hi, lucky enough to be going on holiday tomorrow but it does involve about a 6hr car journey - currently i am experincing a ramp up in MAV symptoms - am i best to try and sleep/close eyes on the long car journey (my other half can drive 
) or stay awake? Concerned that if i try and sleep etc it might make the MAV worse, but maybe by staying awake i will make it worse - any tips?
Tips I can think of, sit at the front and not the back of the car. Don’t try and sleep. Keep awake and look at the trees in the distance straight ahead and not at the side.
Take the route which has the least windy roads and don’t travel too fast. My husband tried to make a journey home in record time once, fast and along windy roads, I could hardly stand up when I got out the car and remained that way for several hours.
Christine
cathbones
I suffered mega motion/visual vertigo/nausea for nearly three years! The following things helped me cope:
Stay awake - focus straight ahead on the road not on roadside foliage which often moves,
Listen to some talkback radio to keep mind occupied.
Have frequent stops and enough time to walk around and re-balance.
Wear ‘sea-bands’ on wrists (available from chemists) to prevent nausea, eat dry biscuits, keep hydrated
Choose straighter roads if possible & keep speed down so scenery doesn’t rush past so fast in peripheral vision.
Most helpful - take a benzodiaziapam (Ativan .5mg) an hour before leaving before the journey and for a long journey I would take another (.5mg) during the trip.
Have to say that I haven’t done a 6hr drive since I’ve had MAV! Hopefully you will cope with the journey well and have a great holiday.
Barb
I can’t handle long car rides without the scopalamine patch these days. If I know I am going to be in a car for a long time, I make sure to get a script for those to make it all bearable. Sleep doesn’t seem to make much of a difference for me, but taking some breaks to get up and walk a little definitely does.
in addition to the other suggestions, good quality sunnies can help. Have done maybe 20 long drives (up to 8 hours) in three years since VM started full on. I drive maybe a third of the time and obviously not when am feeling shocking. Does my head in but cannot explain why but the experiences have been spectacularly varied…same roads, same car, all daytime. No cities.
Sometimes I have been totally normal, better even 
I just got back from a long family car trip, Chicago to Jacksonville, some 800 or 900 miles. I drove about 75% of the way, my wife drove the rest. Normally I would fly, but the vacation time opened up at the last minute and the plane tickets for the whole family would have set me back some three grand.
The key is to not watch the objects on the side of the road, but look ahead. Sit in the front of the car. Make stops pretty often, and when you are getting wiped out and beginning to feel the MAV coming on, call it a day and rest, even if it means stopping for the day.
I am functioning at 90-some percent and the drive was still tough for me.
I have two young daughters (4 and 6) and the trip was made worse by listening to endless Disney CDs about Cinderella, Aurora, Jasmine, Ariel, Snow White and Rapunzel. I was ready to drive another 200 miles down to Orlando to Disney World and go on a shooting rampage!
You will be fine, just follow the advice here and everything will come off smoothly.
— Begin quote from “longshort”
I have two young daughters (4 and 6) and the trip was made worse by listening to endless Disney CDs about Cinderella, Aurora, Jasmine, Ariel, Snow White and Rapunzel. I was ready to drive another 200 miles down to Orlando to Disney World and go on a shooting rampage!
— End quote
LOL, Longshort.
My kids are grown now, but my recollection is that your statement would be true WITH OR WITHOUT MAV!
Andy