The reason car seats work is that they allow the dog to see outside, this keeps them from getting getting motion sickness.
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When feeling motion but not seeing it (for example, in a ship with no windows), the inner ear transmits to the brain that it senses motion, but the eyes tell the brain that everything is still. As a result of the discordance, the brain will come to the conclusion that one of them is hallucinating and further conclude that the hallucination is due to poison ingestion. The brain responds by inducing vomiting, to clear the supposed toxin. Motion sickness - Wikipedia, the free encyclopedia.
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Also it helps to take them fun places in the car, a trip to Petsmart, but so many people only take their dogs to the vet and this can cause anxiety. So you might want to try both a calming pill and a car seat.