Home / Health Conditions / Air Sickness & Motion Sickness
Air Sickness & Motion Sickness
Queasiness, sweating and nausea that come on when your eyes, inner ear and body disagree about movement — on a plane, in a car, on a boat or in virtual reality.
What is air sickness?
Air sickness is motion sickness that happens while flying. Motion sickness starts when the signals reaching your brain from your eyes, your inner ear and the nerves in your muscles and joints don’t agree (Cleveland Clinic (opens in a new tab)). In a plane, for example, your inner ear feels the aircraft moving while your eyes, looking at the cabin, report that everything is still. The most widely accepted explanation is that the brain is reacting to this mismatch (CDC Yellow Book (opens in a new tab)).
It usually builds gradually. Nausea and vomiting are the main symptoms, often with drowsiness, sweating, dizziness and looking pale (CDC Yellow Book (opens in a new tab)); some people also notice headache, a cold sweat, extra saliva or irritability (Cleveland Clinic (opens in a new tab)).
Who is more likely to get it?
- Children: it is rare under age 2 and most common between about 7 and 12, then usually eases through adulthood (CDC Yellow Book (opens in a new tab)).
- Women, especially around menstruation or in pregnancy, though age matters more (CDC Yellow Book (opens in a new tab), MedlinePlus (opens in a new tab)).
- People with migraine, vertigo or inner-ear problems, and those with a family history of motion sickness (CDC Yellow Book (opens in a new tab), Cleveland Clinic (opens in a new tab)).
- Lack of sleep, alcohol and smoking can make it worse (CDC Yellow Book (opens in a new tab)).
Pilots in training get air sickness often, and most get used to flying over time (review, Military Medicine (opens in a new tab)).
When to see a doctor: if nausea or vomiting keeps going, if you get symptoms when you aren’t moving, or if you show signs of dehydration (Cleveland Clinic (opens in a new tab)). A wobbly, still-moving feeling for a few hours after a trip is normal; one that lasts for weeks deserves a check with a balance (vestibular) specialist (CDC Yellow Book (opens in a new tab)).
Side by side
Six approaches compared
For every condition we look at the same six approaches: what each involves, what it typically costs, and what a patient can realistically expect.
| Approach | What it involves | Estimated cost | What to expect |
|---|---|---|---|
| Conventional medicine (AMA) | Behavioral steps first (seat choice, looking at the horizon, less head movement), then older “drowsy” antihistamines such as dimenhydrinate or meclizine, or a prescription scopolamine skin patch. | Over-the-counter tablets about $6 for a 12-count box; a 4-patch box of generic scopolamine averages about $134 at retail, or roughly $17–$45 with a discount card. | Medicines work best taken before the trip and reduce, rather than abolish, symptoms. Drowsiness is common; children, older adults and people with glaucoma need a doctor’s advice first. |
| Chiropractic | Being researched — coming soon. | ||
| Acupuncture | Acupressure wristbands that press on the P6 (Neiguan) point on the inner wrist; occasionally acupuncture needling. | Wristbands are inexpensive (the maker lists value packs at about $25). Acupuncture sessions run about $125–$230 for a first visit and $90–$185 for follow-ups; community clinics about $50–$90. | Mixed evidence. One small study found the bands helped; better-controlled laboratory studies found them no better than placebo. Safe to try alongside other steps. |
| Herbal medicine | Ginger — as tea, candy, ginger ale or supplements — the herb most often tried for motion sickness. | Cost estimate being researched. | Most studies haven’t shown ginger prevents motion sickness, though some people find it soothing. Supplements can interact with blood thinners and other medicines. |
| Massage therapy | Being researched — coming soon. | ||
| MBHA Wellness Coach | Practical travel habits: a seat over the wing, eyes on the horizon, a light meal, fresh air, slow steady breathing and gradual, repeated exposure to motion. | Cost estimate being researched. | Gradual getting-used-to motion is the most effective non-drug approach. Breathing techniques help modestly — about half as much as medicine in lab tests. |
Approach 1 of 6
Conventional medicine (AMA)
Doctors treat motion sickness by preventing it where possible: changing how you travel, then adding medicine taken before the trip if needed (American Family Physician (opens in a new tab)).
1. Behavioral steps
Sit where there is least motion — on a plane, near the wings — look at the real horizon rather than reading or screens, keep head movements to a minimum, and recline or lie back with your eyes closed if you can (CDC Yellow Book (opens in a new tab), American Family Physician (opens in a new tab)). These are covered in more detail under MBHA Wellness Coach below.
2. Over-the-counter antihistamines
Older, sedating antihistamines such as dimenhydrinate (Dramamine) and meclizine (Bonine, Dramamine Less Drowsy) are common first choices (CDC Yellow Book (opens in a new tab), MedlinePlus (opens in a new tab)). A 2022 Cochrane review found they probably help prevent symptoms during real travel: in three trials, 40% of people taking them stayed symptom-free, compared with 25% on placebo. They also made drowsiness more likely (Cochrane review (opens in a new tab)). Non-drowsy allergy antihistamines such as cetirizine, fexofenadine and loratadine don’t work for motion sickness (CDC Yellow Book (opens in a new tab), AAFP (opens in a new tab)).
3. Prescription scopolamine patch
Scopolamine is a prescription skin patch worn behind the ear (FDA (opens in a new tab)) and is considered a first-line medicine for preventing motion sickness (American Family Physician (opens in a new tab)). A 2024 analysis of 20 trials found it reduced nausea compared with placebo (meta-analysis, Acta Oto-Laryngologica (opens in a new tab)). It takes several hours to start working, so it goes on well before the flight; dry mouth and dry eyes are common side effects (CDC Yellow Book (opens in a new tab)).
Timing matters
Take tablets before you travel. Once nausea starts, the stomach slows down and may not absorb them (CDC Yellow Book (opens in a new tab), AAFP (opens in a new tab)).
Who should be careful
- Children: try behavioral steps first. Over-sedating young children with antihistamines can be life-threatening, and scopolamine should be avoided in children (CDC Yellow Book (opens in a new tab)). Dimenhydrinate shouldn’t be given under age 2 unless a doctor says so (MedlinePlus (opens in a new tab)).
- Older adults: dimenhydrinate and scopolamine usually aren’t recommended, because other medicines are safer; if you are 65 or older, talk with your doctor before taking meclizine (MedlinePlus (opens in a new tab), MedlinePlus (opens in a new tab), MedlinePlus (opens in a new tab)).
- Glaucoma, an enlarged prostate or trouble urinating: scopolamine is not used with glaucoma or a risk of urinary retention (CDC Yellow Book (opens in a new tab)), and antihistamines need a doctor’s OK too (MedlinePlus (opens in a new tab)).
- Asthma or other breathing problems, seizures, pregnancy or breastfeeding: check with your doctor or pharmacist first (MedlinePlus (opens in a new tab)).
- Heat: the scopolamine patch can raise body temperature; the FDA advises removing it and calling your doctor if you feel hot or stop sweating (FDA (opens in a new tab)).
- Drowsiness: don’t drive until you know how a medicine affects you, and avoid alcohol, which makes the drowsiness worse (MedlinePlus (opens in a new tab)).
What it costs
- Dimenhydrinate tablets: about $6 for a 12-count box at one pharmacy (retail listing: Pasteur Pharmacy (opens in a new tab)).
- Scopolamine patches (prescription): an average retail price of about $134 for a box of four, or roughly $17–$45 with a discount card, depending on the pharmacy (price listing: SingleCare (opens in a new tab)).
- Doctor visit costs vary; MBHA cost estimate being researched.
How well it works — what to expect
Medicines lower the odds of getting sick but don’t guarantee it, and drowsiness is the most common trade-off (Cochrane review (opens in a new tab), CDC Yellow Book (opens in a new tab)). Over time, gradually getting used to motion is the most effective approach of all — more than any medicine (CDC Yellow Book (opens in a new tab)).
Approach 3 of 6
Acupuncture
In Traditional Chinese Medicine, the P6 (Neiguan) point on the inner wrist is linked with nausea. Elastic wristbands such as Sea-Band press on this point, and some acupuncturists treat it with needles.
What the research says
- For: in a small 2001 study of 25 young adults in a rotating drum, people reported fewer symptoms on days they wore an acupressure band (study, PubMed (opens in a new tab)).
- Against: a 1990 Royal Navy study found the Sea-Band did not increase tolerance to motion, while scopolamine did (study, PubMed (opens in a new tab)); a 2004 study of 77 people found neither pressure nor electrical wristbands prevented motion sickness, even when used correctly (study, PubMed (opens in a new tab)).
- Overall: the CDC notes that laboratory trials show acupressure bands are no more effective than placebo (CDC Yellow Book (opens in a new tab)). For acupuncture needling, the only comparison we found (in a Cochrane review of antihistamines) was rated very low certainty (Cochrane review (opens in a new tab)).
Some travelers still find the bands comforting, and they have no drug side effects. If you try them, keep using the proven steps — seat choice, horizon, and medicine if needed — as well.
What it costs
- Wristbands: the maker’s site lists adult value packs at about $25 (retail listing: Sea-Band (opens in a new tab)); prices change.
- Acupuncture: private sessions about $125–$230 for a first visit and $90–$185 for follow-ups; community clinics about $50–$90 a visit (The Pricer (opens in a new tab)).
Approach 4 of 6
Herbal medicine
Ginger is the remedy most people reach for. Sipping ginger tea or ginger ale, or sucking a ginger candy, may help settle a queasy stomach (Cleveland Clinic (opens in a new tab)).
What the research says
- The U.S. National Institutes of Health notes that most studies of ginger for motion sickness haven’t shown it to help (NCCIH (opens in a new tab)).
- A 1991 study in a rotating chair found ginger gave no protection, while scopolamine did (study, PubMed (opens in a new tab)). A small 2003 study of 13 volunteers found ginger reduced nausea in a lab test (study, PubMed (opens in a new tab)).
- A review in American Family Physician lists ginger among remedies that are not effective for motion sickness (American Family Physician (opens in a new tab)), and a 2026 paper in the Journal of Travel Medicine also concluded it does not prevent motion sickness in adults (PubMed (opens in a new tab)). Memorial Sloan Kettering, by contrast, notes some studies support short-term use (Memorial Sloan Kettering (opens in a new tab)).
In short: ginger as a food or drink is a gentle, low-risk comfort, but don’t rely on it in place of the steps that are proven to work.
Safety. Ginger supplements may raise the risk of bleeding with blood thinners such as warfarin and with NSAID pain relievers, and may lower blood sugar further in people on diabetes medicines (Memorial Sloan Kettering (opens in a new tab)). Talk with your doctor or pharmacist before taking ginger supplements if you take any medicine, are pregnant or are breastfeeding (NCCIH (opens in a new tab)). We don’t list doses here.
Approach 6 of 6
MBHA Wellness Coach
An MBHA Wellness Coach can help you plan ahead — which the American Academy of Family Physicians calls the best advice for motion sickness (AAFP (opens in a new tab)).
Choosing your seat
- On a plane, book a seat over the wing, where there is least motion (CDC Yellow Book (opens in a new tab), Cleveland Clinic (opens in a new tab)).
- Face forward, and turn the air vent toward you for fresh air (Cleveland Clinic (opens in a new tab)).
Where to look
- Look out at the horizon or a distant point; skip reading and screens while you feel unsettled (CDC Yellow Book (opens in a new tab), AAFP (opens in a new tab)).
- Keep your head still, or recline and close your eyes (CDC Yellow Book (opens in a new tab), Cleveland Clinic (opens in a new tab)).
Food and drink
- Don’t fly on an empty stomach: have a light, bland, low-fat meal and drink water (Cleveland Clinic (opens in a new tab)).
- Skip greasy or spicy food and alcohol; if nausea starts, try small sips of a clear fizzy drink and a few plain crackers (AAFP (opens in a new tab)).
- Avoid smoking before travel (Cleveland Clinic (opens in a new tab)).
Breathing
Slow, steady breathing gives modest protection. In lab studies, focusing on calm, regular breathing let people tolerate motion longer before feeling sick (study, Journal of Travel Medicine (opens in a new tab)), and slow belly breathing reduced motion sickness in a virtual-reality boat ride (study, PubMed (opens in a new tab)). It is roughly half as effective as medicine, but free and without side effects (CDC Yellow Book (opens in a new tab)). Listening to music helped about as much in one study (study (opens in a new tab)).
Getting used to motion (habituation)
Repeated, gradual exposure to motion is the most effective non-drug method there is (review, Current Opinion in Neurology (opens in a new tab)), and the CDC calls it more effective than any medication — though it is slow, and may need topping up (CDC Yellow Book (opens in a new tab)). Most trainee pilots get used to flying this way (review, Military Medicine (opens in a new tab)). A coach can help you build up short, regular trips at a pace you can manage.
Other everyday tips
- Get a good night’s sleep before you travel (CDC Yellow Book (opens in a new tab)).
- Pleasant distractions, such as music or fresh air, may help (CDC Yellow Book (opens in a new tab)).
- If you use medicine, plan to take it before you board (AAFP (opens in a new tab)).
Still being researched: Chiropractic, Massage therapy. We add each approach once its costs and results are sourced. Are you a practitioner with experience treating Air Sickness & Motion Sickness? Tell us.
Member stories
Living with Air Sickness & Motion Sickness? Share your experience
Real experiences help others choose. Tell us what you tried — conventional medicine, chiropractic, acupuncture, herbs, massage or coaching — what it cost and what changed.
Sources
- CDC Yellow Book — Motion sickness (opens in a new tab)
- Cleveland Clinic — Motion sickness (opens in a new tab)
- American Academy of Family Physicians (familydoctor.org) — Motion sickness (opens in a new tab)
- MedlinePlus — Motion sickness (opens in a new tab)
- MedlinePlus — Scopolamine transdermal patch (opens in a new tab)
- MedlinePlus — Meclizine (opens in a new tab)
- MedlinePlus — Dimenhydrinate (opens in a new tab)
- FDA — Warning about heat-related complications with Transderm Scōp (opens in a new tab)
- Brainard & Gresham — Prevention and treatment of motion sickness, American Family Physician, 2014 (PubMed) (opens in a new tab)
- Karrim et al. — Antihistamines for motion sickness, Cochrane review, 2022 (PubMed) (opens in a new tab)
- Zhang et al. — Scopolamine for motion sickness: systematic review and meta-analysis, Acta Oto-Laryngologica, 2024 (PubMed) (opens in a new tab)
- Keshavarz & Golding — Motion sickness: current concepts and management, Current Opinion in Neurology, 2022 (PubMed) (opens in a new tab)
- Samuel & Tal — Airsickness: etiology, treatment, and clinical importance, Military Medicine, 2015 (PubMed) (opens in a new tab)
- Stern et al. — Acupressure relieves the symptoms of motion sickness, 2001 (PubMed) (opens in a new tab)
- Bruce et al. — Acupressure and motion sickness, 1990 (PubMed) (opens in a new tab)
- Miller & Muth — Efficacy of acupressure and acustimulation bands for the prevention of motion sickness, 2004 (PubMed) (opens in a new tab)
- NCCIH — Ginger (opens in a new tab)
- Memorial Sloan Kettering — Ginger (opens in a new tab)
- Stewart et al. — Effects of ginger on motion sickness susceptibility and gastric function, 1991 (PubMed) (opens in a new tab)
- Lien et al. — Effects of ginger on motion sickness and gastric slow-wave dysrhythmias, 2003 (PubMed) (opens in a new tab)
- Abukmail et al. — Evidence that ginger does not prevent motion sickness in adults, Journal of Travel Medicine, 2026 (PubMed) (opens in a new tab)
- Yen Pik Sang et al. — Controlled breathing and music for motion sickness, Journal of Travel Medicine, 2003 (PubMed) (opens in a new tab)
- Stromberg et al. — Diaphragmatic breathing for motion sickness, 2015 (PubMed) (opens in a new tab)
- SingleCare — Scopolamine prices (price listing) (opens in a new tab)
- Pasteur Pharmacy — Dramamine Original Formula (price listing) (opens in a new tab)
- Sea-Band — Product prices (maker's shop) (opens in a new tab)
- The Pricer — Acupuncture cost (opens in a new tab)
This page is for education only and is not medical advice. Costs are typical U.S. ranges and estimates; yours will depend on your provider, location and insurance. Talk with your doctor before starting, stopping or combining any treatment. In an emergency, call 911. See our disclaimer.
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