In a balanced double-blind trial six subjects were given, on three successive days, an injection of 0-3 mg. or 0-6 mg. of l-hyoscine hydrobromide or normal saline, 30 min. before rotational tests of vestibular function were performed. Hyoscine caused a significant (P =0-01) depression of the 'slope' of the sensation cupulogram without alteration of the extrapolated 'threshold'. This effect was not significantly greater with the higher dose of the drug. In subjects who had received hyoscine there was an appreciable suppression of the post-rotational nystagmic response, and slow pendular oscillations of the eyes were frequently recorded. These effects were antagonized by mental arithmetic.It was concluded that hyoscine increased adaptation in the vestibular sensory system and released the oculomotor system from the ascending influence of vestibular and reticular projections.THE role of vestibular stimulation in the genesis of motion sickness has been clearly demonstrated both in man and in the experimental animal [Sjoberg, 1931;Johnson, Meek and Graybiel, 1962;Kennedy et al., 1965] though there have been conflicting opinions about which group of specialized receptors of the vestibular apparatus were responsible. It is clear from the experiments of Money and Friedberg [1964] that the functional integrity of the semicircular canals is necessary for the induction of motion sickness in the dog, but in man the evidence is less direct. De Wit [1953] suggested that individual differences in susceptibility to motion sickness were related to the sensitivity of semicircular canal receptors, for he found that a group of subjects who were habitually seasick had longer after-sensations and lower sensory thresholds to angular stimuli than a group who did not suffer from this disability. He also observed that dimenhydrinate 100 mg. (Suprimal, Dramamine) or atropine 0-5 mg., given 11-2 hr. before the cupulometric test of van Egmond, Groen and Jongkees [1948], shortened the duration of the reported after-sensations and produced a cupulogram with a lower slope (Hl/z value) than that obtained in the initial test. Unfortunately, in these experiments as the drug was always administered before the second test, the action of the drug was confounded with the habituation or depression of the cupulogram which normally occurs with iteration of the test procedure [de Wit, 19531. Although dimenhydrinate and perhaps atropine are known to offer protection against motion sickness it would appear that l-hyoscine is a more 296