What are the most effective anti-vertigo medications. How do antihistamines like Antivert help manage vertigo symptoms. What precautions should be taken when using anti-vertigo drugs. What are the potential side effects of vertigo medications.

Understanding Antivert: A Powerful Anti-Vertigo Medication

Antivert, also known by its generic name meclizine, is a widely prescribed medication for managing vertigo and related symptoms. This antihistamine is particularly effective in treating various forms of dizziness, including motion sickness and vestibular disorders.

How Does Antivert Work?

Antivert functions by blocking histamine receptors in the brain, which helps reduce the sensation of dizziness and nausea associated with vertigo. Its mechanism of action makes it a go-to choice for many healthcare providers when treating vertigo-related conditions.

Proper Usage and Dosage

The correct usage of Antivert is crucial for its effectiveness. Here are some key points to remember:

• Follow the prescribed dosage or package instructions carefully
• Can be taken with or without food
• Chewable tablets should be thoroughly chewed before swallowing
• For motion sickness prevention, take the first dose one hour before activity

Is Antivert available in different forms? Yes, Antivert comes in various formulations, including tablets, chewable tablets, and liquid forms, allowing for flexibility in administration based on patient needs and preferences.

Side Effects and Precautions of Anti-Vertigo Medications

While Antivert and other anti-vertigo medications can be highly effective, they may also cause certain side effects. It’s important to be aware of these potential issues and take necessary precautions.

Common Side Effects

Some of the most frequently reported side effects of anti-vertigo medications include:

• Drowsiness
• Dry mouth
• Tiredness

How can one manage the dry mouth side effect? Sucking on sugar-free candy, chewing sugar-free gum, drinking water, or using a saliva substitute can help alleviate dry mouth symptoms.

Serious Side Effects Requiring Medical Attention

While rare, some side effects warrant immediate medical attention:

1. Mental/mood changes (restlessness, confusion)
2. Fast or irregular heartbeat
3. Tremors
4. Difficulty urinating
5. Seizures

Can anti-vertigo medications cause allergic reactions? Yes, though rare, severe allergic reactions can occur. Symptoms may include rash, itching/swelling (especially of the face, tongue, or throat), severe dizziness, and difficulty breathing. Seek immediate medical help if these symptoms appear.

Interactions and Contraindications of Anti-Vertigo Drugs

Understanding potential drug interactions and contraindications is crucial for safe and effective use of anti-vertigo medications.

Drug Interactions

Anti-vertigo medications may interact with various substances, including:

• Other antihistamines (oral or topical)
• Opioid pain or cough relievers
• Alcohol and marijuana
• Sleep or anxiety medications
• Muscle relaxants

Why is it important to inform healthcare providers about all medications and supplements? Providing a comprehensive list of all products used allows doctors and pharmacists to identify potential interactions and adjust treatment plans accordingly, ensuring patient safety and medication effectiveness.

Special Precautions for Certain Groups

Some individuals may need to exercise extra caution when using anti-vertigo medications:

• Pregnant women: Use only when clearly necessary
• Breastfeeding mothers: Consult a doctor before use
• Children: May experience increased sensitivity to side effects
• Older adults: Higher risk of side effects like drowsiness and confusion

Alternative Anti-Vertigo Medications and Treatments

While Antivert is a popular choice, there are other medications and treatments available for managing vertigo symptoms.

Other Antihistamines

Several antihistamines can be used to treat vertigo and related symptoms:

• Dimenhydrinate (Dramamine)
• Diphenhydramine (Benadryl)
• Promethazine (Phenergan)

How do these alternatives compare to Antivert? Each medication has its unique profile of effectiveness and side effects. The choice often depends on individual patient factors and the specific cause of vertigo.

Non-Antihistamine Options

Other classes of medications can also be effective in treating vertigo:

• Benzodiazepines (e.g., diazepam)
• Anticholinergics (e.g., scopolamine)
• Calcium channel blockers (e.g., flunarizine)

Non-Pharmacological Treatments

In addition to medications, several non-drug treatments can help manage vertigo:

1. Vestibular rehabilitation therapy
2. Canalith repositioning procedures (for BPPV)
3. Dietary modifications
4. Stress reduction techniques

Can lifestyle changes help in managing vertigo? Yes, certain lifestyle adjustments like avoiding triggers, maintaining good hydration, and getting adequate sleep can significantly impact vertigo management.

Choosing the Right Anti-Vertigo Medication: Factors to Consider

Selecting the most appropriate anti-vertigo medication involves careful consideration of various factors.

Underlying Cause of Vertigo

The specific etiology of vertigo plays a crucial role in determining the most effective treatment approach. Common causes include:

• Benign Paroxysmal Positional Vertigo (BPPV)
• Meniere’s Disease
• Vestibular Neuritis
• Labyrinthitis

How does the cause of vertigo influence medication choice? Different vertigo causes may respond better to specific medications or combinations of treatments. For instance, BPPV might be best managed with a combination of repositioning maneuvers and short-term use of anti-vertigo medications.

Patient-Specific Factors

Individual patient characteristics that may influence medication selection include:

1. Age
2. Overall health status
3. Presence of other medical conditions
4. Current medications
5. History of allergies or adverse reactions

Why is a personalized approach important in vertigo treatment? Each patient’s unique health profile and circumstances can significantly impact both the effectiveness of a medication and the risk of side effects, necessitating a tailored treatment strategy.

Long-Term Management of Vertigo: Beyond Medication

While anti-vertigo medications play a crucial role in symptom management, a comprehensive long-term strategy often involves a multifaceted approach.

Regular Medical Follow-ups

Consistent monitoring by healthcare professionals is essential for:

• Assessing treatment effectiveness
• Adjusting medications as needed
• Identifying and addressing any emerging issues

How often should patients with chronic vertigo see their healthcare provider? The frequency of follow-ups can vary based on the severity of symptoms and the underlying condition, but generally, regular check-ups every 3-6 months are recommended for patients with chronic vertigo.

Lifestyle Modifications

Long-term management often involves implementing lifestyle changes such as:

1. Dietary adjustments (e.g., reducing salt intake for Meniere’s disease)
2. Regular exercise, including balance training
3. Stress management techniques
4. Avoiding known triggers

Complementary Therapies

Some patients find relief through complementary approaches, including:

• Acupuncture
• Herbal supplements (under medical supervision)
• Mindfulness and meditation practices

Can complementary therapies replace conventional treatments for vertigo? While complementary therapies can be beneficial, they should be used in conjunction with, not as a replacement for, conventional medical treatments. Always consult with a healthcare provider before incorporating new therapies.

Emerging Trends in Anti-Vertigo Treatment

The field of vertigo treatment is continuously evolving, with new approaches and medications being researched and developed.

Advanced Diagnostic Tools

Improvements in diagnostic technologies are enhancing the accuracy of vertigo diagnosis:

• Video head impulse testing
• Advanced imaging techniques
• Vestibular evoked myogenic potentials (VEMP) testing

How do improved diagnostics impact treatment? More precise diagnosis allows for more targeted and effective treatment strategies, potentially reducing the need for broad-spectrum medications.

Novel Medications

Research is ongoing into new medications that may offer improved efficacy or reduced side effects:

1. Vestibular-specific NMDA receptor antagonists
2. Targeted gene therapies for genetic vestibular disorders
3. Improved formulations of existing medications

Technological Interventions

Advancements in technology are opening new avenues for vertigo management:

• Virtual reality-based rehabilitation programs
• Wearable devices for continuous monitoring and symptom tracking
• Smartphone apps for at-home exercises and symptom management

What role might artificial intelligence play in vertigo treatment? AI could potentially assist in early detection of vertigo episodes, personalized treatment recommendations, and more accurate prediction of treatment outcomes based on individual patient data.

Antivert Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

How to use Antivert 50 Mg Tablet Antihistamines

Follow all directions on the product package. If your doctor has prescribed this medication, take it as directed. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food. If you are taking the chewable tablets, chew the tablet thoroughly before swallowing.

The dosage is based on your medical condition and response to treatment. Do not increase your dose or take this medication more often than directed.

To prevent motion sickness, take the first dose one hour before starting activity such as travel.

Tell your doctor if your condition does not improve or if it worsens.

Side Effects

Drowsiness, dry mouth, and tiredness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

To relieve dry mouth, suck (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute.

If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as restlessness, confusion), fast/irregular heartbeat, shaking (tremor), difficulty urinating.

Get medical help right away if you have any very serious side effects, including: seizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking meclizine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: breathing problems (such as asthma, emphysema), high pressure in the eye (glaucoma), heart problems, high blood pressure, seizures, stomach/intestine problems (such as ulcers, blockage), overactive thyroid (hyperthyroidism), difficulty urinating (for example, due to enlarged prostate), liver problems, kidney problems.

This drug may make you drowsy. Alcohol or marijuana (cannabis) can make you more drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Children may be more sensitive to the side effects of this drug. This drug can often cause excitement in young children instead of drowsiness.

Older adults may be more sensitive to the side effects of this drug, especially drowsiness, confusion, or trouble urinating. Drowsiness and confusion can increase the risk of falling.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray).

Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

This medication may interfere with certain laboratory tests (including allergy skin test), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Does Antivert 50 Mg Tablet Antihistamines interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, seizures, widened pupils. In children, mental/mood changes (such as restlessness, irritability, hallucinations) may occur before drowsiness.

Keep all medical and lab appointments.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Antivert: Uses, Dosage & Side Effects

Generic name: meclizine [ MEK-li-zeen ]
Drug class: Anticholinergic antiemetics

Medically reviewed by Philip Thornton, DipPharm. Last updated on Jun 14, 2022.

What is Antivert?

Antivert is an antihistamine that reduces the effects of natural chemical histamine in the body.

Antivert is used to treat or prevent nausea, vomiting, and dizziness caused by motion sickness.

Antivert is also used to treat symptoms of vertigo (dizziness or spinning sensation) caused by disease that affects your inner ear.

Warnings

Before you take Antivert, tell your doctor if you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or urination problems.

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase certain side effects of meclizine.

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by meclizine.

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use Antivert if you are allergic to meclizine.

Antivert should not be given to a child younger than 12 years old.

Do not give meclizine to a child without medical advice.

To make sure this medicine is safe for you, tell your doctor if you have ever had:

Tell your doctor if you are pregnant or breast-feeding.

How should I take Antivert?

Use Antivert exactly as directed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

To prevent motion sickness, take Antivert about 1 hour before you travel or anticipate having motion sickness. You may take Antivert once every 24 hours while you are traveling, to further prevent motion sickness.

To treat vertigo, you may need to take Antivert several times daily. Follow your doctor’s instructions.

This medicine can affect the results of allergy skin tests. Tell any doctor who treats you that you are using this medicine.

Store at room temperature away from moisture, heat, and light.

Dosing information

Usual Adult Dose for Vertigo:

-25 to 100 mg orally per day in divided doses
-Dosing dependent upon clinical response.

Use: Management of vertigo associated with diseases affecting the vestibular system.

Usual Adult Dose for Motion Sickness:

-Initial Dose: 25 to 50 mg orally 1 hour before travel
-Maintenance Dose: Repeat dose every 24 hours if needed

Use: Management of nausea, vomiting, and dizziness associated with motion sickness.

Usual Pediatric Dose for Vertigo:

Age 12 years and older:
-25 to 100 mg orally per day in divided doses
-Dosing dependent upon clinical response.

Use: Management of vertigo associated with diseases affecting the vestibular system.

Usual Pediatric Dose for Motion Sickness:

Age 12 years and older:
-Initial Dose: 25 to 50 mg orally 1 hour before travel
-Maintenance Dose: Repeat dose every 24 hours if needed

Use: Management of nausea, vomiting, and dizziness associated with motion sickness.

What happens if I miss a dose?

Since Antivert is sometimes taken only when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What to avoid

Avoid driving or hazardous activity until you know how meclizine will affect you. Your reactions could be impaired.

Drinking alcohol can increase certain side effects of meclizine.

Antivert side effects

Get emergency medical help if you have signs of an allergic reaction to Antivert: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Common Antivert side effects may include:

• drowsiness;

• dry mouth;

• headache;

• vomiting; or

• feeling tired.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Antivert?

Using Antivert with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Other drugs may interact with meclizine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

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Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Antivert only for the indication prescribed.

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Treatment of vertigo: exercises for vertigo

Treatment of vertigo: exercises for vertigo | Vertigochel

You can fight dizziness with balance exercises!

The structures of our brain have the ability to resist dizziness (by the mechanism of central vestibular compensation). To do this, our brain must learn to perceive only the correct information and ignore the erroneous, for example, information coming from the balance organ with impaired function. Even a violation of the work of one or both organs of balance can be compensated by consistent and persistent training of balance! This learning process can be especially helpful when doing certain vertigo exercises, also called balance exercises. Even ordinary physical activities in daily life, such as walking (with a companion to feel safe), can be a useful balance exercise.

Balance exercises to improve the functioning of our balance system

The truth is that when dizzy – no matter what type of dizziness – you should not relax, but on the contrary, strengthen your balance system as a whole through physical exercises, such as balance training. This improves your balance system and your body’s ability to compensate for dizziness. Overall, it also supports the recovery process after a bout of vertigo and helps reduce the intensity of symptoms.

Below we present special exercises for vertigo, which – in addition to the benefits provided by Vertigoheel – are ideal support during vertigo attacks. In addition to balance exercises that can be done lying down, there are also exercises that can be done sitting or standing. With regular balance exercises, the brain learns to cope with dizziness. It can also lead to a situation where dizziness disappears forever.

For your convenience, we offer you to download a balance exercise and dizziness diary. So you can print them out and always have them handy.

Effective Balance Training with Vertigoheel

Select three to four balance exercises and do them in a reclined or seated position. Do these balance exercises several times a day for four to six weeks. If you feel dizzy the first time you exercise, ask a friend or family member to help you, or seek the advice of your healthcare professional. Regular exercise can help relieve symptoms.

Workout available as a pdf document

Vertigo Exercises

Exercise 1: Fixing your gaze on a point in space

Lie down and fix your gaze on a point on the ceiling. Keeping your gaze on this point, turn your head from left to right and back.

Exercise 2: Moving objects

Sit on a stool or chair. Take any convenient object (such as a ball or a plastic bottle) and place it on the floor in front of you. Then lift him up again, put him on his knees and put him again in another place on the floor – alternately on the left, on the right and in front of you. This exercise can also be done while standing.

Exercise 3: Standing up

Stand up from a sitting position several times. First do this with your eyes open, then close your eyes and repeat the exercise.

Exercise 4: Touching the nose

Extend your hand and fix your gaze on the index finger. Then touch your nose with your finger and move your hand back again without losing eye contact with your finger. This exercise can be done lying down, sitting or standing.

Exercise 5: Trunk twists

While standing, turn your upper body to the left and right (first with your eyes open and then with your eyes closed). Imagine a point in space when your eyes are closed and mentally follow it with your eyes.

Exercise 6: Head tilts

While sitting or standing, fix your eyes on a point in space. Now tilt your head back and forth, then right and left. Do these movements slowly at first, then faster.

Exercise 7: Tossing the ball

With your eyes open, toss the ball from one hand to the other at eye level. The smaller the distance between the feet, the more difficult it is to do this exercise. Begin the exercise by placing your feet hip-width apart. The exercise can also be diversified by throwing the ball at knee level.

Exercise 8: Cushion Stepping

Place a large cushion or piece of foam rubber (10 cm thick) on the floor behind a chair or armchair. Start stepping on the pillow, alternately lifting your legs and holding on to the back of the chair. Do this exercise first with your eyes open, then with your eyes closed.

Exercise 9: Balancing

Walk along a straight line. It could be a line on the floor or the edge of a carpet. Do this exercise first with your eyes open, then with your eyes closed. You can make the exercise more difficult by walking backwards and forwards a few times, and moving with the “tightrope walk” gait, i. e. placing one foot exactly in front of the other. The exercise can be made even more difficult by moving the head from left to right while moving with eyes open.

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Psychogenic dizziness – City Hospital No. 40

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At present, such “classic” functional disorders of the nervous system as hysterical paralysis and blindness have practically disappeared. In their place came, mainly, somatoform disorders, including those manifested by dizziness, with a tendency to a protracted course. Statistics of calls to the clinic of nervous diseases of the Military Medical Academy. CM. Kirov of patients with complaints of dizziness shows that psychogenic dizziness ranks third among other clinical forms. At the same time, it can develop within the framework of a depressive or neurotic state, schizophrenia, panic attack, phobia, hysteria, somatoform dysfunction of the autonomic nervous system, etc.

Despite the fact that psychogenic dizziness should always remain a diagnosis of exclusion, it is important to diagnose this condition in a timely manner, explain to the patient the reasons for his complaints, and prescribe adequate treatment. Below we will consider one of the most common variants of psychogenic dizziness encountered in clinical practice – phobic postural dizziness.

Phobic postural vertigo

“Phobic postural vertigo” (PPG) is a clinical syndrome that includes, first, dizziness, described by patients as “fog in the head”, unsteadiness, a feeling of intoxication, which are usually associated with special conditions (downstairs, walking along a busy street, at night) or situations that are perceived by the patient as provoking factors (being in the subway, a public place, driving a car), secondly, anxiety and autonomic reactions (nausea, vomiting , lability of pulse and blood pressure) and, thirdly, avoidance behavior in relation to these situations in the absence of objective clinical signs of organic neurological disorders.

PPH is typical of obsessive-compulsive individuals and usually develops after significant irritation of the vestibular apparatus (especially in benign paroxysmal positional vertigo, vestibular neuronitis) or stress.

Clinic

PPH is characterized by attacks of imbalance, fear that occur without episodes of real falls (falls are possible that precede the formation of secondary PPH), but with the formation of avoidant behavior.

The severity of symptoms is reduced by distracting the patient, as well as after taking small doses of alcohol, in some patients during sports. The quality of life of patients with PPH significantly decreases with the generalization of vegetative-somatic symptoms and the increase in the patient’s social maladaptation. In the premorbid character structure, predominantly obsessive traits and perfectionism are revealed, predisposing to the formation of stable obsessive-compulsive disorders and psychogenic depressions.

The manifestations of PPH largely correspond to the structure of panic disorder, including periodic anxiety attacks, an obsessive fear of a recurrence of an attack accompanied by dizziness, and avoidance behavior. However, it should be borne in mind that the fear of repeated dizziness with avoidant behavior can also be observed in patients with vestibular dysfunctions, which makes it possible to distinguish between primary and secondary panic disorder that develops on the basis of otological pathology.

Diagnostics. For differential diagnosis, it is important to conduct a comprehensive examination of such patients (brain MRI, consultation with a neurologist, ENT doctor), exclude possible concomitant somatic pathology (endocrine disorders, anemic syndrome, arrhythmias, etc.), convince the patient of the benign nature of his disease. After all, sometimes such patients find themselves without the help of specialists: otorhinolaryngologists exclude their pathology, therapists and neurologists also do not find any significant deviations, which fixes the patient even more on his own experiences, forming a feeling that he has a “rare, incomprehensible” disease with a dubious prognosis for recovery. Criteria for the diagnosis of PPG are given in the table.

Treatment

Treatment of patients with PPH should be based on a combination of medicinal and non-drug (psychotherapy, vestibular and respiratory gymnastics) methods of treatment. First-line drugs are antidepressants (selective serotonin reuptake inhibitors – paroxetine, venlafaxine – and tricyclic antidepressants – amitriptyline). Benzodiazepines (phenazepam, diazepam, alprazolam, etc.) are also used. In some cases, a positive effect in the treatment of anxiety disorders is achieved with the use of “small” antipsychotics (sulpiride, tiapride, thioridazine). As an additional therapy, the drug betahistine is used, which reduces the excitability of the vestibular apparatus and is effective for all types of dizziness, including psychogenic. Mandatory is the treatment of underlying somatic and neurological pathology, which leads to a deterioration in postural and vestibular functions (for example, treatment of diabetes mellitus, vitamin B12 deficiency, hypo- or hyperthyroidism).

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