In a double-blind, placebo-controlled study, we evaluated the effect o
f two different doses of cinnarizine in the prevention of seasickness
in very rough seas. We divided 95 healthy male subjects into 3 groups
which received: cinnarizine 50 mg, cinnarizine 25 mg, and placebo. Sea
sickness susceptibility and severity were evaluated by a standard ques
tionnaire concerning the subject's condition on previous voyages (seas
ickness susceptibility), and the subject's condition immediately after
a 4-6-h voyage in very rough seas with 3.5 m waves (seasickness sever
ity). Possible side effects of the drug were also evaluated by filling
in ct further questionnaire. Of the 31 subjects who received cinnariz
ine 50 mg, 65% felt better during the present voyage than on previous
voyages, compared to 41% of the 32 subjects who received cinnarizine 2
5 mg and 31% of the 32 who received placebo. A significant difference
(p < 0.05) was found between the cinnarizine 50 mg and placebo groups,
while cinnarisine 25 mg was no more effective than placebo. No notabl
e side effects were found for any drug group. In conclusion, cinnarizi
ne 50 mg wets found to he effective in the prevention of seasickness i
n rough seas.