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View Full Version : Scopalomine Patch Not Working Anymore!



Taxgeek
December 5th, 2005, 01:53 PM
Yikes!

For 2 dive trips now, my Transderm Scop Patch has had zero effect. I'm one of those "see a wave and ralph" types of people, and for 2 years now, I've been using the Scop patch regularly (maybe 2 days per month for local dive trips, and for a week or two at a time for liveaboard trips). It has worked just great the entire time. I've been wearing it on my boob under my bathing suit, since hair gets stuck in it and rips it off if I wear it on my ear. The placement hasn't been a problem - the patch has worked like an absolute charm. The only side effect for me is dry mouth.

Until my last two dive trips. Total green-ness. Yech. Totally ruined the trips. I didn't do anything differently.

Has anybody else of you regular patch users had this experience? I can't find any information indicating that one can develop a tolerance to scopalomine, and my doctor doesn't know much about it (he's not a diver, sigh), but that's almost what it feels like. That or a QC problem, I dunno.

I read the thread about the ear placement being necessary for dosage reasons, so I'll go back to that, but it's been working for 2 years now on my boob (same spot!), so I can't figure out what the problem is all of a sudden.

Anybody out there having the same problem?

Fish_Whisperer
December 5th, 2005, 01:56 PM
We'll have to have some photos of the application site before we can come to any definitive conclusions. :D

Taxgeek
December 5th, 2005, 02:00 PM
Doh, I really should have seen that coming!

XJae
December 5th, 2005, 03:00 PM
pics would be nice...

maybe you got a bad batch of patches or they expired.
i have a buddy that uses a pill form of the same drug, maybe that would help.

Bratface
December 5th, 2005, 03:19 PM
I am allergic to the scope patch, but I do know you have to dry the spot thoroughly before application. You might be one of those unfortunate people who have to use the patch and a pill to stop chumming over the side of the boat.

Try dramamine the night before your dive. Don't have anything acid for breakfast; coffee, OJ, just stick with bland. Eat some Tums the morning of and stay hydrated.

Bratface
December 5th, 2005, 03:20 PM
Just read why FishW wants to see the application site. Try placing it behind your ear. Maybe that will work better.

cyklon_300
December 5th, 2005, 08:24 PM
I've used that were significantly past their expiration date were completely ineffective...curiously, they produced all the cottonmouth side effects with none of the anti-motion preventative benefits. A real lose-lose situation.

WarmWaterDiver
December 7th, 2005, 12:41 AM
Well, I found the Transdermal Scop patches work great on me for seasickness, but make me 'freaky' underwater - probably an unexpected interaction with one of my other medications. Sigh - no liveaboard dive trips for me. Oh well, I'm in this hobby for fun anyway, I'll continue to be happy with day boat & shore diving stuff.

I thought they reduced the dosage level when they put these back on the market vs. when these were previously on the market - maybe that has some role in the patches working less well thn previously for taxgeek. Expired patches as mentioned are another possibility.

Taxgeek
December 9th, 2005, 10:56 AM
Well, I checked the box and they are not old or out of date - supposed to not expire until 2007. I called up the company that makes them and they are mystified, and are probably (?) going to send me some free patches. Like that's a great solution! I just figure it's got to be a QC thing with the patches or else the drifting boat motion (like a fishing boat I guess) was just too much for my poor body to handle, even with teh patch. It's been working fine in it's current application spot for years!

Dramamine totally screws me up, I can't take it, but I just tried Bonine and it only mildly screws me up. I might try that this weekend.

I also got my doctor to get me a Scopace prescription - scopalomine in pill form. Can't decide which to try next weekend - that or Bonine. Or both - I have to ask my pharmacist if they are OK together.

cyklon_300
December 9th, 2005, 11:26 AM
a guaranteed solution to sea-sickness. I've blown beets several times while wearing a patch. If the conditions are severe enough, I puke...regardless of whether I'm using meds or not.

Green_Manelishi
December 9th, 2005, 11:28 AM
Yikes!

For 2 dive trips now, my Transderm Scop Patch has had zero effect. I'm one of those "see a wave and ralph" types of people, and for 2 years now, I've been using the Scop patch regularly (maybe 2 days per month for local dive trips, and for a week or two at a time for liveaboard trips). It has worked just great the entire time. I've been wearing it on my boob under my bathing suit, since hair gets stuck in it and rips it off if I wear it on my ear. The placement hasn't been a problem - the patch has worked like an absolute charm. The only side effect for me is dry mouth.

Until my last two dive trips. Total green-ness. Yech. Totally ruined the trips. I didn't do anything differently.

Has anybody else of you regular patch users had this experience? I can't find any information indicating that one can develop a tolerance to scopalomine, and my doctor doesn't know much about it (he's not a diver, sigh), but that's almost what it feels like. That or a QC problem, I dunno.

I read the thread about the ear placement being necessary for dosage reasons, so I'll go back to that, but it's been working for 2 years now on my boob (same spot!), so I can't figure out what the problem is all of a sudden.

Anybody out there having the same problem?

I use a scope patch near my ear; I don't have enough hair to catch and I have insufficient boob size to hide a patch. Although, I have been told my pecs are larger than many :-) I am curious to know HOW you manage to catch the patch in your hair unless you are not pushing the hair out of the way.

In any case, I have found they don't work as well if:

1) it gets wet then dry then wet ... too many dives. I have found I can use a patch for 2 days of (not consecutive) diving then it needs to be replaced.

2) I am tired

3) I've been using it (too) frequently, even if it's not for diving, and the patch is not "fresh"

DiveMaven
December 9th, 2005, 12:31 PM
I'm curious as to what the manufacturer said when you told them where you were applying it?? Did they think that had an effect?

Because I've seen too many divers enter the water with a patch and exit without it, I put the sticky part of a waterproof bandaid ovver the top of my patch to hold it in place. That also keeps the patch dry and I don't have to worry about it potentially losing it's effectiveness over time....which I'm not sure will happen, but I'm paranoid enough to worry it might anyway. ;)

ciret
December 12th, 2005, 09:54 PM
I just saw a Mythbusters episode where they were testing motion sickness remedies. the thing that worked the best in their test was ginger pills. I've never tried that in pill form, but have used raw ginger and that seemed to work. I just cut a small 1"x1/4"x1/8" sliver in between my cheek and gum. Although lately for diving I use 1/2 wal-dram II (Walgreens Dramamine II) the night before and the other half the next morning. Haven't been sick since starting that. Good luck.

scubaboy44
December 12th, 2005, 10:08 PM
I did great with the patch until my last couple of dive trips. I put them behind my ear, and they keep falling off! Got sick as a dog in Morehead last spring, (dove anyway...fantastic wrecks!) and got somewhat green diving the Keys wrecks Thanksgiving weekend(also dove anyway, felt much better u/w). Could it be bad glue?::l:

Taxgeek
December 12th, 2005, 11:19 PM
Doh, yeah, it helps if they stay on! ;-)

So, I tried Bonine (2 pills at once) while sitting in my office. Got very slightly sleepy after a few hours, but not any more sleepy than a big meal would make me. I got a couple of random "spinny moments" (is that what vertigo is?) in the 2 days following taking the pills, but that seems to be the extent of the side effects.

I also got a Scopace prescription, which is another scopalomine med, in pill form. I have to try that one tomorrow morning to make sure there are no side affects that would be problematic with diving.

Oh, yeah, and the Transderm company didn't seem to think anything of the booby application of the patch. "As long as it sticks . . . " is what they said. Who knows.

So this saturday is my last dive trip of 2005. A 6 hr ride over to San Clemente Island. I'm thinking I'll try the Scopace . . . since scopalomine was working so well for so long . . . although my pharmacist said I could take both scopace and bonine, seems dumb because then I wouldn't know which did the trick if it actually worked.

And yeah, I think I"m gonna go get some ginger just in case. . . yeccchh, but oh well. The sacrifices we make!

I have a trip to Cocos planned for April . . . 36 hours from Mainland to Malpelo . . . 36 hours from Malpelo to Cocos . . . 36 hours home . . . that's 108 hours of potential barfitude . . . lovely. I think I'm just going to get a valium prescription for that one and sleep for 36 hours straight!

(The ralphing smilie is too cute!)


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