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Cinnarizine

Cinnarizine

For travel sickness and vertigo. Taking it two hours before you travel is what makes the difference.

Digestive

Stugeron, Stugeron Forte

Explained by a GMC-registered GP, not a leaflet

Honest about what we can and cannot prescribe remotely

Side effects given the same weight as benefits

Your NHS records in the room, with your consent

Clinically reviewed by Dr Mohammad Khan · Last reviewed

September 8, 2026

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Weight Management
Mental Health
Specialist Referrals

What it is

Cinnarizine is an antihistamine with additional calcium-channel-blocking activity, used mainly for balance and travel-related symptoms. It damps down signals from the inner ear to the brain's vomiting centre.

It is less sedating than older options such as hyoscine or promethazine, though it still causes drowsiness in many people.

It works far better as a preventer than as a rescue treatment. Once the vomiting has started, a swallowed tablet is unlikely to help much.

What it is used for

  • Motion and travel sickness — the commonest use
  • Vertigo and Ménière's symptoms
  • Nausea and vomiting of vestibular origin
  • Tinnitus associated with vestibular disorders, occasionally

How to take it

Motion sickness

  • Adults: 30mg two hours before travelling, then 15mg every 8 hours during the journey if needed
  • Children 5 to 12: half the adult dose
  • The two-hour lead time is the part people get wrong — taken as you board, it has not begun working when you need it

Vertigo

  • Typically 30mg three times daily, reduced as symptoms settle

Take with or after food to reduce stomach upset.

Alongside it

The non-drug measures genuinely work and cost nothing: face forward, look at the horizon, sit where movement is least — over the wing, midships, front seat — keep air flowing, avoid reading or screens, and eat something light rather than nothing at all.

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Side effects

  • Drowsiness — the commonest, and it affects driving
  • Dry mouth
  • Headache
  • Weight gain with prolonged use
  • Stomach upset

With long-term use, particularly in older people

Cinnarizine can cause or unmask parkinsonism — tremor, stiffness and slowness of movement — and depression. This is well recognised, frequently missed, and usually reversible on stopping.

It is a reason not to take it continuously for months, especially over the age of 65.

Not suitable if

  • You have Parkinson's disease, or a family history of it
  • You have porphyria
  • You have had a reaction to it before
  • The child is under 5

Caution with: older age, glaucoma, prostate enlargement, epilepsy, liver or kidney impairment, and pregnancy or breastfeeding.

Alcohol markedly increases the drowsiness.

Interactions and monitoring

  • Alcohol and other sedating medicines — additive drowsiness
  • Other antihistamines, opioids, benzodiazepines
  • Tricyclic antidepressants — additive anticholinergic effects

No routine monitoring for occasional travel use.

With regular long-term use, review specifically for parkinsonian features and low mood, particularly in anyone over 65 — these develop gradually and are easy to attribute to ageing instead.

Can we prescribe this?

Yes, though cinnarizine is available over the counter as Stugeron for a few pounds, which is faster and cheaper for ordinary travel sickness. We would point you there first.

Where a consultation genuinely helps:

  • Working out what kind of dizziness you actually have — BPPV, vestibular neuritis, Ménière's and vestibular migraine all get called "vertigo" and are managed quite differently
  • Severe travel sickness where a patch or a stronger option is more appropriate — relevant before a cruise or long expedition
  • Reviewing long-term use, particularly in older people, because of the parkinsonism risk
  • Travel health advice more broadly, where motion sickness is one part of a trip

A prescription is never guaranteed. This page is information, not an offer to supply.

Cost and supply

Stugeron and generic cinnarizine cost a few pounds over the counter, and own-brand versions are identical. A pack lasts several trips.

NHS prescriptions are free in Wales.

What else is worth considering for travel

  • Hyoscine patches — applied behind the ear, lasting up to 3 days, and the most effective option for cruises and long journeys. Prescription in the UK
  • Acupressure wristbands — cheap and harmless; the evidence is weak but some people find them useful
  • Ginger — modest evidence, no real downside

Free, and genuinely effective

Seat position, horizon-watching, airflow and not reading do more for most people than any tablet. Motion sickness is a mismatch between what the eyes and the inner ear report, and closing that gap is the actual fix.

Stopping or switching

For travel use, there is nothing to stop — take it for the journey and stop afterwards.

For vertigo, use it for the shortest period that gets you through the acute phase. As with other vestibular sedatives, prolonged use delays the brain's own compensation and slows recovery.

Review long-term use

If you have been taking it regularly for months, particularly over 65, it is worth a deliberate review — tremor, stiffness, slowness or low mood may be the medicine rather than ageing, and both usually improve on stopping.

Alternatives

  • Hyoscine hydrobromide — patches or tablets, more effective for severe motion sickness, more anticholinergic side effects
  • Promethazine — effective, markedly sedating
  • Cyclizine — over the counter, useful for nausea
  • Prochlorperazine — for vestibular vertigo, short term only

Common questions

When should I take it before travelling?

Two hours before you set off. Taking it as you board is the commonest reason people say it did not work.

Will it make me drowsy?

Often, yes — less than older options, but enough to matter. Do not drive, and do not combine it with alcohol.

Can children take it?

From age 5, at half the adult dose. Below that, take advice.

Can I take it every day for dizziness?

Not for long periods, and particularly not over 65. Prolonged use can cause parkinsonism and low mood, and in vertigo it delays your recovery. Persistent dizziness needs a diagnosis.

What actually works for seasickness?

For a cruise, hyoscine patches are the most effective option. Alongside that: a midships cabin, fresh air, the horizon, and eating lightly rather than not at all.

Is it the same as an antihistamine for hay fever?

It is an antihistamine, but a sedating older-generation one that acts on the balance pathways. Fexofenadine or loratadine will do nothing for travel sickness.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics

Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469

Last reviewed

September 8, 2026

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