I've tried dramamine and the patch. Dramamine seems to work ok except that I almost fell asleep driving home after a long day and took out a road sign. Won't take that stuff again if I'm driving.
Patch worked pretty good. It's really hard to say tho if it was the patch or just getting used to the water. I've seen people with the patch leaning over the side just like people without it.
My advice tho would be to try the patch but stay within sprinting distance of the railing.
Good Luck !