Drug Uses

Transderm Scop is used to relieve nausea, vomiting, and dizziness associated with motion sickness. Transderm Scop is an anticholinergic medicine. Anticholinergics have many effects in the body. For example, they decrease the secretion of fluids, slow the stomach and intestine, and dilate the pupils.

How Taken

Transderm Scop comes as a patch to be placed on the skin behind your ear. Apply one patch to a clean, dry, hairless area behind the ear. The patch should be applied at least 4 hours before its effects will be needed. Each patch is good for 3 days. At the end of 3 days or when the Transderm Scop patch is no longer needed, remove the patch and throw it away. Wrap the patch in tissue or paper to avoid exposing anyone else to the remaining medication. Wash your hands and the area behind your ear thoroughly to remove any traces of Transderm Scop from the area. If a new patch needs to be applied, place a fresh patch on the hairless area behind your other ear.

Warnings/Precautions

Before using this medication, tell your doctor if you have kidney disease, liver disease, an enlarged prostate, difficulty urinating, bladder problems, or glaucoma. Transderm Scop is in the FDA pregnancy category C. This means that it is not known whether Transderm Scop will harm an unborn baby. Do not use Transderm Scop without first talking to your doctor if you are pregnant. It is not known whether Transderm Scop passes into breast milk. Do not use Transderm Scop without first talking to your doctor if you are breast-feeding a baby. Transderm Scop is not recommended for children use. Children are much more sensitive to the side effects of scopolamine.

Missed Dose

Remove the old patch as soon as you remember and apply a new patch to the same area behind the other ear. If it is almost time for the next dose, skip the missed dose altogether. Never take a double dose of Transderm Scop.

Possible Side Effects

Stop using Transderm Scop and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives). Other, less serious side effects may be more likely to occur. Continue to use Transderm Scop and talk to your doctor if you experience drowsiness; dry mouth, nose, or throat; restlessness, excitation, nervousness, or insomnia; blurred vision; dizziness; decreased appetite, nausea, or vomiting; difficulty urinating; or an irregular or fast heartbeat. Nausea, vomiting, dizziness, headache, and poor coordination have been reported when treatment lasting more than 3 days is discontinued. If you use Transderm Scop for more than 3 days, be aware that these side effects may occur when you stop. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Storage

Should be stored at controlled room temperature between 20°C - 25°C (68°F - 77°F).

Overdose

Seek emergency medical attention. Symptoms of a Transderm Scop overdose include drowsiness, dizziness, agitation, excitability, seizures or convulsions, hallucinations, and death.

More Information

Use caution when driving, operating machinery, or performing other hazardous activities. Transderm Scop may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are using Transderm Scop.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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How does motion sickness affect our sense of balance?
The symptoms of motion sickness appear when the central nervous system receives conflicting messages from the other four systems –– the inner ear, eyes, skin pressure receptors, and the muscle and joint sensory receptors. For example, imagine you are riding in an airplane during a storm, and the plane is being tossed about by air turbulence. But your eyes do not detect all this motion because all you see is the inside of the airplane. Consequently, your brain receives messages that do not coordinate with each other. You might become "air sick." Or suppose you are sitting in the back seat of a moving car reading a book. Your inner ears and skin receptors detect the motion of your travel, but your eyes see only the pages of your book. You could become "car sick."
Another example illustrates an actual medical condition. Suppose you suffer inner ear damage on only one side from either a head injury or an infection. The damaged inner ear does not send the same signals to the brain as the healthy ear. These conflicting signals about the sensation of rotation can result in a sense of spinning or vertigo, as well as nausea.
Is motion sickness a serious condition?
Not usually. For most people, motion sickness is just a minor annoyance (although it may not feel so minor at the time). Some travelers, however, can be incapacitated by motion sickness.
When do the nausea and vomiting of motion sickness stop?
The distressing symptoms of motion sickness usually stop when the motion that causes it ceases. But this is not always true. There are people who suffer symptoms for even a few days after the trip is over. This is called the "mal d'embarquement" syndrome or, more properly, the "mal de debarquement" syndrome. ("Mal d'embarquement" is embarkment or departure sickness while "mal de debarquement" is disembarkment or arrival sickness.)
What measures can be taken to prevent or minimize motion sickness?
If you know you are prone to motion sickness or if you are suffering from it, we recommend the following:
1. Always ride where your eyes will see the same motion that your body and inner ears feel.
* In a car, sit in the front seat and look at the distant scenery.
* On a boat, go up on the deck and watch the motion of the horizon.
* In an airplane, sit by the window and look outside.
* Also, in a plane, choose a seat over the wings where the motion is minimized.

2. Do not read while traveling if you are subject to motion sickness, and do not sit in a seat facing backward.
3. Do not watch or talk to another traveler who is having motion sickness.
4. Avoid strong odors and spicy or greasy foods that do not agree with you (immediately before and during your travel). Medical research has not yet investigated the effectiveness of popular folk remedies such as "soda crackers and 7 Up" or "cola syrup over ice," or ginger products.
5. Take one of the varieties of motion sickness medicines before your travel begins, as recommended by your physician.
How is motion sickness treated?
Antihistamine medications are commonly used in the prevention and treatment of motion sickness. These medicines seem to prevent and treat the nausea, vomiting, and dizziness caused by motion sickness by calming the stimulation of the inner ear. Examples of antihistamines used for this purpose include meclizine (Bonine, Antivert, Dramamine). Another class of medications (belladonna) used to prevent motion sickness is represented by the scopolamine skin patch (Transderm Scop). This medicated skin patch is applied behind the ear at least four hours in advance of the motion activity. The medication is slowly absorbed directly into the underlying skin.
When used specifically to prevent motion sickness, regardless of the type of medication, these medicines generally are most effective when administered well before the motion activity takes place.

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