion Sickness Symptoms and Health Conditions

Motion sickness usually stops within eight hours of ending the activity or movement. If your symptoms do not get better when you stop moving, it could be another condition that causes the same symptoms as motion sickness and you should talk to your provider.

Conditions that can cause similar symptoms to motion sickness include:

• Fluid in the ear
• Benign paroxysmal positional vertigo (BPPV)
• Meniere’s disease

Talk to your healthcare provider about your symptoms to ensure an accurate diagnosis.

Treatment for Motion Sickness

There are a few treatment options for motion sickness. If you're taking medication before traveling, your healthcare provider may suggest a small dose before your trip to see how well it works.

Common medications for treating motion sickness include:

• Bonine (meclizine)
• Dramamine (dimenhydrinate)
• Phenergan ( promethazine )

Other options include:

• Anticholinergic drugs , including scopolamine (like the Transderm Scop patch)
• Benzodiazepines like Valium (diazepam)
• Dopamine receptor antagonists like Reglan (metoclopramide)

Acupuncture and other complementary medicine options, such as using the P6 pressure point to control nausea , exist for treating motion sickness. Some experts recommend ginger. However, there is limited research support for their benefits, and motion sickness remains easier to prevent than treat.

Preventing Motion Sickness

Changing your activities or position can help with motion sickness, though reading often leads to motion sickness. Lying down can help, as does limiting your visual input (for example, trees that seem to move as you pass them).

You can also try:

• Sitting in the front seat, if in a vehicle
• Turning air vents toward your face
• Keeping your head still
• Avoiding heavy meals or alcohol use

Natural remedies may help with motion sickness symptoms and their prevention. Try deep breathing exercises, which have been shown to help with seasickness in simulated exercises.

Physical therapy to help you adapt to motion may help, as can transcutaneous electrical nerve stimulation ( TENS ) using a small device that generates impulses. Cognitive behavioral therapy also may help to treat anxiety related to motion sickness.

Try Not to Think About Motion Sickness

Research has suggested that people who think they will get motion sickness are more likely to. You might be able to avoid or at least prevent motion sickness from getting worse by changing your thoughts and finding a distraction.

When to See a Healthcare Provider

Most people see a healthcare provider for motion sickness ahead of planned travel, in order to seek preventive treatment, but other situations do arise. The most common complications of motion sickness include vomiting that leads to dehydration and electrolyte imbalances , which can be treated easily. These conditions can, however, cause serious illness in some people.

Other conditions with symptoms similar to motion sickness include:

• Low blood sugar ( hypoglycemia ), which requires immediate care in people diagnosed with diabetes
• Stroke , a life-threatening condition that requires immediate intervention
• Traumatic head injury and concussion, commonly caused by sports injuries or accidents

If you feel sick after you hit your head or were in an accident, go to the emergency room or call 911.

Keep in mind that motion sickness usually goes away fairly quickly once you’ve stopped moving. If it’s been more than eight hours and you’re still having symptoms, call your provider.

While nausea and vomiting are common, they are not the only symptoms of motion sickness. Some people have other symptoms like fatigue and mood changes. Medications, hormones, and certain activities can make you more likely to get motion sickness.

It's easier to prevent motion sickness than treat it, so talk to your healthcare provider about medication and other treatment options.

If feelings of illness do not go away after the motion stops, your symptoms could be due to another condition. See your healthcare provider if you have motion sickness symptoms that last longer than eight hours.

Icahn School of Medicine at Mount Sinai. Motion Sickness .

Golding JF. Motion sickness . Handb Clin Neurol. 2016;137:371-390. doi:10.1016/B978-0-444-63437-5.00027-3

Li D, Chen L. Mitigating motion sickness in automated vehicles with vibration cue system . Ergonomics . 2022 Oct;65(10):1313-1325. doi:10.1080/00140139.2022.2028902.

Foster M, Singh N, Kwok K, Macefield VG. Vestibular modulation of skin sympathetic nerve activity in sopite syndrome induced by low-frequency sinusoidal motion. J Neurophysiol . 2020 Dec 1;124(6):1551-1559. doi: 10.1152/jn.00177.2020. 

Leung AK, Hon KL. Motion sickness: an overview . Drugs Context . 2019 Dec 13;8:2019-9-4. doi: 10.7573/dic.2019-9-4. 

Lipson S, Wang A, Corcoran M, Zhou G, Brodsky JR. Severe motion sickness in infants and children . Eur J Paediatr Neurol . 2020 Sep;28:176-179. doi:10.1016/j.ejpn.2020.06.010.

Laitinen L, Nurmi M, Ellilä P, Rautava P, Koivisto M, Polo-Kantola P. Nausea and vomiting of pregnancy: associations with personal history of nausea and affected relatives . Arch Gynecol Obstet . 2020 Oct;302(4):947-955. doi: 10.1007/s00404-020-05683-3. 

Jones MLH, Le VC, Ebert SM, Sienko KH, Reed MP, Sayer JR. Motion sickness in passenger vehicles during test track operations . Ergonomics . 2019 Oct;62(10):1357-1371. doi: 10.1080/00140139.2019.1632938.

Peddareddygari LR, Kramer PD, Hanna PA, Levenstien MA, Grewal RP. Genetic Analysis of a Large Family with Migraine, Vertigo, and Motion Sickness . Can J Neurol Sci . 2019 Sep;46(5):512-517. doi: 10.1017/cjn.2019.64.

Kuiper OX, Bos JE, Schmidt EA, Diels C, Wolter S. Knowing What's Coming: Unpredictable Motion Causes More Motion Sickness . Hum Factors . 2020 Dec;62(8):1339-1348. doi: 10.1177/0018720819876139.

Smith PF, Agrawal Y, Darlington CL. Sexual dimorphism in vestibular function and dysfunction . J Neurophysiol . 2019;121(6):2379-2391. doi:10.1152/jn.00074.2019

Centers for Disease Control and Prevention. Motion Sickness .

Varis N, Leinonen A, Perälä J, Leino TK, Husa L, Sovelius R. Delayed Drowsiness After Normobaric Hypoxia Training in an F/A-18 Hornet Simulator . Aerosp Med Hum Perform . 2023 Sep 1;94(9):715-718. doi:10.3357/AMHP.6238.2023. 

Altissimi G, Colizza A, Cianfrone G, et al. Drugs inducing hearing loss, tinnitus, dizziness and vertigo: an updated guide . Eur Rev Med Pharmacol Sci . 2020;24(15):7946-7952. doi:10.26355/eurrev_202008_22477

Seattle Children's Hospital. Motion sickness .

Hromatka BS, Tung JY, Kiefer AK, Do CB, Hinds DA, Eriksson N. Genetic variants associated with motion sickness point to roles for inner ear development, neurological processes and glucose homeostasis .  Hum Mol Genet . 2015;24(9):2700-2708. doi:10.1093/hmg/ddv028

Golding JF, Patel M. Meniere's, migraine, and motion sickness . Acta Otolaryngol. 2017;137(5):495-502. doi:10.1080/00016489.2016.1255775

Koch A, Cascorbi I, Westhofen M, Dafotakis M, Klapa S, Kuhtz-Buschbeck JP. The neurophysiology and treatment of motion sickness .  Dtsch Arztebl Int . 2018;115(41):687-696. doi:10.3238/arztebl.2018.0687

Stromberg SE, Russell ME, Carlson CR.  Diaphragmatic breathing and its effectiveness for the management of motion sickness . Aerosp Med Hum Perform. 2015;86(5):452-7.

Huppert D, Benson J, Brandt T. A historical view of motion sickness - a plague at sea and on land, also with military impact .  Front Neurol . 2017;8:114. doi:10.3389/fneur.2017.00114

Shen Y, Qi X. Update on diagnosis and differential diagnosis of vestibular migraine . Neurol Sci . 2022;43(3):1659-1666. doi:10.1007/s10072-022-05872-9

By Kristin Hayes, RN Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children.

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NEPAK 10 Pairs Travel Wristbands,Motion Sickness Bands,Nausea Relief Wristbands for Pregnant,Morning Sickness,Sea, Travel, Car Sickness

About this item.

• ▶Universal Size:10 Pairs motion sickness bands ,5 x 3 cm strenthed for 5.5 inch(13.9 cm). Fits for children and adults comfortably with soft cotton material and strong elastic designs.
• ▶Travel Wristbands Principle:Works by pressure on the Nei-Kuan acupuncture points on each wrist by means of a plastic stud that work to restore balance in the body.Applying pressure to this point has been proven to relieve nausea & vomiting.(Notice: To Be Tight To Be Useful.）
• ▶Reduce Sickness:Great for reducing morning sickness, pregnancy sickness, sea sickness, car sickness, aircraft sickness and any other travel sickness.
• ▶Healthy Treatment:The most healthy way for motion sickness relief, no drugs, no side effects.Simple, safe and natural acupressure technology proven effective.
• ▶After-Sale Service:If you are unsatisfied, contact us. You will receive a 100% refund and forever warranty.

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Product Description

To Be Tight To Be Useful

• One size fits all, suitable for adults and children.
• In normal form, the wristband is 5cm/1.96inch long and can be stretched to a maximum of 14cm/5.5inch.
• As our anti-motion sickness wristband works by pressing on the Nei-Guan point, the even size is sufficient for tight pressure on the point.
• If local skin irritation occurs below the band or if pain or swelling develops, remove the band and consult a physician or pharmacist.
• Nausea, and the vomiting frequently associated with it, are serious medical conditions, seek medical

• These travel wristbands should only be used in the designated position.
• These travel wristbands may relieve symptoms but do not cure them.
• Effectiveness may vary depending on individual patient characteristics and environmental conditions.
• Store out of reach of children: There is a risk of choking if the button is removed.
• This wristband is a knitted elastic wristband that stretches 5.5 inches.
• Ten pairs of outfits to meet family needs!

Specifications:

• Name: Motion Sickness Bands
• Contents: This pack contains 10 pairs of anti nausea wristbands.
• Material: Made of cotton material and strong elastic design.
• Colors: Black, Blue, White, Yellow, Pink, Grey and Red.
• Cleaning: May be washed up to five times in warm water with a mild detergent.

Product details

• Product Dimensions ‏ : ‎ 1.97 x 1.18 x 0.2 inches; 3.53 ounces
• Item model number ‏ : ‎ 10 us Wristbands
• Date First Available ‏ : ‎ August 8, 2019
• Manufacturer ‏ : ‎ NEPAK
• ASIN ‏ : ‎ B07WC821DH
• #521 in Antinausea Treatments

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MY EXPERIENCE WITH Nepak Travel Wristbands!

10 Pairs Travel Wristbands Motion Sickness Bands

GOOD TO USE! Nepak Travel Wristbands Quick Review

Important information, ingredients, legal disclaimer.

Statements regarding dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease or health condition.

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Customer reviews.

Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.

To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.

Customers say

Customers like the performance and versatility of the medication. They mention that it works well and is perfect for car sickness and boat rides. However, some customers have reported that the wristbands are too tight or small to fit. Opinions are mixed on value and comfort.

AI-generated from the text of customer reviews

Customers are satisfied with the performance of the medication. They mention that it works well, and does the trick.

"... They work great for her . My only complaint is that they do bother her if she has them on for a long period of time...." Read more

"...They work well for me as a 40 year old women down to my 5 year old. The bead is tight on the pressure point and does the trick...." Read more

"...I don’t like giving her the medicine so I try this. It works perfectly . I love the price of this item because those bracelets gets lost easily...." Read more

"... These bands worked very well !!! I can take a flight now and I no longer have problems with my stomach or the dizziness...." Read more

Customers find the medication versatile. They say it's perfect for car rides and boat rides, and is great for cruises.

" Perfect for car sickness and boat rides , my daughter Gets car sickness very easy, since she was a baby...." Read more

"Used them on a whale watching trip. No one got sick or nauseas ...." Read more

" Great for car ride , sailing on cruise, lake boat rides" Read more

"...Are used these and they work great. No more car sickness ." Read more

Customers like the variety of colors in the medication.

"... Lots of colors and price was right." Read more

"I appreciated this set because of all the different colors and the quality of the bands...." Read more

"... Lots of colors to match different outfits on our cruise." Read more

" Loved the variety of colors . Worked well on cruise I have big wrists. Helped my four year old niece with car sickness." Read more

Customers are mixed about the value of the medication. Some mention it's excellent value, great product, and amazing, while others say it'll be a waste of money.

"...The bead is tight on the pressure point and does the trick. Great price and quality!" Read more

"...Lots of colors and price was right ." Read more

"...These wristbands are thin, cheap , and won't fit my wrists, and yet, I'm unable to return them. STAY AWAY!!!" Read more

"...this set because of all the different colors and the quality of the bands ...." Read more

Customers are mixed about the comfort of the medication. Some mention that it's very comfortable to wear even though they have thicker wrists, while others say that it makes them feel uncomfortable after every couple hours, and it actually hurts to wear.

" Very comfortable to wear even though I have thicker wrist. I wear them all day at work. I get vertigo easy and I feel like it works" Read more

"...hands as it would tight for my arms and make me feel uncomfortable after every couple hours ...." Read more

" No nausea ..." Read more

".../jan and they are so tight they leave the worst red marks and actually hurt to wear ..." Read more

Customers are dissatisfied with the tightness of the medication. They mention that the wristbands are too small to wear, and will not fit even a large kid. They also say the wrist bands are thin, cheap, and won't fit their wrists.

"...I think they are a little too tight but it definitely beats her getting sick. She just takes them off for a little bit and then puts them back on." Read more

"...would need to replace and wear it alternative hands as it would tight for my arms and make me feel uncomfortable after every couple hours...." Read more

"I bought these for our cruise in dec/jan and they are so tight they leave the worst red marks and actually hurt to wear..." Read more

"...These wristbands are thin, cheap, and won't fit my wrists , and yet, I'm unable to return them. STAY AWAY!!!" Read more

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Disclaimer : While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition. Amazon.com assumes no liability for inaccuracies or misstatements about products.

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ReliefBand® Drug-Free Sea Sickness Relief Watch Style Band - 2024 Model - In Stock

£119.00 £149.99

Notify me when this product is available:

Without doubt the best sea sickness product I have come across and it works. ReliefBand® is a drug free way to control the debilitating symptoms of travel sickness, whether by air, sea, road or rail. Since the ReliefBand® was first introduced in the UK thousands of yachtsmen have benefited. Customers converted to the ReliefBand® include acupuncture enthusiasts delighted to relieve their sea-sickness with a non drug product to dyed-in-the-wool sceptics astonished at the effectiveness of the device. Working on an acupressure point this clinical product from the US was designed to relieve the nausea that comes with morning sickness and during chemotherapy. It also relieves all kinds of motion sickness including sea-sickness. What’s more, you need not wear it all the time just put it on when you start to feel sick and within 15 to 20 minutes you will feel the benefit. The scientific research indicates that more than 90% of users experience a relief in their motion-sickness. However, not one single customer has reported that it has not worked for their seasickness in the last five years. The ReliefBand® is CE marked and cleared for over-the-counter (non prescription) sales for the relief of motion sickness and morning sickness. Worn like a watch on the underside of the wrist, it emits gentle electrical signals that interfere with the nerve activity that cause nausea. This stimulation blocks nausea/vomiting messages between the brain and stomach. Five power levels assure the right amount of stimulation. Because it is not a drug, users will not suffer the headache, drowsiness, dizziness or other side effects typical of most medicinal remedies on the market.

Key Features

• Adjustable output: One to five power settings
• Light indicates operation and low battery condition
• Adjustable strap
• Includes 10ml tube of conductivity gel
• Drug-free treatment for sea and travel sickness
• Approved by EU and US Food and Drug Administration (FDA)
• No drug like side effects
• Use before or after symptoms begin
• No restrictions on food, beverages or use with other medications
• You can feel it working

Category: ReliefBand® Drug-Free Sea Sickness Relief Watch Style Band - 2018 Model , safety , sea sickness , wizzie bits

Type: ReliefBand® Drug-Free Sea Sickness Relief Watch Style Band - 2018 Model

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EmeTerm Mini

• Lightweight Design
• Comfortable Nylon Strap
• Suitable for Children

EmeTerm Explore

• IP67 Waterproof
• Classic Strap Design
• Next Generation Anti-nausea Wristband

EmeTerm Fashion

• Splash and Spray Proof
• Fashion Design Style
• EmeTerm® Basic Model

HeadaTerm 1 Migraine Relief Device

• Clinically Proven
• Quick Effect
• 100% Drug-Free

EmeTerm is a clinically proven wearable wristband that relieves nausea-induced vomiting. Approved by the FDA and multiple regulatory associations worldwide.

Anti-nausea Wristband

Classic strap

IP67 waterproof

Rechargeable

40+ hrs battery life

1.5 hrs charging

Fit 4.7"-8" wrist

Gel not required

Compatible with Apple Watch available

Nylon strap

Splash and spray proof

10 hrs battery life

1 hrs charging

Fit 4.3"-8" wrist

Compatible with Apple watch coming soon

EmeTerm Fashion

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Fit 5.1"-8.9" wrist

EmeTerm has shown to relief all the following:

Morning Sickness

Air Sickness

Car Sickness

Train Sickness

Sea Sickness

VR Dizziness

Altitude Sickness

Amusement Park Rides

Chemotherapy

Post-operative

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Vomiting Mechanism

Vomiting triggers can come from various forms of activities (car ride, pregnancy, medication).

The vomiting center becomes activated and sends signals to the gastrointestinal tract.

The gastrointestinal tract receives the signals, contracts abnormally, and causes vomiting.

How does EmeTerm Work?

EmeTerm features advanced targeted neuromodulation that offers fast relief with no side effects.

High-precision electrical impulses travel through the median nerve.

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Relieves the contraction of gastrointestinal smooth muscle.

Enjoy Life without Nausea   

With an 85% success rate according to our clinical trials, the EmeTerm Anti-nausea Wristband is the FDA-cleared, drug-free wearable solution for nausea and vomiting.

EmeTerm Loved by Our Fans

This worked very well when I was on a small cruise ship at sea and the waves began rolling. I recommend this to people who suffer from motion sickness or are worried they might.

I have a son who suffers from severe motion sickness in both cars and boats. We got him this band before a 4 hour car trip and it was the best he ever felt. He has absolutely no motion sickness and even ate in the car which he never does. I highly recommend giving this product a try. It worked as well, if not better, than Dramamine but without the sleepiness.

I used my EmeTerm Anti-Emetic wristband for the first time recently when I visited Universal Studios in Orlando, FL. The 3-D rides usually make me extremely nauseous unless I keep my eyes closed. Used this product and was able to enjoy all of the 3-D rides with my eyes fully open. I was truly astonished that this wristband worked so well.

My daughter gets motion sickness very easily, and I usually have to put her to sleep with Benadryl whenever we take a long road trip to prevent from vomiting. This band did the trick without medication, and it worked for 5 days straight.

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EmeTerm® HeadaTerm is a clinically proven, safe, and effective medical device worn on users' foreheads that uses none-invasive neuronal electrical stimulation technology to prevent and treat primary headache, including migraine, tension headache, and cluster headache.

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Advertisement

Avoiding Altitude Sickness: How to Enjoy the Mountains Safely

By Megan McCrea

At last, you’ve arrived in Cuzco, Peru — you’re ready for your dream trek to Machu Picchu. There’s just one problem: You can barely catch your breath, your stomach is churning and, in the morning, your head is throbbing.

The culprit? Altitude sickness, or in medical terms, acute mountain sickness — the various symptoms tied to your body’s response to the higher altitude. As elevation increases, air pressure drops, meaning you get less oxygen from each full breath. It is temporarily uncomfortable for most people, but in extreme cases, severe altitude sickness can even be fatal.

It sounds scary, but as Paul Nicolazzo, the president of Wilderness Medicine Training Center said, “There’s really no reason to be afraid of going to altitude, as long as you understand what you’re up against, and you obey some very, very basic rules.”

Know the symptoms

A.M.S. has four general symptoms: headache, gastrointestinal discomfort (nausea and lack of appetite), fatigue/weakness, and dizziness/lightheadedness.

Many people experience the morning altitude headache, in which “your skull feels too small for the pulse that’s coming,” said Steve House, the founder of Uphill Athlete , a company that offers high-altitude endurance coaching.

It is also common to struggle with sleep at high altitudes. This occurs partly because the part of your nervous system responsible for keeping you awake has kicked in to increase your respiratory rate, Mr. Nicolazzo said.

Pay attention to elevation

The two main drivers of A.M.S. are how high you’re going and how fast you’re getting there. People with a higher altitude sensitivity might start experiencing challenges not far above 5,000 feet, say in places like Denver and Johannesburg. Anyone traveling above 8,000 feet may be at risk for altitude sickness, according to the Centers for Disease Control and Prevention .

Serious adventure travelers — say, those trekking in the Himalayas, or climbing Mount Kilimanjaro — usually know they’re headed for high altitudes. But the elevation of destinations like Mexico City (about 8,000 feet), the summit of Haleakala on Maui (10,023 feet), Cuzco (about 11,150 feet), or even Santa Fe, N.M. (6,996 feet), might come as a surprise. To set expectations, check your destination’s altitude in advance on Google Earth or the U.S. Geological Survey national map viewer .

Listen to your body

If you have a condition like heart disease, heart failure, high blood pressure, high cholesterol, atrial fibrillation, lung disease, C.O.P.D., asthma or sleep apnea, you’ll want to start paying close attention to how you’re feeling at around 5,000 feet.

If you have a pre-existing condition or have had trouble with high altitudes before — or if you’ll be going above 10,000 feet — consider visiting a specialist, who can help you prepare and may be able to advise you about the main drugs used to prevent and treat altitude sickness, Diamox (acetazolamide) and dexamethasone.

Sleep your way up

Traveling to high altitudes is a little like running a marathon: It will go better if you build up to it.

Say you’re headed to a high-altitude ski resort. Consider working your way up from a lower sleeping elevation to a higher one, since the critical factor — for altitude purposes — is where you spend the night.

If you’re traveling from sea level to Breckenridge, a Colorado ski town that sits at about 9,600 feet, first spend a night in Denver, at 5,280 feet, advised Dr. Peter Hackett, the founder of the Denali Medical Research Project and a high-altitude specialist. By doing so, he explained, “you drop the incidence of headache by almost half. So that little bit of extra time that you take to get to 9,000 feet to sleep can make a big difference.”

Skip that fatty steak

When Mr. Nicolazzo worked as a ski patroller, there was a behavior so common — and certain to exacerbate altitude illness — he remembers that local lodges posted warnings about it. People would fly in from sea level, he recalled, drive to the ski areas around Taos, N.M. (which is itself at 6,969 feet), “have a big steak, baked potato with sour cream and a lot of butter,” along with several cocktails. Then, they would feel terrible the next day, he said.

To avoid that feeling, trade the steak and extra butter for something with more carbohydrates, as fats and proteins take more oxygen for your body to metabolize.

And if you’re having a cocktail, keep it to one: Alcohol and other depressants can decrease your oxygen level, particularly while you’re sleeping, Dr. Hackett said.

Above all, drink plenty of water. Staying hydrated will help your kidneys work better, Mr. Nicolazzo explained, which can help you adjust to the altitude and, hopefully, avoid the headache.

Watch for red flags

A mild case of A.M.S. can become moderate or severe if someone ascends too high or too fast. Most — but not all — people progress through the mild symptoms before reaching this level, which includes symptoms like dizziness, disorientation, severe nausea and extreme shortness of breath.

To guard against severe A.M.S., monitor how you feel, and if you’re experiencing a persistent headache, trouble sleeping or other A.M.S. symptoms, tell your companions and don’t ascend any higher.

At the severe end of the continuum, if not treated, A.M.S. could progress into high altitude pulmonary edema , in which fluid builds up in the lungs, or more rarely, high altitude cerebral edema , where fluid builds up in the brain. Both conditions can be fatal.

“There are three cures for altitude illness,” Mr. House said, “descent, descent and descent.” Anyone who appears confused, is coughing up fluid or seems to have trouble breathing or walking — symptoms of severe conditions like HAPE or HACE — needs to be taken down immediately, Dr. Hackett said. “Just a thousand feet is all they have to go. And that could save their life.”

Open Up Your World

Considering a trip, or just some armchair traveling here are some ideas..

52 Places:  Why do we travel? For food, culture, adventure, natural beauty? Our 2024 list has all those elements, and more .

Mumbai:  Spend 36 hours in this fast-changing Indian city  by exploring ancient caves, catching a concert in a former textile mill and feasting on mangoes.

Kyoto:  The Japanese city’s dry gardens offer spots for quiet contemplation  in an increasingly overtouristed destination.

Iceland:  The country markets itself as a destination to see the northern lights. But they can be elusive, as one writer recently found .

Texas:  Canoeing the Rio Grande near Big Bend National Park can be magical. But as the river dries, it’s getting harder to find where a boat will actually float .

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• Section 5 - Rubella
• Section 5 - Smallpox & Other Orthopoxvirus-Associated Infections

Rubeola / Measles

Cdc yellow book 2024.

Author(s): Paul Gastañaduy, James Goodson

Infectious Agent

Transmission, epidemiology, clinical presentation.

INFECTIOUS AGENT: Measles virus

TRAVELER CATEGORIES AT GREATEST RISK FOR EXPOSURE & INFECTION

PREVENTION METHODS

Rubeola is a vaccine-preventable disease

DIAGNOSTIC SUPPORT

Measles virus is a member of the genus Morbillivirus of the family Paramyxoviridae .

Measles is transmitted from person to person via respiratory droplets and by the airborne route as aerosolized droplet nuclei. Infected people are usually contagious from 4 days before until 4 days after rash onset. Measles is among the most contagious viral diseases known; secondary attack rates are ≥90% among susceptible household and institutional contacts. Humans are the only natural host for sustaining measles virus transmission, which makes global eradication of measles feasible.

Measles was declared eliminated (defined as the absence of endemic measles virus transmission in a defined geographic area for ≥12 months in the presence of a well-performing surveillance system) from the United States in 2000. Measles virus continues to be imported into the country from other parts of the world, however, and recent prolonged outbreaks in the United States resulting from measles virus importations highlight the challenges faced in maintaining measles elimination.

Given the large global measles burden and high communicability of the disease, travelers could be exposed to the virus in any country they visit where measles remains endemic or where large outbreaks are occurring. Most measles cases imported into the United States occur in unvaccinated US residents who become infected while traveling abroad, often to the World Health Organization (WHO)–defined Western Pacific and European regions. These travelers become symptomatic after returning to the United States and sometimes infect others in their communities, causing outbreaks.

Nearly 90% of imported measles cases are considered preventable by vaccination (i.e., the travelers lacked recommended age- and travel-appropriate vaccination). Furthermore, observational studies in travel clinics in the United States have shown that 59% of pediatric and 53% of adult travelers eligible for measles-mumps-rubella (MMR) vaccine at the time of pretravel consultation were not vaccinated at the visit, highlighting a missed opportunity to reduce the likelihood of measles introductions and subsequent spread. Encourage all eligible travelers to receive appropriate MMR vaccination. Outbreak investigations are costly and resource intensive, and infected people—in addition to productivity losses—can incur direct costs for the management of their illness, including treatment, quarantine, and caregiving.

The incubation period averages 11–12 days from exposure to onset of prodrome; rash usually appears ≈14 days after exposure. Symptoms include fever, with temperature ≤105°F (≤40.6°C); conjunctivitis; coryza (runny nose); cough; and small spots with white or bluish-white centers on an erythematous base appearing on the buccal mucosa (Koplik spots). A characteristic red, blotchy (maculopapular) rash appears 3–7 days after onset of prodromal symptoms. The rash begins on the face, becomes generalized, and lasts 4–7 days.

Common measles complications include diarrhea (8%), middle ear infection (7%–9%), and pneumonia (1%–6%). Encephalitis, which can result in permanent brain damage, occurs in ≈1 per 1,000–2,000 cases of measles. The risk for serious complications or death is highest for children aged ≤5 years, adults aged ≥20 years, and in populations with poor nutritional status or that lack access to health care.

Subacute sclerosing panencephalitis (SSPE) is a progressive neurologic disorder caused by measles virus that usually presents 5–10 years after recovery from the initial primary measles virus infection. SSPE manifests as mental and motor deterioration, which can progress to coma and death. SSPE occurs in ≈1 of every 5,000 reported measles cases; rates are higher among children <5 years of age.

Measles is a nationally notifiable disease. Laboratory criteria for diagnosis include a positive serologic test for measles-specific IgM, IgG seroconversion, or a significant rise in measles IgG level by any standard serologic assay; isolation of measles virus; or detection of measles virus RNA by reverse transcription PCR (RT-PCR) testing. The Centers for Disease Control and Prevention’s Measles Virus Laboratory is the national reference laboratory; it provides serologic and molecular testing for measles and technical assistance to state public health laboratories for the collection and shipment of clinical samples for molecular diagnostics and genetic analysis. See detailed information on diagnostic support .

A clinical case of measles illness is characterized by generalized maculopapular rash lasting ≥3 days; temperature ≥101°F (38.3°C); and cough, coryza, or conjunctivitis. A confirmed case is one with an acute febrile rash illness with laboratory confirmation or direct epidemiologic linkage to a laboratory-confirmed case. In a laboratory-confirmed or epidemiologically linked case, the patient’s temperature does not need to reach ≥101°F (38.3°C) and the rash does not need to last ≥3 days.

Treatment is supportive. The WHO recommends vitamin A for all children with acute measles, regardless of their country of residence, to reduce the risk for complications. Administer vitamin A as follows: for infants <6 months old, give 50,000 IU, once a day for 2 days; for infants 6 months old and older, but younger than 12 months, give 100,000 IU once a day for 2 days; for children ≥12 months old give 200,000 IU once a day for 2 days. For children with clinical signs and symptoms of vitamin A deficiency, administer an additional (i.e., a third) age-specific dose of vitamin A 2–4 weeks following the first round of dosing.

Measles has been preventable through vaccination since a vaccine was licensed in 1963. People who do not have evidence of measles immunity should be considered at risk for measles, particularly during international travel. Acceptable presumptive evidence of immunity to measles includes birth before 1957; laboratory confirmation of disease; laboratory evidence of immunity; or written documentation of age-appropriate vaccination with a licensed, live attenuated measles-containing vaccine 1 , namely, MMR or measles-mumps-rubella-varicella (MMRV). For infants 6 months old and older, but younger than 12 months, this includes documented administration of 1 dose of MMR; for people aged ≥12 months, documentation should include 2 doses of MMR or MMRV (the first dose administered at age ≥12 months and the second dose administered no earlier than 28 days after the first dose). Verbal or self-reported history of vaccination is not considered valid presumptive evidence of immunity.

1 From 1963–1967, a formalin-inactivated measles vaccine was available in the United States and was administered to ≈600,000–900,000 people. It was discontinued when it became apparent that the immunity it produced was short-lived. Consider people who received this vaccine unvaccinated.

Vaccination

Measles vaccine contains live, attenuated measles virus, which in the United States is available only in combination formulations (e.g., MMR and MMRV vaccines). MMRV vaccine is licensed for children aged 12 months–12 years and can be used in place of MMR vaccine if vaccination for measles, mumps, rubella, and varicella is needed.

International travelers, including people traveling to high-income countries, who do not have presumptive evidence of measles immunity and who have no contraindications to MMR or MMRV, should receive MMR or MMRV before travel per the following schedule.

Infants (6 months old and older, but younger than 12 months): 1 MMR dose. Infants vaccinated before age 12 months must be revaccinated on or after the first birthday with 2 doses of MMR or MMRV separated by ≥28 days. MMRV is not licensed for children aged <12 months.

Children (aged ≥12 months): 2 doses of MMR or MMRV separated by ≥28 days.

Adults born in or after 1957: 2 doses of MMR separated by ≥28 days.

One dose of MMR is ≈85% effective when administered at age 9 months; MMR and MMRV are 93% effective when administered at age ≥1 year. Vaccine effectiveness of 2 doses is 97%.

Adverse Reactions

In rare circumstances, MMR vaccination has been associated with anaphylaxis (≈2–14 occurrences per million doses administered); febrile seizures (≈1 occurrence per 3,000–4,000 doses administered, but overall, the rate of febrile seizures after measles-containing vaccine is much lower than the rate with measles disease); thrombocytopenia (≈1 occurrence per 40,000 doses during the 6 weeks after immunization); or joint symptoms (arthralgia develops among ≈25% of nonimmune postpubertal females from the rubella component of the MMR vaccination, and ≈10% have acute arthritis-like signs and symptoms that generally persist for 1–21 days and rarely recur; chronic joint symptoms are rare, if they occur at all). No evidence supports a causal link between MMR vaccination and autism, type 1 diabetes mellitus, or inflammatory bowel disease.

Contraindications

People who experienced a severe allergic reaction (difficulty breathing, hives, hypotension, shock, swelling of the mouth or throat) following a prior dose of MMR or MMRV vaccine, or who had an anaphylactic reaction to topically or systemically administered neomycin, should not be vaccinated or revaccinated. People who are allergic to eggs can receive MMR or MMRV vaccine without prior routine skin testing or the use of special protocols.

Immunosuppression

Enhanced replication of live vaccine viruses can occur in people who have immune deficiency disorders. Death related to vaccine-associated measles virus infection has been reported among severely immunocompromised people; thus, severely immunosuppressed people should not be vaccinated with MMR or MMRV vaccine. For a thorough discussion of recommendations for immunocompromised travelers, see Sec. 3, Ch. 1, Immunocompromised Travelers .

MMR vaccination is recommended for all people with HIV infection aged ≥12 months who do not have evidence of measles, mumps, and rubella immunity, and who do not have evidence of severe immunosuppression. The assessment of severe immunosuppression can be based on CD4 values (count or percentage); absence of severe immunosuppression is defined as CD4 ≥15% for ≥6 months for children aged ≤5 years, or CD4 ≥15% and CD4 count ≥200 cells/mL for ≥6 months for people aged >5 years.

People with leukemia in remission and off chemotherapy, who were not immune to measles when diagnosed with leukemia, may receive MMR vaccine. At least 3 months should elapse after termination of chemotherapy before administering the first dose of vaccine.

Steroids & Other Immunosuppressive Therapies

Avoid vaccinating people who have received high-dose corticosteroid therapy (in general, considered to be ≥20 mg or 2 mg/kg body weight of prednisone, or its equivalent, daily for ≥14 days) with MMR or MMRV for ≥1 month after cessation of steroid therapy. Corticosteroid therapy usually is not a contraindication when administration is short-term (<14 days) or a low to moderate dose (<20 mg of prednisone or equivalent per day).

In general, withhold MMR or MMRV vaccine for ≥3 months after cessation of other immunosuppressive therapies and remission of the underlying disease. See Sec. 3, Ch. 1, Immunocompromised Travelers , for more details.

MMR vaccines should not be administered to pregnant people or people attempting to become pregnant. Because of the theoretical risk to the fetus, people should be counseled to avoid becoming pregnant for 28 days after receiving a live-virus (e.g., MMR) vaccine.

Precautions

Personal or family history of seizures of any etiology.

Compared with administration of separate MMR and varicella vaccines at the same visit, use of MMRV vaccine is associated with a higher risk for fever and febrile seizures 5–12 days after the first dose among children aged 12–23 months. Approximately 1 additional febrile seizure occurs for every 2,300–2,600 MMRV vaccine doses administered. Use of separate MMR and varicella vaccines avoids this increased risk for fever and febrile seizures.

Thrombocytopenia

The benefits of primary immunization are usually greater than the potential risks for vaccine- associated thrombocytopenia. Avoid giving subsequent doses of MMR or MMRV vaccine, however, if an episode of thrombocytopenia occurred ≤6 weeks after a previous dose of vaccine.

Postexposure Prophylaxis

Measles-containing vaccine or immune globulin (IG) can be effective as postexposure prophylaxis. MMR or MMRV administered ≤72 hours after initial exposure to measles virus might provide some protection. If the exposure does not result in infection, the vaccine should induce protection against subsequent measles virus infection.

When administered ≤6 days of exposure, IG can be used to confer temporary immunity in a susceptible person. If the exposure does not result in modified or typical measles, vaccination with MMR or MMRV is still necessary to provide long-lasting protection. Six months after receiving intramuscularly administered IG, or 8 months after receiving intravenously administered IG, administer MMR or MMRV vaccine, provided the patient is aged ≥12 months and the vaccine is not otherwise contraindicated.

CDC website: Measles

The following authors contributed to the previous version of this chapter: Paul A. Gastañaduy, James L. Goodson

Bibliography

Centers for Disease Control and Prevention. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62(RR-04):1–34.

 Gastañaduy P, Redd S, Clemmons N, Lee AD, Hickman CJ, Rota PA, et al. Measles. In: Roush SW, Baldy LM, Kirkconnell Hall MA, editors. Manual for the surveillance of vaccine-preventable diseases. Atlanta: Centers for Disease Control and Prevention; 2019. Available from: www.cdc.gov/vaccines/pubs/surv-manual/chpt07-measles.html .

Hyle EP, Fields NF, Fiebelkorn AP, Taylor Walker A, Gastañaduy P, Rao SR, et al. The clinical impact and cost-effectiveness of measles-mumps-rubella vaccination to prevent measles importations among US international travelers. Clin Infect Dis. 2019;69(2):306–15.

Hyle EP, Rao SR, Bangs AC, Gastañaduy P, Parker Fiebelkorn A, Hagmann SHF, et al. Clinical practices for measles-mumps-rubella vaccination among US pediatric international travelers. JAMA Pediatr. 2020;174(2):e194515.

Hyle EP, Rao SR, Jentes ES, Parker Fiebelkorn A, Hagmann SHF, Taylor Walker A, et al. Missed opportunities for measles, mumps, rubella vaccination among departing U.S. adult travelers receiving pretravel health consultations. Ann Intern Med. 2017;167(2):77–84.

Lee AD, Clemmons NS, Patel M, Gastañaduy PA. International importations of measles virus into the United States during the post-elimination era, 2001–2016. J Infect Dis. 2019;219(10):1616–23.

National Notifiable Diseases Surveillance System. Measles (rubeola): 2013 case definition. Atlanta: CDC; 2013. Available from: https://ndc.services.cdc.gov/conditions/measles/ .

Patel MK, Goodson JL, Alexander JP Jr., Kretsinger K, Sodha SV, Steulet C, et al. Progress toward regional measles elimination—Worldwide, 2000–2019. MMWR Morb Mortal Wkly Rep. 2020;69(45):1700–5.

Pike J, Leidner AJ, Gastañaduy PA. A review of measles outbreak cost estimates from the US in the post-elimination era (2004–2017): Estimates by perspective and cost type. Clin Infect Dis. 2020;1(6):1568–76.

World Health Organization. Measles vaccines: WHO position paper—April 2017. Wkly Epidemiol Rec. 2017;92(17):205–27.

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Even Travelers With 'Severe' Motion Sickness Swear by This Doctor-approved Trick

Shoppers say it "really opens up their ability to travel" on boats, road trips, planes, and more.

Travel + Leisure / Reese Herringto

Warmer weather is just around the corner, which means most travelers' itineraries will be filled with plenty of flights, cruises, and even adventurous road trips. But, if you experience motion sickness, those idyllic excursions can quickly turn disastrous. Fortunately, one simple solution may offer a bit of reprieve: the Toulifly Motion Sickness Relief Wristbands .

At first glance, these motion sickness bracelets look like your average sweatbands, but they have a plastic disc sewn into the side that gently presses against the skin to alleviate nausea using acupressure therapy. And, according to more than 3,000 Amazon shoppers, they're "life-changing."  

To buy: amazon.com , $8 for set of two (originally $9) 

In order to use the motion sickness wristbands effectively, just slip them on and position the disc on the inside of your wrists. According to the brand, they can take anywhere from two to five minutes to become effective, so it’s best to wear them before you embark on your journey — whether it's by land, sea, or air.

Perfect for adults and children alike, the universally fitting Toulifly Motion Sickness Relief Wristbands are available in sets of two , three , four , and ten , ensuring that there's a pair for everyone in your party that needs one. As a matter of fact, Amazon is running a special promotion on select sets; prices start as little as $8 for a limited time. 

Curious to know just how the Toulifly Motion Sickness Relief Wristbands work their magic? Don't worry, we were, too, and Lilli Link , MD, a board-certified internist and functional medicine practitioner at Parsley Health, gave us the scoop. 

To buy: amazon.com , $15 for set of four (originally $17) 

“Acupressure works similarly to acupuncture," she tells Travel + Leisure . "Both have their roots in traditional Chinese medicine and are based on the flow of qi (pronounced chi), or energy, along the meridians in the body. By putting pressure on a specific point along the meridian, the qi (our energy) can flow freely.”

Though Dr. Link notes that there are only a "few small studies that show these wristbands help protect against nausea" and "an equal number that show no benefit," she did share that she had success preventing motion sickness by using similar products: "Anecdotally, I used [them] with my twins when they were young, and we seemed to have fewer frantic calls from the back seat of the car for sickness bags." 

Like Dr. Link’s twins, shoppers on Amazon have experienced similar relief from motion sickness. One traveler wrote , “I placed these wristbands on two hours before my cruise. I was amazed how well they worked. No additional pills needed.”  Another motion sickness prone-reviewer said , “I get carsick and motion sick all the time, especially in the back of cars and boats. When my family took a trip to Hawaii, these little guys saved my life! I didn't get sick once, [not] even on a boat in the ocean.”

To buy: amazon.com , $26

In fact, one customer was happy to report that it worked for their son, who gets "very car sick," on a 16-hour road trip: "They were comfortable to wear, and helped him…Each pair comes in a sturdy plastic case. This is nice for individual use." Following their review, another shopper with "severe motion sickness" shared , "Normally, I can only keep my eyes forward [in the car], but with these wristbands on, I have freedom. I didn't have any sickness issues with these on. It really opens up my ability to travel, as I am limited to under a 20-minute drive." 

Similarly, a longtime motion sickness sufferer said , "I sat in the passenger seat all day during a recent vacation with zero nausea." Vouching for their versatility, a final customer commented , "I have been using these a lot lately: long car rides, flights, video games, and they work great!" They also added, "I wore them when I wasn't feeling the best and they worked great. I wore them overnight due to nausea from a migraine; [they] helped out so much." 

Don't let motion sickness ruin your next trip. Whether it be via train, plane, automobile, boat, or whatever's on your itinerary, make sure that you have the Toulifly Motion Sickness Relief Wristband on deck so you can enjoy yourself. Grab a set at Amazon while they're starting at $8. 

At the time of publishing, the price started at $8. 

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One of Mt. Everest's deadliest passages is growing even more treacherous

• The 2024 Mount Everest climbing season was delayed due to crumbling ice in the Khumbu Icefall. 
• The Khumbu Icefall is one of the most dangerous obstacles to cross on the path to Everest's summit.
• As global temperatures rise due to climate change, this icefall will only become more treacherous.

Climbing Mt. Everest is a dangerous endeavor right from the start. Before climbers summiting via the South Col route can even make it to Camp 1, they must face one of the deadliest passages of all. A 1.6-mile stretch of slowly cascading ice just above Base Camp called the Khumbu Icefall.

It's a treacherous maze of crevasses that can stretch over 300-feet-deep and house-sized "ice towers" that can break free unexpectedly, triggering deadly avalanches like the one that killed three Sherpas last year.

It's called an icefall because it looks like a frozen waterfall, but here on Everest, the term "fall" might as well be a dire warning to all . As of 2016, six people had fallen to their deaths, and that's just a small portion of the total lives lost to the Khumbu.

This icefall is so perilous a dedicated team of specialized workers is responsible for charting a safe route through it. They're called the Icefall Doctors, and this year, they delayed Everest's climbing season by 12 days due to unsafe conditions on the Khumbu Icefall.

And it will only become more dangerous as global temperatures rise , Paul Mayewski, Mount Everest researcher and climatologist at the University of Maine, told Business Insider. He studies how climate change is affecting the highest peaks on our planet.

What makes the Khumbu Icefall so dangerous

The Khumbu Icefall is essentially a slow-moving river of ice that gradually falls down the mountain as the Khumbu Glacier recedes .

Its movement is what makes it so unstable, giving rise to deep crevasses and deadly avalanches.

Between 1953 and 2019, 45 people lost their lives on the Khumbu Icefall. The three major causes of death were avalanches onto the icefall (49% of deaths), icefall collapse (33%), and falling into a crevasse (13%), according to Alan Arnette, a Mount Everest summiter and climbing coach who writes a blog about the mountain.

At the beginning of each climbing season, the Icefall Doctors are the first to traverse this treacherous icefall. They find the safest route through it, laying ropes and ladders along the way to help people navigate its cliffs and crevasses .

This year, the Icefall Doctors repeatedly encountered dangers that slowed their process. Insufficient winter snowfall and high temperatures destabilized ice towers and bridges, forcing them to re-evaluate their route several times, Outside reported.

Related stories

"Going up there one part of the day and coming down the next day could look very different. And the probability of that getting worse with a warmer climate increases," Mayewski said.

Climate change is messing with the Khumbu Icefall

Rapid melting causes glaciers , like the Khumbu Glacier, to shrink and erode. In turn, this leads to more lakes and streams, but on a more dangerous level it also increases the risk of avalanches, ice falls, and crevasses, Mayewski said.

"The likelihood of that getting worse in a warmer climate increases because ice becomes more mobile," he said. "The warmer it is, the more flowing water. And that flowing water obviously destabilizes the ice."

Mayewski's research suggests that conditions are changing all over Mount Everest, not just in this region. His study of the South Col, Everest's highest glacier, revealed that one-third of its ice has disappeared in the last two to three decades.

"Even just walking around base camp , it's very obvious that there's been a lot of melting," he said.

These aren't the only dangers

While it's clear that climate change is making conditions in the Khumbu Icefall more dangerous, not all risks on Mount Everest are related to climate, Arnette points out.

In 2023, the deadliest climbing year in Mt. Everset's history, 15 of the 18 total deaths were caused by acute mountain sickness, falls, and disappearances. He feels that most of these deaths were likely preventable.

For example, acute mountain sickness — a mild form of altitude sickness — can be treated if climbers and their guides recognize the symptoms quickly and get to lower elevation, Arnette said. But if climbers choose to keep going, their condition can turn deadly. AMS claimed eight lives on Everest last year, according to the Himalayan Database.

Arnette believes that introducing more safety enforcement on the mountain would go a long way to reduce fatalities.

Climbers sometimes put themselves at risk too, by opting for low-cost operators, tackling Everest without enough climbing experience, or refusing to turn back even when showing signs of illness. In that last case, Sherpas often have difficulty convincing their clients to throw in the towel due to language and cultural barriers, Arnette said.

Will the added risks driven by climate change make climbing Everest impossible one day? Mayewski doesn't think so.

"Will people still be able to do it? Yeah, I think they will. Will it be more dangerous? Arguably yes — it's already pretty dangerous," he said.

Watch: Every piece of gear you need to summit Everest, according to a Sherpa guide

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