Dramamine II Advanced Patient Information

Generic name: meclizine [ MEK-li-zeen ]
Drug class: Anticholinergic antiemetics

Medically reviewed by Drugs.com. Last updated on Jul 14, 2022.

Uses for Dramamine II

Meclizine is used to prevent and control nausea, vomiting, and dizziness caused by motion sickness. It is also used for vertigo (dizziness or lightheadedness) caused by ear problems.

Meclizine is an antihistamine. It works to block the signals to the brain that cause nausea, vomiting, and dizziness.

This medicine is available only with your doctor’s prescription.

Before using Dramamine II

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of Antivert® tablets and chewable tablets in children or Antivert®/25 or Antivert®/50 tablets in children younger than 12 years of age. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of meclizine in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving meclizine.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Potassium Citrate
• Tranylcypromine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Alfentanil
• Alprazolam
• Amantadine
• Amifampridine
• Amobarbital
• Anileridine
• Benzhydrocodone
• Bromazepam
• Buprenorphine
• Bupropion
• Buspirone
• Butabarbital
• Butorphanol
• Calcium Oxybate
• Cannabidiol
• Cannabis
• Cetirizine
• Chloral Hydrate
• Chlordiazepoxide
• Chlorpromazine
• Clobazam
• Clonazepam
• Clorazepate
• Clozapine
• Codeine
• Daridorexant
• Dexmedetomidine
• Diazepam
• Difenoxin
• Dihydrocodeine
• Diphenhydramine
• Diphenoxylate
• Donepezil
• Doxylamine
• Esketamine
• Estazolam
• Eszopiclone
• Ethchlorvynol
• Ethylmorphine
• Fentanyl
• Flibanserin
• Flurazepam
• Fospropofol
• Gabapentin
• Gabapentin Enacarbil
• Glucagon
• Glycopyrrolate
• Glycopyrronium Tosylate
• Halazepam
• Hydrocodone
• Hydromorphone
• Hydroxyzine
• Ketamine
• Ketazolam
• Ketobemidone
• Lacosamide
• Lemborexant
• Levocetirizine
• Levorphanol
• Lofexidine
• Lorazepam
• Loxapine
• Magnesium Oxybate
• Meperidine
• Meprobamate
• Methacholine
• Methadone
• Methotrimeprazine
• Metoclopramide
• Midazolam
• Morphine
• Morphine Sulfate Liposome
• Nalbuphine
• Nicomorphine
• Nitrazepam
• Opium
• Opium Alkaloids
• Oxazepam
• Oxycodone
• Oxymorphone
• Papaveretum
• Paregoric
• Pentazocine
• Pentobarbital
• Periciazine
• Phenobarbital
• Piritramide
• Pitolisant
• Potassium Oxybate
• Prazepam
• Pregabalin
• Promethazine
• Propofol
• Propoxyphene
• Quazepam
• Quetiapine
• Ramelteon
• Remimazolam
• Revefenacin
• Ropeginterferon Alfa-2b-njft
• Scopolamine
• Secobarbital
• Secretin Human
• Sodium Oxybate
• Sufentanil
• Tapentadol
• Temazepam
• Thioridazine
• Tilidine
• Tiotropium
• Topiramate
• Tramadol
• Trazodone
• Triazolam
• Zaleplon
• Zolpidem
• Zopiclone

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Asthma or
• Enlarged prostate or
• Glaucoma—Use with caution. May make these conditions worse.

• Kidney disease or
• Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper use of Dramamine II

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

Chew or crush the chewable tablet completely before swallowing. Do not swallow it whole.

Swallow the non-chewable tablet whole. Do not crush, chew, or break it.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (tablets):
  • For nausea, vomiting, and dizziness caused by motion sickness:
    • Adults—At first, 25 to 50 milligrams (mg) taken 1 hour before travel. You may take another dose once every 24 hours while traveling.
    • Children 12 years of age and older—Use and dose must be determined by your doctor.
    • Children younger than 12 years of age—Use is not recommended.
  • For vertigo:
    • Adults—25 to 100 milligrams (mg) per day, taken in divided doses.
    • Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions while using Dramamine II

It is very important that your doctor check your or your child’s progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.

This medicine may cause some people to become drowsy or less alert than they are normally. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds, sedatives, tranquilizers, antidepressants, or sleeping medicine, prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your medical doctor or dentist before taking any of the above while you or your child are using this medicine.

Side Effects of Dramamine II

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

• Cough
• difficulty swallowing
• dizziness
• drowsiness
• fast heartbeat
• hives, itching, skin rash
• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• tightness in the chest
• unusual tiredness or weakness
• vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Rare

• Blurred vision

Incidence not known

• Dry mouth
• headache

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

More about Dramamine II (meclizine)

• Check interactions
• Compare alternatives
• Reviews (7)
• Side effects
• Dosage information
• During pregnancy
• Drug class: anticholinergic antiemetics
• Breastfeeding

Patient resources

Other brands

Antivert, Bonine, Meclicot, Meni-D, … +2 more

Professional resources

• Prescribing Information

Other formulations

• Dramamine
• Dramamine Less Drowsy

Related treatment guides

• Motion Sickness
• Nausea/Vomiting
• Vertigo

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Medications for Dizziness – And Other Vertigo Treatments

As creatures of habit, we prefer the easiest solution. It doesn’t matter if it’s the best solution. As long as it requires the least amount of effort. That’s why there exists an entire class of medications for dizziness which are widely prescribed and used.

Ironically, there’s a long list of medications that cause dizziness. But that’s beside the point.

Are over-the-counter medications for dizziness effective? Sometimes. Are they something you should use long-term? Most certainly not.

However, many dizzy patients find themselves using OTC dizziness medications for years of their lives without ever getting the proper treatment.

Medications for Dizziness

Undoubtedly, the pharmaceutical industry has developed some great medications for dizziness. We cannot deny that. And they can be used short-term on patients who are really in a bad state.

These are some of the most widely-used medications for short term dizziness:

• Meclizine
• Promethazine
• Bonine
• Antivert
• Dramamine

However, these dizziness medications are a band-aid solution. An accessible, temporary fix that only temporarily alleviates symptoms.

Using over-the-counter medications for dizziness is like patching a hole on your roof with paper towels. It might work for a day or a couple of hours, but you’re committing to changing those paper towels every day… And who wants to do that?!

There are too many types of dizziness and sources of dizziness to just take a pill and expect it to solve your problems. For instance, you might be taking Antivert when your dizziness is actually caused by high blood pressure. So what’s the right way to treat dizziness?

When working with your physician and knowledgeable vestibular specialists, it will be determined if medications are necessary and the potential risk certain medications can have on slowing down the vestibular compensation process. 

There are a few classes of prescription medications useful in the treatment of vertigo. And working with your physician will determine what specific regimen makes the most sense for your cause of symptoms.

They can be used to alter the severity of symptoms (a good example of this would be when vestibular suppressants like anticholinergics and benzodiazepines are used for Ménière’s disease and briefly used for vestibular neuritis), or when prescribed to address the underlying cause of migraine associated vertigo (prophylactic agents L-channel calcium channel antagonists, beta-blockers and tricyclic antidepressants). 

For BPPV and bilateral vestibular disorders, medications (over-the-counter or prescription) are not currently recommended and starting vestibular rehabilitation therapy is vital.

The Right Way to Treat Dizziness

First and foremost, if you experience frequent dizzy or vertigo spells, then you need to find the right doctor to diagnose your problem. Unfortunately, too often, people visit the wrong doctors to treat their dizziness. That’s why there’s The Dizzy Diagnosis Conundrum: Why Dizzy Patients Struggle to Get Answers.

Following up with your primary care physician and getting medical clearance is important. Once your doctor has evaluated you, following up with the right doctor for dizziness is a Vestibular Audiologist, such as the team at the Dizzy & Vertigo Institute.

Vestibular Audiologists have the proper equipment to pinpoint the source of many types of dizziness. Whether it’s coming from the inner ear, the brain stem and nervous system, or even from other causes (hydration, blood pressure, stress, etc.). Vestibular Audiologists specialize in dizziness.

Fixing dizziness longterm happens through Vestibular Rehabilitation Therapy. It’s a program that encompasses recalibrating the input the brain takes in between the ears, eyes and muscles through Visual Desentization, Optokinetic Exposure, Gaze Stabilization, Habituation and/or Canalith Repositioning. All of which are used to naturally reset your balance system and build your body’s ability to reset its own balance.

To understand our process for treating dizzy patients in detail, head over to this article: How We Treat Dizziness – What To Expect Working with the Dizzy & Vertigo Institute.

We know that life is hectic. And adding dizziness on top of it only makes things worse. So, we understand why you might be tempted to reach for Antivert or Dramamine. But there’s a better, long-lasting solution out there for you. And it starts with a consultation at the Dizzy & Vertigo Institute.

You can reach us at (310) 954-2207 or by filling out our contact form.

We’re standing by, ready to help!

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What to drink if you feel dizzy – a list of medicines

Contents

• Why does vertigo occur?
• Modern diagnostic methods
• Indications for the use of drugs
• Choice of anti-vertigo drugs
• Anti-vertigo drugs for the elderly
• Vertigo tablets for pregnant women
• Preparations for osteochondrosis and pressure
• Preventive measures for dizziness

Vertigo can occur for various reasons – lack of air, pressure fluctuations, disruption of the vestibular system, excessive physical and mental stress. Drugs for dizziness help to quickly eliminate the pathological condition or reduce its symptoms, the choice of which depends on the origin of the syndrome.

Why does vertigo occur?

Dizziness is a loss of balance, in which a person leaves the ground from under his feet, objects rotate before his eyes, there is a feeling of loss of orientation in space, whirling.

Main causes of vertigo:

1. Diseases of the hearing aid.
2. Disorders of the vestibular system.
3. Vegetovascular dystonia.
4. Neurological diseases.
5. High pressure.
6. Trauma, pathology of the brain.
7. Intoxication of the body with harmful substances.
8. Diseases of the cervical spine.
9. Vascular pathologies, atherosclerosis.

Stress, depression, emotional and nervous strain, systematic physical and mental stress can also cause unpleasant discomfort. The attending physician should be told about the features of the pathological condition, who, after making a diagnosis, will prescribe home treatment.

Modern diagnostic methods

Dizziness, in most cases, does not pose any threat to the health and life of the patient, since its primary causes are motion sickness, stress, excessive exercise, fatigue. In such situations, treatment is not required, and a simple rest will be enough for a person.

People with visual impairments may experience dizziness. To restore the normal state, it is enough for them to choose contact lenses or glasses for themselves. Other causes of the syndrome are diseases of the heart and blood vessels.

The doctor can determine the origin of dizziness and recommend adequate therapy only after a comprehensive examination, including:

• MRI,
• tomography,
• electrocardiogram,
• puncture of cerebrospinal fluid,
• X-ray of the spine, including the neck, for the diagnosis of osteochondrosis.

After studying the results of research and analysis, the doctor will be able to establish the nature of the pathological condition, prescribe how to treat the syndrome, recommend a remedy that can be taken in emergency situations.

Indications for use of drugs

Many drugs for dizziness relieve not only unpleasant discomfort, but also help with nausea, most often accompanying vertigo. Indications for the appointment of tablets are extensive:

1. Sudden pressure drops.
2. Violations of the functions of the vestibular system.
3. Pregnancy.
4. Menstrual bleeding.
5. Meniere’s disease.
6. Dropsy of the internal organs of hearing.
7. Migraine attacks.
8. Extraneous sounds in the ears (change in blood pressure).

See also: Joints and muscles hurt, there is nothing to do about temperature, causes

Medicines for dizziness can be taken as medicines for nausea not associated with bearing a child or diseases of the pancreas. For example, discomfort during an airplane flight and a car trip.

Tablets against vertigo have practically no side effects, contraindications. Therefore, many of them can be used by patients aged 18-65 years without the recommendation and prescription of a doctor. But with Meniere’s disease, before using this or that drug, you will have to consult a doctor.

Choice of anti-vertigo medications

Anti-vertigo medications are designed to relieve uncomfortable symptoms. The most commonly prescribed drugs are:0011

• tranquilizers,
• diuretics,
• calcium antagonists,
• vestibulometric drugs,
• antihistamines,
• cerebral vasodilators,
• blockers,
• ACE inhibitors,
• non-steroidal anti-inflammatory drugs,
• and other drugs prescribed to restore blood circulation, stabilize metabolic processes in neurons.

Depending on what causes dizziness, the doctor will recommend drugs that have special characteristics that can neutralize the pathological condition, as well as the factors that provoked it.

In case of vertigo arising from diseases of the heart, blood vessels, as well as the nervous central system, circulatory disorders of the brain, the following medications are prescribed:

1. Tanakan or Flunarizin.
2. The drug “Veroshpiron” or “Betaserk”.
3. The medicine “Vinpocetine” or “Dramina”.
4. Medication “Torekan” or “Cinnarizine”.
5. Meclozin, Diazepam or Relanium.

All of these drugs must be taken with dizziness in full courses, constantly monitoring pressure indicators in order to prevent a hypertensive crisis in a timely manner.

What to drink for nausea and dizziness caused by diseases of the gastrointestinal tract or eating disorders:

• Motilium, Festal.
• “Omez”, “Mezim”.
• “Pancreatin”, “No-shpa”.
• Creon, Pangrol.

If dizziness is accompanied by bloating, heartburn should take Gaviscon Forte or Maalox. With vertigo that appears due to problems with the spine, the doctor may recommend Betaserk.

If you feel dizzy, before taking the pills, you need to establish the nature of the pathological condition in order to eliminate the very cause of the syndrome, and not just its symptoms.

Preparations for vertigo for the elderly

To restore the full blood supply to the vestibular system, the vessels of the “gray matter”, it is better to drink the medicine “Betahistine”, it reduces the excitability of the organ of balance, having a calming effect on histamine receptors.

What is better to take for nausea and dizziness in elderly patients:

1. Sermion is a drug that dilates vessels affected by atherosclerosis, due to which the lumen gradually narrows (I drink Flunarizine or Cinnarizine) .
2. “Plavix” and “Aspirin” – antiplatelet agents, are taken for ischemic transient attacks.

Favorable effect on the vessels of the “gray matter” is provided by drugs of the angioprotective group – “Aescusan”, “Bilobil”. Before being treated with certain drugs, it is better to undergo a preliminary examination.

Tablets for vertigo for pregnant women

For the treatment of a pathological condition in women expecting a child, provoked by an increased tone of the vagus nerve point, it is permissible to take homeopathic remedies, vitamins.

List of approved drugs:

• drops “VertigoHel” can be used both in adults, babies and people of advanced age,
• vitamins “Pyridoxine”, “Thiamin”, medicine “Milgamma” – preparations containing useful compounds of group B. One of the agents helps to improve the performance of the nerve endings of the 8th pair of brain cells,
• “Glycine” is prescribed for vertigo to pregnant women who are contraindicated in taking anticholinergic drugs. Suck (eat) 1 tablet, putting it under the tongue – this will speed up its absorption. This amino acid is a kind of mediator for the central nervous system, so the remedy is completely safe.

Before drinking a pill for dizziness, you must carefully study the instructions, consult a doctor, since many drugs have a negative effect on the fetus, prevent its full development and growth.

Preparations for osteochondrosis and pressure

In case of a disease of the cervical spine, vertigo occurs due to circulatory failure in the brain, therefore it is required to take medications that eliminate unpleasant symptoms.

Medicines are prescribed to restore full blood flow to the “gray matter”, reducing the permeability of the walls of the arteries and at the same time increasing the resistance of the brain to oxygen starvation:

1. Preparations “Bataserk”, “Vazobral”.
2. Cinnarizine medicine.
3. Tablets “Vestibo”, “Tagista”.

One of these drugs for vertigo will help to quickly get rid of unpleasant symptoms. If none of the remedies has any effect, you should seek the advice of a doctor.

The following medicines can be used for high blood pressure:

• Nicerium,
• Cavinton
• Sermion,
• Vinpocetine,
• “Oxybral”.

For vertigo accompanied by hypotension, drink Memoplant or Ginkofar, another remedy on the recommendation of the attending physician. If dizziness was caused by stress, overexertion is recommended to take Phenibut, which normalizes sleep and also improves blood circulation. It can be drunk to elderly patients, as it does not have a depressant effect on the nervous system.

If sharp fluctuations in pressure were caused by a stroke of the brain, after the provision of medical care and prolonged complex therapy after an attack, the use of any drug should be carried out only in agreement with the therapist.

Preventive measures for dizziness

Several recommendations will help to strengthen the walls of blood vessels, restore blood circulation to the brain and prevent vertigo attacks. Namely:

1. Exercises for training the vestibular system.
2. Proper diet: minimizing fried, spicy, salty foods.
3. Stop smoking, alcohol.
4. Mobile lifestyle.
5. Full sleep at least 8-10 hours / day.

Timely diagnosis will help to detect the presence of the disease and eliminate its symptoms – vertigo. For mild pathological conditions caused by overwork or excessive stress, drugs that can be purchased without a doctor’s prescription will help.