Doane safety advice regarding Transderm patches & psychotic breaks

Ben Ellison

Ben Ellison

Panbo editor, publisher & chief bottlewasher from 4/2005 until 8/2018, and now pleased to have Ben Stein as a very able publisher, webmaster, and editing colleague. Please don't regard him as an "expert"; he's getting quite old and thinks that "fadiddling fumble-putz" is a more accurate description.

5 Responses

  1. Julius Gutman says:

    One of the reasons that Scopolamine was abandoned many years ago as part of an anesthesia cocktail for pregnant women during delivery was the distressing side effect of hallucinations.

  2. Bruce Rudin M.D. says:

    We still use Scopolamine every day for outpatient anesthesia. Very helpful to decrease nausea. One patch for two days.

  3. DeWayne Enyeart, M.D. says:

    The risk of using transdermal scopolamine patches for seasickness far outweighs any benefit; especially on a short-handed offshore cruising vessel. Most individuals acclimate to motion sickness in 36 to 72 hours. Using these patches while on a cruise ship is a far different situation than using them while on an offshore cruising vessel. Medical attention is available on a cruise ship. Unless the medicine chest of the cruising vessel includes physiostigmine to reverse the central nervous system adverse side effects, the scopolamine-affected crew member will become a patient requiring medical attention and treatment. Most offshore cruising vessels cannot afford to loose even one crew member from the watch schedule without burdening the remainder of the crew. This situation will increase the risk of poor crew performance from fatigue and sleep deprivation from the remaining crew members. Scopolamine passes thru the blood-brain easily and can cause for confusion, delusions, disorientation, auditory and visual hallucinations, coma and death.
    After reading about this tragic death, it seems to me that scopolamine was the most likely cause of the hallucinations. I suspect that the outcome would have been different if someone had suspected the cause of the hallucinations and administered physiostigmine.
    Using the ReliefBand wrist device is a much better choice for motion sickness. There are no central nervous system adverse side effects and the device is FDA-approved for the prevention and treatment of motion sickness.

  4. Sheldon R Gawiser says:

    My wife had a reaction to the patch when we were off shore on our sailboat a number of years ago. All was well until she also took an allergy pill which is a known no no. She was hallucinating and said she might jump off the boat.

    I immediately took the patch off and monitored her until the impact of the allergy pill wore off.

    I do not think that there is any question that mixing Scope patches with other drugs has to be monitored very carefully and, of course, check with your physician before you do it.

  1. April 15, 2019

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