Safe Medication Tips for Divers: Managing Allergies and Motion Sickness - Family Medicine

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Diving-related medication consultation?


Hello, doctor.
I have been intermittently taking allergy medication (Loratadine) at night, and I usually don't experience any side effects.
I am also prone to motion sickness, so I take Dimenhydrinate before going on a boat or engaging in water activities, and I haven't felt drowsy when taking it alone.
However, the last time I went for water activities, I took the allergy medication the night before and then took Dimenhydrinate the next morning.
Near noon, when we went out to sea, I suddenly felt extremely sleepy and even fell asleep on the boat, which was very dangerous as I had to be brought back by the instructor.
After that experience, I have been hesitant to take motion sickness medication again.

Recently, I have been learning free diving, and since the textbook states that nasal congestion can affect diving safety, I must take allergy medication the night before diving.
Given my previous experience, I am reluctant to take motion sickness medication, but I also tend to get nauseous and dizzy on the water's surface.
I would like to know if there are any suitable medications for my situation.

TY, 20~29 year old female. Ask Date: 2023/11/14

Dr. Li Zhenggang reply Family Medicine


Currently, the main medications for allergies are antihistamines, which may cause drowsiness.
For safety reasons, it is recommended that you avoid using these medications before diving.
Additionally, for nasal congestion, it is advisable to seek assistance from an otolaryngologist to explore other medication or non-medication treatment options.

Reply Date: 2023/11/14

More Info


When it comes to managing allergies and motion sickness, especially for divers, it is crucial to be aware of how medications can interact and affect your performance and safety. Based on your experience with taking allergy medication (Loratadine) and motion sickness medication (Dimenhydrinate), it seems that the combination of these medications can lead to unexpected drowsiness, which can be dangerous while engaging in water activities.

First, let's discuss the medications you mentioned. Loratadine is a second-generation antihistamine that is generally less sedating than first-generation antihistamines. However, individual responses can vary, and some people may still experience drowsiness. Dimenhydrinate, on the other hand, is a first-generation antihistamine that is known for its sedative effects and is commonly used to prevent and treat motion sickness. When taken together, especially in close succession, the sedative effects can be amplified, leading to excessive drowsiness, as you experienced.

To manage your allergies while minimizing the risk of drowsiness, consider the following tips:
1. Timing and Dosage: If you need to take both medications, consider spacing them out more significantly. For example, take your allergy medication in the evening and wait until the following day to take the motion sickness medication. This may help reduce the cumulative sedative effects.

2. Alternative Medications: There are non-sedating alternatives for motion sickness that you might consider. For example, meclizine is another antihistamine that is often used for motion sickness but may have a lower incidence of sedation compared to Dimenhydrinate. Additionally, there are non-pharmacological options such as acupressure wristbands that can help alleviate motion sickness without the risk of drowsiness.

3. Consult with a Healthcare Provider: Before making any changes to your medication regimen, it is essential to consult with a healthcare provider or a pharmacist. They can provide personalized advice based on your medical history and current medications. They may also suggest alternative treatments for your allergies that have a lower risk of sedation.

4. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can help mitigate some symptoms of motion sickness. Dehydration can exacerbate feelings of nausea, so ensure you drink plenty of fluids before and during your activities.

5. Gradual Exposure: If you are prone to motion sickness, consider gradually exposing yourself to the conditions that trigger it. For example, spend short periods on a boat or engage in water activities in a controlled environment to build your tolerance.

6. Monitor Your Body's Response: Pay attention to how your body reacts to different medications and activities. Keeping a journal of your experiences can help you identify patterns and make informed decisions about what works best for you.

In conclusion, while managing allergies and motion sickness, it is essential to be cautious about the medications you take and their potential interactions. By considering alternative medications, consulting with healthcare professionals, and being mindful of your body's responses, you can enjoy your diving and water activities safely. Always prioritize safety, especially in environments where drowsiness can lead to dangerous situations.

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