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Antivertigo meds: Antivertigo Preparations | DrugBank Online

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Antivertigo Drugs

There are two general types of drugs used to treat symptoms of vertigo, nausea and vomiting: antivertigo and antiemetic drugs. Antiemetic drugs are discussed in the next section. Antivertigo drugs are vestibular suppressants that attempt to control the sensation of vertigo as well as associated nausea and vomiting. Vestibular suppressants are often used in conjunction with antiemetics.

How They Work

1

FIGURE 1 (adapted2)

The precise method of action behind many of these drugs is not fully understood; however, the general consensus is that vestibular suppressants act on the neurotransmitters responsible for carrying the vestibular signal from primary vestibular neurons. That is, these drugs seek to block the conduction of impulses from the semicircular canals and otolith organs, before these nerve impulses reach central vestibular structres, and thereby maintain tone in the vestibular nuclei.

    Types of Drugs

  • Antihistamines
  • Anticholinergics
  • Benzodiazepines

Common Uses

Acute Vertiginous Attacks

1

The most salient point to consider when using antivertigo drugs to treat acute vertiginous attacks is whether or not the attacks last long enough for the medication to be effective; if an effective blood level is not reached before the attack ends, antivertigo medication will be unsuccessful. This means brief episodes of vertigo, such as BPPV and VBI, cannot be controlled with the use of vestibular suppressants taken at the onset of the attack.

It can take upwards of 2 hours to reach peak blood levels, so acute attacks lasting at least an hour are the best candidates for vestibular suppressants taken at the onset of symptoms. For example, antihistamines need 20 – 30 mintures to initiate action, and reach maximum effectiveness after 1 – 2 hours. Antihistamine vestibular suppressants typically have a half life of 8 hours.

Chronic Vertiginous Attacks

1

Patients experiencing frequent vestibular attacks lasting less than an hour are not without recourse. When the episodes are moderate-to-severe and recur often, prophylactic treatment may be a viable short term option. “Short term” must be emphasized, as long term use of vestibular suppressants can impede/slow central compensation (and thus recovery) in two main ways:

  1. The stronger suppressants have stronger sedative effects, which delay the return to normal mobility, which in turns slows compensation.
  2. As their name implies, vestibular suppressants “suppress” vestibular signals from the labyrinth, which interferes with the tonic rebalancing inherent to central compensation.

Vestibular suppressants do have their place, however. Patients with acute peripheral vestibular impairment (with vertigo) may require strong vestibular suppressants, but these should be withdrawn gradually once vomiting stops to allow compensation. Such a patient may be switched to milder suppressants to control vertigo throughout the day, coupled with symptomatic use of antiemetic drugs. Because the milder suppressants allow for routine activities, drugs such as scopolamine and meclizine are well suited for motion sickness.

Chronic Dizziness

1

Note the preceding two sections specifically state vertiginious attacks. Chronic (or other) dizziness of non-vestibular origin is not appropriate for treatment with vestibular suppressants. Antivertigo drugs cannot control non-vestibular dizziness.

Side Effects and Contraindications

1

Potential Side Effects of Antivertigo Drugs

  • Drowsiness
    • especially in the elderly
  • Withdrawal Symptoms (especially with benzodiazepines and scopolamine)
    • dizziness
    • nausea
    • vomitting
    • headaches
    • disequilibrium
    • general seizures (with abrupt withdrawal of benzodiazepines)
  • Habituation and Dependence (with benzodiazepines)
  • Altered mental state and hallucinations
    • possible with scopolamine use in the elderly

Contraindications and Precautions of Antivertigo Drugs

This list should not be considered exhaustive.

  • Do not take these medications with alcohol
    • potential for additive effects
  • Scopolomine should not be used with children
    • side effects are more profound in these populations
  • Do not use benzodiazepines in children under 6 months or pregnant or nursing women
  • increased risk of birth defects
  • Antihistamines are contraindicated in patients with:
    • asthma
    • emphysema
    • chronic pulmonary disease
    • difficulty urinating due to enlarged prostate
  • All anticholinergic medications should be used with care in patients with:
    • glaucoma
    • pyloric obstruction
    • urinary bladder neck obstruction with intestinal obstruction
    • other CNS depressant drug use

Implications for Vestibular Testing

It goes without saying that vestibular suppressants will interfere with vestibular testing; activated end organs will be unable to transmit vestibular signals for central processing. Additionally, the sedating effects of some antivertigo drugs can render patients unable to perform tasks required for oculomotor testing. Poor pursuit and saccade results, as well as inability to task, may be the result of impaired concentration from sedative effects. Drugs that act as central nervous system depressants can also effect vestibular testing, as central pathways will not function properly. For these reasons, it is important to coordinate with prescribing physicians to ensure the patient is not under the influence of these medications during vestibular testing.

(PDF) Anti vertigo Drugs-Revisited

Anti vertigo Drugs

NJIRM 2013; Vol. 4(4).July – August eISSN: 0975-9840 pISSN: 2230 – 9969

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54. Ariyasu L, Byl FM, Sprague MS, Adour KK. The

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55. Toshiaki Yamanaka, Masashi Sasa, Taku

Amano, Hiroshi Miyahara and Takashi

Matsunaga. Role of glucocorticoid in vestibular

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Scopolamine Transdermal Patch: MedlinePlus Drug Information

Scopolamine comes as a patch to be placed on the hairless skin behind your ear. When used to help prevent nausea and vomiting caused by motion sickness, apply the patch at least 4 hours before its effects will be needed and leave in place for up to 3 days. If treatment is needed for longer than 3 days to help prevent nausea and vomiting caused by motion sickness, remove the current patch and apply a new patch behind the other ear. When used to prevent nausea and vomiting from medications used with surgery, apply the patch as directed by your doctor and leave it in place for 24 hours after your surgery. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use the scopolamine patch exactly as directed.

To apply the patch, follow these instructions:

  1. After washing the area behind the ear, wipe the area with a clean, dry tissue to ensure that the area is dry. Avoid placing on areas of your skin that have cuts, pain, or tenderness.
  2. Remove the patch from its protective pouch. Peel off the clear plastic protective strip and discard it. Don’t touch the exposed adhesive layer with your fingers.
  3. Place the adhesive side against the skin.
  4. After you have placed the patch behind your ear, wash your hands thoroughly with soap and water.

Do not cut the patch.

Limit contact with water while swimming and bathing because it may cause the patch may fall off. If the scopolamine patch falls off, discard the patch, and apply a new one on the hairless area behind the other ear.

When the scopolamine patch is no longer needed, remove the patch and fold it in half with the sticky side together and dispose of it. Wash your hands and the area behind your ear thoroughly with soap and water to remove any traces of scopolamine from the area. If a new patch needs to be applied, place a fresh patch on the hairless area behind your other ear.

If you have used scopolamine patches for several days or longer, you may experience withdrawal symptoms that could start 24 hours or more after removing the scopolamine patch such as difficulty with balance, dizziness, nausea, vomiting, stomach cramps, sweating, headache, confusion, muscle weakness, slow heart rate or low blood pressure. Call your doctor right away if your symptoms become severe.

Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.

dimenhydrinate



dimenhydrinate
Apo-Dimenhydrinate ◆, Calm-X, Dimetabs, Dinate, Dommanate, Dramamine, Dramocen, Dramoject, Dymenate, Gravol ◆, Hydrate, PMS-Dimenhydrinate ◆, Triptone

Pharmacologic classification: ethanolamine-derivative antihistamine, anticholinergic
Therapeutic classification: antihistamine (H1-receptor antagonist), antiemetic, antivertigo drug
Pregnancy risk category B


Available forms
Available with or without a prescription
Injection: 50 mg/ml
Solution: 12.5 mg/5 ml, 12.5 mg/4 ml, 15.62 mg/5 ml
Tablets: 50 mg
Tablets (chewable): 50 mg
Tablets (film-coated): 50 mg

Indications and dosages
 Prophylaxis and treatment of nausea, vomiting, dizziness from motion sickness. Adults and children age 12 and older: 50 to 100 mg q 4 to 6 hours P.O., I.V., or I.M. For I.V. administration, dilute each 50-mg dose in 10 ml of normal saline
solution and inject slowly over 2 minutes.
Children: 1.25 mg/kg daily or 37.5 mg/m2 daily P.O. or I.M. q.i.d. not to exceed 300 mg daily, or as follows:
Children ages 6 to 12: 25 to 50 mg P.O. q 6 to 8 hours. Maximum, 150 mg daily.
Children ages 2 to 6: 12.5 to 25 mg P.O. q 6 to 8 hours. Maximum, 75 mg daily.
 Meniere’s disease ◇. Adults: 50 mg I.M. for acute attack. Maintenance dose is 25 to 50 mg P.O. t.i.d.

Pharmacodynamics
Antiemetic and antivertigo actions: Dimenhydrinate probably inhibits nausea and vomiting by centrally depressing sensitivity of the labyrinth apparatus that
relays stimuli to the chemoreceptor trigger zone and stimulates the vomiting center in the brain.
Antihistaminic action: Drug is believed to inhibit histamine release.

Pharmacokinetics
Absorption: Well absorbed.
Distribution: Well distributed throughout the body and crosses the placental barrier.
Metabolism: Metabolized in the liver.
Excretion: Metabolites are excreted in urine.






Route Onset Peak Duration
P.O. 15-30 min Unknown 3-6 hr
I.V. Immediate Unknown 3-6 hr
I.M. 20-30 min Unknown 3-6 hr

Contraindications and precautions
Contraindicated in patients hypersensitive to drug or its components. The I.V. product contains benzyl alcohol, which has
been linked to a fatal “gasping syndrome” in premature infants and low-birth-weight infants. Use cautiously in patients receiving
ototoxic drugs and those with seizures, acute angle-closure glaucoma, or an enlarged prostate gland.

Interactions
Drug-drug. Aminoglycosides, cisplatin, loop diuretics, salicylates, vancomycin: May mask signs of ototoxicity, which can be caused by these drugs. Monitor patient closely.
CNS depressants, such as anxiolytics, barbiturates, sleeping agents, and tranquilizers: Causes additive CNS sedation and depression. Avoid use together.
Drug-lifestyle. Alcohol use: May cause additive CNS depression. Discourage alcohol use.

Adverse reactions
CNS: drowsiness, headache, dizziness, confusion, nervousness, insomnia, vertigo, tingling and weakness of hands, lassitude, excitation.
CV: palpitations, hypotension, tachycardia, tightness of chest.
EENT: blurred vision, dry respiratory passages, diplopia, nasal congestion.
GI: dry mouth, nausea, vomiting, diarrhea, epigastric distress, constipation, anorexia.
Respiratory: wheezing, thickened bronchial secretions.
Skin: photosensitivity, urticaria, rash.
Other: anaphylaxis.

Effects on lab test results
None reported.

Overdose and treatment
Signs and symptoms of overdose may include either CNS depression (sedation, reduced mental alertness, apnea, and CV collapse)
or CNS stimulation (insomnia, hallucinations, tremors, or seizures). Anticholinergic symptoms, such as dry mouth, flushed
skin, fixed and dilated pupils, and GI symptoms, are likely to occur, especially in children.
 Use gastric lavage to empty stomach contents; emetics may be ineffective. Diazepam or phenytoin may be used to control seizures.
Provide supportive treatment.

Special considerations
 ALERT Most I.V. products contain benzyl alcohol, which has been linked to a fatal “gasping syndrome” in premature infants and low-birth-weight
infants.
• Chewable tablets contain tartrazine, which may cause allergy-like reactions in some patients. This is frequently seen in patients
who also have an aspirin hypersensitivity.
• Incorrectly administered or undiluted I.V. solution is irritating to veins and may cause sclerosis.
• Parenteral solution is incompatible with many drugs; don’t mix other drugs in the same syringe.
• Antiemetic effect may diminish with prolonged use.
• Dimenhydrinate may alter or confuse test results for xanthines (caffeine, aminophylline) because of its 8-chlorotheophylline
content; discontinue dimenhydrinate 4 days before diagnostic skin tests to avoid preventing, reducing, or masking test response.

Breast-feeding patients
• Many antihistamines appear in breast milk, exposing infant to risks of unusual excitability; premature infants are at particular
risk for seizures. Avoid use of antihistamines in breast-feeding women.
Pediatric patients
• Safety in neonates hasn’t been established. Infants and children younger than age 6 may experience paradoxical hyperexcitability.
I.V. dosage for children hasn’t been established.
Geriatric patients
• Elderly patients are usually more sensitive to adverse effects of antihistamines than younger patients and are especially
likely to experience a greater degree of dizziness, sedation, hyperexcitability, dry mouth, and urine retention.

Patient education
• Tell patient to avoid hazardous activities, such as driving or operating heavy machinery, until adverse CNS effects of drug
are known.
• To prevent motion sickness, patient should take drug 30 minutes before traveling and again before meals and at bedtime.

Reactions may be common, uncommon, life-threatening, or
COMMON AND LIFE THREATENING.

◆ Canada only

◇ Unlabeled clinical use

Cinnarizine: drowsy antihistamine used for travel sickness and vertigo

If you buy cinnarizine from a pharmacy or supermarket, follow the instructions that come with the packet, or ask a pharmacist for advice.

If you or your child have been prescribed cinnarizine, follow your doctor’s instructions about how and when to take it.

It’s a good idea to take your cinnarizine tablets after a meal. It will be less likely to upset your stomach.

You can suck or chew the tablets, or swallow the tablets whole with a drink of water.

Dosage and strength

Cinnarizine comes as 15mg tablets. Your dose will depend on why you’re taking it.

For travel sickness

Adults and children aged 12 years or older – take 2 tablets 2 hours before travel, then 1 tablet every 8 hours during the journey if needed.

Children aged 5 to 11 years – give 1 tablet 2 hours before travel, then half a tablet every 8 hours during the journey if needed.

For dizziness and sickness caused by inner ear problems

Adults and children aged 12 years or older – the usual dose is 2 tablets, taken 3 times a day.

Children aged 5 to 11 years – the usual dose is 1 tablet, taken 3 times a day.

What if I take too much?

Taking too much cinnarizine can make you very sleepy or confused, feel sick or be sick, feel weak or shaky, or give you a very fast, uneven or pounding heartbeat (palpitations).

Too much cinnarizine can give a child a fit or seizure.

If you need to go to A&E, do not drive yourself – get someone else to drive you or call for an ambulance.

Take the cinnarizine packet or leaflet inside it, plus any remaining medicine, with you.

What if I forget my medicine?

If you forget to take a dose of cinnarizine, take it as soon as you remember. Unless it’s nearly time for your next dose. In which case, skip the missed dose and take your next dose at the usual time.

It’s important to leave at least 8 hours between doses. Do not take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

If you forget doses often, it may help to set an alarm to remind you. You could also ask a pharmacist for advice on other ways to help you remember to take your medicine.

Home Epley Maneuver | Johns Hopkins Medicine

What is the home Epley maneuver?

The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). You can do this exercise at home.

BPPV is caused by a problem in your inner ear. Your semicircular canals are found inside your ear. They detect motion and send this information to your brain. The utricle is a nearby part of the ear. It contains calcium crystals (canaliths) that help it detect movement.

Sometimes these crystals detach from the utricle and end up inside the semicircular canals. When these crystals move inside the canals, they may send incorrect signals to your brain about your position. This can make you feel like the world is spinning. This is called vertigo.

Dr. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. These movements bring the crystals back to the utricle, where they belong. This treats the symptoms of vertigo.

The original Epley maneuver was designed to be done with a healthcare provider. The home Epley maneuver is similar. These are a series of movements that you can do without help, in your own home.

Why might I need the home Epley maneuver?

You may need to try the home Epley maneuver if you have symptoms of BPPV. In BPPV, vertigo may come on with certain head movements. It may last for up to a minute. These symptoms may be more frequent at times. You may also have nausea and vomiting.

Often BPPV happens without any known cause. Sometimes there is a cause. Causes of BPPV can include:

  • A head injury
  • Problems after ear surgery

The home Epley maneuver is safe and inexpensive. It often works well to treat the symptoms of BPPV.

Your healthcare provider may suggest the home Epley maneuver if your health history and physical exam support that you have BBPV.  Your healthcare provider may also suggest that you see a vestibular therapist for treatment.

Your healthcare provider may first do the original Epley maneuver in his or her office. He or she may teach you the home Epley maneuver. You may need to do the home Epley maneuver if you still have symptoms after you leave your healthcare provider’s office. It may also be useful to know how to do this maneuver if your BPPV comes back after a few months or years.

What are the risks of home Epley maneuver?

The home Epley maneuver is safe. It may be helpful to have someone at home with you while you go through the movements. This can give you peace of mind in case your vertigo gets worse in the middle of the treatment.

People with health conditions that limit their ability to move may not be able to do the home Epley maneuver safely. These issues can include neck or back disease, vascular conditions, and retinal detachment. Ask your healthcare provider if the home Epley maneuver is safe for you.

How do I get ready for the home Epley maneuver?

You can do the home Epley maneuver on a bed. You start by sitting on the bed. You need to have a pillow in place so that when you lie back it will be under your shoulders.

What happens during the home Epley maneuver?

You may find it helpful to watch a video of the home Epley maneuver first. Or read a brochure with pictures.

Your healthcare provider will tell how often to do this procedure. He or she may ask you to do it 3 times a day until your symptoms have been gone for 24 hours. Your healthcare provider will also tell if your right or left ear is causing your symptoms.

Follow these steps if the problem is with your right ear:

  • Start by sitting on a bed.
  • Turn your head 45 degrees to the right.
  • Quickly lie back, keeping your head turned. Your shoulders should now be on the pillow, and your head should be reclined. Wait 30 seconds.
  • Turn your head 90 degrees to the left, without raising it. Your head will now be looking 45 degrees to the left. Wait another 30 seconds.
  • Turn your head and body another 90 degrees to the left, into the bed. Wait another 30 seconds.
  • Sit up on the left side.

Follow these steps if the problem is with your left ear:

  • Start by sitting on a bed.
  • Turn your head 45 degrees to the left.
  • Quickly lie back, keeping your head turned. Your shoulders should now be on the pillow, and your head should be reclined. Wait 30 seconds.
  • Turn your head 90 degrees to the right, without raising it. Your head will now be looking 45 degrees to the right. Wait another 30 seconds.
  • Turn your head and body another 90 degrees to the right, into the bed. Wait another 30 seconds.
  • Sit up on the right side.

What happens after the home Epley maneuver?

Most people say their symptoms go away right after they do the maneuver. In some cases, it may take a few times for the procedure to work. Some people may have mild symptoms for a couple of weeks. Once your symptoms go away, there is no need to keep doing the maneuver.

Your healthcare provider may suggest avoiding certain positions for a while after your symptoms have gone away. For instance, you may need to sleep propped up on 2 pillows, to keep your neck from extending straight.

If you still have symptoms after doing the home Epley maneuver, call your healthcare provider. You may not be doing the maneuver the right way. Or you may have another problem that’s causing your symptoms of vertigo. The home Epley maneuver only works to treat vertigo from BPPV. But many other conditions can cause vertigo.

You should be able to be active after doing the home Epley maneuver. Make sure your vertigo has really gone away before doing anything dangerous, such as driving.

With the help of the home Epley maneuver, your vertigo may go away for weeks or even years. BPPV often comes back, though. This might happen if another calcium crystal ends up in your semicircular canals. If your vertigo comes back, do home Epley maneuver again to see if your symptoms go away. If the maneuver doesn’t work, call your healthcare provider.

Next steps

Before you agree to the test or the procedure make sure you know:

  • The name of the test or procedure
  • The reason you are having the test or procedure
  • What results to expect and what they mean
  • The risks and benefits of the test or procedure
  • What the possible side effects or complications are
  • When and where you are to have the test or procedure
  • Who will do the test or procedure and what that person’s qualifications are
  • What would happen if you did not have the test or procedure
  • Any alternative tests or procedures to think about
  • When and how will you get the results
    Who to call after the test or procedure if you have questions or problems
  • How much will you have to pay for the test or procedure

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90,000 Betahistine for dizziness symptoms | Cochrane

Review question

Does betahistine help patients with dizziness developing for various reasons?

Relevance

Dizziness is a symptom in which people experience a false sensation of movement. This type of vertigo is thought to be related to disturbances in the inner ear, the organ responsible for balance or the structures that connect it to the brain.Many people suffer from the symptom of vertigo and it can cause serious problems with normal / daily activities. Betahistine is a drug that possibly works by improving blood flow in the inner ear. This review investigated whether betahistine is more effective than placebo (dummy drug) in treating the symptoms of dizziness caused by various causes in patients of all ages.

Research characteristics

We included 17 studies with a total of 1025 participants.Sixteen studies involving 953 people compared betahistine with placebo. The risk of bias in these studies ranged from high to unclear. All studies with data amenable to analysis lasted three months or less. One study with a high risk of bias comparing betahistine versus placebo enrolled 72 people with benign paroxysmal positional vertigo (BPPV). All patients were also treated with particle repositioning maneuvers. Overall, we rated the quality of the evidence to be low.

The studies varied significantly in terms of the types of participants, their diagnoses, the dose of betahistine prescribed and the duration of drug use, the study methods, and how any relief of dizziness symptoms was measured.

Highlights

When summarizing all studies, the proportion of patients who reported relief of symptoms of dizziness was significantly higher in patients taking betahistine than in patients taking placebo.However, there is significant inconsistency in the research results, so this result should be treated with caution.

The proportion of patients reporting side effects of treatment was similar in both groups: 16% in patients taking betahistine and 15% in patients taking placebo. Overall, 16% of patients in both groups dropped out of the study.

Not enough information was provided on the effect of betahistine on objective indicators of the functioning of the organ responsible for balance in the inner ear.No information was provided on the effect of betahistine on overall quality of life and incidence.

Quality of evidence

After evaluating the included studies, we rated the quality of the evidence as low. This means that our estimate of the effectiveness of betahistine may be inaccurate. This evidence is current to September 2015.

Conclusions

Low quality evidence suggests that betahistine may help relieve dizziness symptoms in patients suffering from dizziness from a variety of causes.Betahistine is generally well tolerated. Further research on dizziness symptom management should use a more rigorous methodology and include outcomes (results) that are important to patients and their families.

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emergency care for arterial pressure Drugs for dizziness: list and overview, pros and cons. What to take from dizziness in case of poisoning and motion sickness, problems with blood pressure and cerebral circulation in old age?This drug in rare cases can provoke intestinal atony, tachycardia, seizures, decreased blood pressure and urinary retention. Whether it is worth prescribing such pills for dizziness for an elderly person, a small child or a pregnant woman should be decided by the doctor, since Platyphyllin enters into undesirable interactions with some drugs and can adversely affect health in the presence of a number of diagnoses. The best pills for dizziness. If objects smoothly rotate around you, you feel unwell and tinnitus – you are experiencing dizziness.This unpleasant sensation can be a signal of overwork or some illness, and it is important to find the best dizziness pills to deal with the symptoms. Alena Paretskaya. Has an antiemetic effect, suppresses nausea and dizziness when traveling in any type of transport, has a slight anti-allergic effect. It is important to pay attention to the side effects of taking it – this is severe dryness of the mouth and nasal cavity, increased pressure, headaches and sleep disturbances. Treating vertigo at home.Advantages of the procedure at MEDSI. Dizziness is not a disease, but a symptom that occurs in a number of a wide variety of diseases, causing the patient to disorientate in space, a false sensation of the mobility of objects and stationary objects relative to him or the person himself – relative to the objects around him. It is extremely common, especially among elderly patients and females – in terms of the frequency of medical complaints, it is in second place after headache. Diagnosis of vertigo is difficult because of the sensation.Read about the causes and treatments for vertigo in older people. Why dizzy and staggering, what to do with dizziness. Useful on pansion-zabota.ru. The causes of severe dizziness in the elderly: what makes the head spin and the secrets of treatment. The content of the article. Why does the disease occur? Types of ailments. What diseases are accompanied by dizziness. What medications cause dizziness? How the problem is identified. Features of diagnostics. Dizziness (vertigo) is not an independent disease, but a symptom that can occur against a background of various pathologies.With an attack, a person has a feeling of disorientation in space, rotation of surrounding objects around the body, or, conversely, the body around surrounding objects. This is a very common condition that requires medical supervision, especially with frequent attacks. General information. A sense of balance and position in space is formed due to the joint work of several systems. Dizziness is the second most common reason for visiting a neurologist after a headache. Some people feel dizzy and measure their blood pressure.Indeed, one of the reasons may be an increase in blood pressure. But there are also a huge number of other diseases, the manifestation of which can be dizziness. Causes of dizziness. Neurologists have to deal with patients who complain of dizziness every day. It can be vestibular (true) and non-vibular. Patients with non-vibular vertigo usually complain of treatment for vertigo. Non-systemic dizziness. DIAGNOSTICS. Usually, dizziness, loss of balance, orientation are symptoms of a simple disease that is easily treatable.Dizziness in Minor’s syndrome is triggered by coughing, sneezing, loud noises, and the use of Valsalva. You may also experience nausea or instability during short episodes of dizziness. Sometimes drugs that lower blood pressure are too strong, and the pressure drops to abnormal values, which causes symptoms that resemble dizziness. Acoustic neuroma. restrictions in case of essential hypertension list of references essential hypertension secondary hypertension

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If you want to buy Cardilight from pressure, do not look for it in pharmacies.It is not for sale there. To apply for the purchase of this product, visit our official website of the manufacturer. During the promotion, you will be able to purchase capsules at a significant discount. Recently, a large number of combination drugs have appeared on the pharmaceutical market. Fixed combinations are based on the principle of combination and mutual amplification of the effect. They are very convenient as they allow many patients to take just ONE pill per day! I take capsules for 3 days. The effect is already there.The signs of hypertension have disappeared, and the tonometer readings are normal. I am pleased. Valsacor (Valsacor), Angiotensin II receptor antagonist, description, reviews, drug prices, ordering in pharmacies, composition, method of administration, indications, contraindications, side effects, interaction, KRKA (Slovenia). After ingestion of a single dose of valsartan, the antihypertensive effect develops within 2 hours, and the maximum decrease in blood pressure is achieved within 4-6 hours. The antihypertensive effect of valsartan persists for 24 hours after its administration.With constant use of valsartan, the maximum decrease in blood pressure, regardless of the dose, is achieved after 2-4 weeks and is maintained at this level during long-term therapy. Valsakor – instructions, indications for use, indications and contraindications. Availability in pharmacies, prices and analogues of Valsacor on the site 103.by. Valsacor 80 mg and 160 mg film-coated tablets can be used for three different indications: Treatment of high blood pressure in adults and children aged 6 to 18 High blood pressure (BP) increases stress on the heart and arteries.If left untreated, it can damage the blood vessels in the brain, heart, and kidneys, as well as stroke, heart failure, or kidney failure. It is not recommended to use the drug Valsacor simultaneously with ACE inhibitors and other drugs that inhibit the RAAS. Renal function should always be assessed in patients with myocardial infarction. Special patient groups. Elderly patients (over 65 years old). For elderly patients, dose adjustment is not required.Impaired renal function. In patients with impaired renal function with CC more than 10 ml / mi, dose adjustment of valsartan is not required. Currently, there is no data on the use of valsartan in patients with GFR less than 10 ml / min. Valsacor (80 mg) form: Film-coated tablets. Full description (Valsacor (80 mg): application, composition, dosage, indications, contraindications, side effects. Valsacor (80 mg) instructions for use. Other names: Valsartan. Valsacor tablets are taken orally with water, regardless of food intake.Arterial hypertension. Adults. The dose should be adjusted based on the blood pressure results. The drug Valsacor has been shown to be effective in many clinical trials and has not lost its face compared to other members of its family, sartans (for example, Lozap). It actually lowers blood pressure by 5-8 points. Thirdly, on average, Valsacor and other sartans are better tolerated than other drugs for high blood pressure – angiotensin-converting enzyme inhibitors.However, at the same time, patients often stopped taking sartans due to side effects, although they traditionally include such not very dangerous, albeit unpleasant symptoms, such as nausea, diarrhea, fatigue, swelling or cough, back or abdominal pain. The drug is taken orally, regardless of food intake, the frequency of administration is 1 time / day. Valsacor ND160 can be combined with other antihypertensive drugs. Treatment should be started with the minimum doses of the drug.Patients who have not reached the target blood pressure on the background of monotherapy (valsartan at a dose of 160 mg or hydrochlorothiazide at a dose of 25 mg), a fixed dose combination is recommended – Valsacor ND160 (160/25 mg) 1 time / day.The maximum antihypertensive effect of the drug Valsacor ND160 (160/25 mg) develops within 2-4 weeks. Patients with impaired renal function. Valsakor – buy at a low price in all districts of Moscow. Valsakor – detailed instructions for use, indications and contraindications, composition. Online pharmacy nashi-veshi.ru. After ingestion of a single dose of the drug, the antihypertensive effect develops within 2 hours, and the maximum decrease in blood pressure is achieved within 4-6 hours. The antihypertensive effect of the drug persists for 24 hours after its administration.With repeated prescriptions of valsartan, the maximum decrease in blood pressure, regardless of doses, is achieved after 2-4 weeks and is maintained at the achieved level during long-term therapy. – treatment with Valsacor leads to an improvement in the symptoms of androgen deficiency, the achievement of the target blood pressure level, an improvement in the daily blood pressure profile, which also confirms the high efficacy and safety of the drug2. – use of the drug Valsacor in patients with heart failure. The study showed that 4-month treatment with Valsacor improves the objective and subjective clinical condition of patients with heart failure and leads to positive changes in NYHA functional class.An increase in LVEF was noted by 15% 3. – use of the drug Valsacor in patients with myocardial infarction. VALSAKOR – description and instructions provided by the reference book of medicines. The information on drug prices provided does not constitute an offer to sell or buy a product. The information is intended solely for comparing prices in inpatient pharmacies operating in accordance with Article 55 of the Federal Law on the Circulation of Medicines. Valsakor ND 160 is not recommended for patients with impaired liver function.When using Valsacor ND 160, it is recommended to regularly monitor serum electrolytes, especially potassium. Hyponatremia and / or decreased BCC. In patients with severe hyponatremia and / or with reduced BCC (for example, when taking high doses of diuretics), in rare cases, at the beginning of therapy with Valsacor ND 160, a pronounced decrease in blood pressure with clinical manifestations is possible. Therefore, at the beginning of treatment, the sodium content in the blood serum should be corrected and / or the BCC should be replenished.The drug Valsacor blocks angiotensin II receptors, therefore, in patients with CHF, regular monitoring of renal function is necessary. History of angioneurotic edema Among patients with angioedema during therapy with Valsacor, there were cases of angioedema in the history, including ACE inhibitors. Arterial hypertension The recommended initial dose of Valsacor is 80 mg once a day, regardless of race, age and gender of the patient.The antihypertensive effect develops within 2 weeks and reaches its maximum after 4 weeks. Valsacor – a drug designed to normalize the fluid pressure of the circulatory system and increase the efficiency and functions of the heart. The analogues of Valsakor in Moscow and other regions are Artinova, Olymestra, Valaar, Nortivin, Ordiss, Valz, Prezartan. According to the instructions for use of Valsacor, the drug has increased efficacy and proven safety. The price of Valsacor varies according to the region and the category of the pharmacy.Reviews for Valsacor indicate an affordable cost, and also that you can buy Valsacor at a pharmacy by going there in person or ordering Valsacor from a pharmacy via the Internet. Release form, composition and packaging. Valsacor can be used in patients after myocardial infarction during therapy with other drugs, including thrombolytics, acetylsalicylic acid as an antiplatelet agent, beta-blockers, HMG-CoA reductase inhibitors (statins) and diuretics. It is not recommended to use the drug Valsacor simultaneously with ACE inhibitors.Renal function should always be assessed in patients with myocardial infarction. For elderly patients (over 65 years), dose adjustment is not required. Buy Valsacor from 212 rubles in Moscow in the ASNA network of pharmacies. Detailed instructions for use Indications and contraindications for use cheap analogs are real reviews from buyers. Analogues from the category Medicines for high blood pressure (hypertension). Captopril 50mg 20 pcs. pills. Drug: Captopril.

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The natural preparation is used for the treatment of hypertension, prevention of heart and vascular diseases.It should not be taken by pregnant and lactating women, people with low blood pressure and a history of severe chronic diseases. With hypertension due to prolonged systolic overload of the left ventricle, its hypertrophy develops. This leads to a deviation of the electrical axis to the left and back from the normal position. In the left chest leads, the P wave increases, the S — T segment shifts downward and the T wave decreases or becomes negative. The ECG in stage III of hypertension is characterized by even more than in stage II B, deviation of the electrical axis to the left, changes in the S-T segment and the T wave.Deceleration of intraventricular conduction is often determined by the type of blockade of the left anterior or two left branches of the atrioventricular bundle. ECG for myocarditis. Arterial hypertension Hypertension. Professor P. Baranov. Arterial hypertension (AH). AH is a persistent increase in blood pressure ≥140 / 90 mm Hg. Art., registered at least 2 medical examinations, where blood pressure is measured twice. Essential hypertension (essential hypertension) is a chronic disease, the main manifestation of which is the hypertension syndrome.Symptomatic arterial hypertension is a chronic disease, the main manifestation of which is the hypertension syndrome, in which the increase in blood pressure is due to known, in many cases, eliminable causes in modern conditions. Measurement of blood pressure. Essential hypertension (hereinafter referred to as HD) is a chronic disease, the main manifestation of which is an increase in blood pressure, which is not associated with the identification of obvious causes leading to the development of secondary forms of hypertension (symptomatic hypertension).The term hypertension, proposed by GF Lang in 1948, corresponds to the terms essential hypertension and arterial hypertension used abroad. HD prevails among all forms of hypertension, its prevalence exceeds 90%. Secondary (symptomatic) hypertension – hypertension due to a known cause, which can be eliminated with appropriate intervention. Clinical diagnosis of the underlying disease. Hypertension stage III, risk IV. Ischemic heart disease, angina pectoris II FC.Complication. 4. III stage of hypertension was assigned due to the presence of arterial hypertension, combined with associated clinical conditions (CHF, exertional angina). 5. Risk 4 was assigned due to the presence of associated clinical conditions (CHF, exertional angina). The diagnosis of ischemic heart disease, stable exertional angina of FC II was made on the basis of: 1. the patient’s complaints of pressing pain and discomfort behind the sternum, without irradiation, appearing under intense exertion (walking on level ground for a distance of more than 500 meters).Diagnosis at admission – Hypertension 2 tbsp. Hypertensive crisis of 2 types. Clinical diagnosis – Hypertension 2 tbsp. Hypertensive crisis of 2 types. 2. COMPLAINTS. The patient complains of intense headaches, heaviness in the back of the head, temples, which appear more often in the morning, dizziness, flashing of flies before the eyes. Based on the ECG: conclusion (from 24.05.02): the electric axis is deflected to the left. Blockade of the left anterior branch of the bundle of His. Signs of left ventricular hypertrophy with a moderately pronounced decrease in blood supply to the myocardium in the posterior wall.Possible right ventricular tension; Based on the opinion of the ophthalmologist: moderate narrowing of the fundus arteries -. Hypertension is a chronic disease, the main manifestation of which is arterial hypertension (AH), not associated with the presence of pathological processes in which the increase in blood pressure is due to known, in modern conditions, often eliminated causes (symptomatic hypertension). Diagnostics and treatment of arterial hypertension (Russian recommendations (fourth revision), 2010).Arterial hypertension is defined as a condition in which the office. systolic blood pressure. 140. Clinical blood pressure (BP) in hypertensive. disease and symptomatic hypertension above the threshold values ​​determined by the epidemiological. Essential hypertension (hereinafter referred to as HD) is a chronic disease, the main manifestation of which is an increase in blood pressure, which is not associated with the identification of obvious causes leading to the development of secondary forms of hypertension (symptomatic hypertension). To detect heart damage, it is advisable for all patients to register an electrocardiogram (ECG) with the calculation of the LV hypertrophy indices, in the case of an extended examination – EchoCG with the determination of the left ventricular myocardial mass index.The language of ECG conclusions. Legend: (e) – only for the children’s version. (c) – only for the adult version. PART I. Conclusions on the rhythm of heart contractions. Class 1. topic of the pacemaker. Sinus pacemaker. (c) Syndrome SI, QIII, exclude acute overload of the right ventricle. Low-voltage ECG, exclude hypothyroidism, obesity, hydropericardium. High voltage ECG. (e) Electrical alternation of ventricular complexes. Class 8. violation of the processes of repolarization of the ventricles. ECG – electrocardiogram.Echocardiography – echocardiography. MDRD – Modification of Diet in Renal Disease. Thus, in the mechanism of increasing blood pressure in hypertension, two groups of factors can be distinguished: neurogenic, which directly affect the tone of arterioles through the sympathetic nervous system, and humoral, associated with increased release of catecholamines and some other biologically active substances (renin, cortex hormones adrenal glands, etc.), also causing a pressor effect (A.L. Myasnikov). Exercise ECG test (physical, pharmacological, transesophageal. Hypertension is a disease for which a stable increase in blood pressure is its main manifestation. Risk factors that increase the likelihood of its development have been established when observing large groups of people. genetic predisposition, among such risk factors are drugs for dizziness at normal pressure . References hypertension.Reviews, instructions for use, composition and properties. What is the principle of gymnastics of the cervical spine with hypertension. The neck is an important organ containing many blood vessels. Constant tension causes clogging of the arteries and loss of tone. In addition to high blood pressure, it threatens with nervous disorders. To avoid obstruction of the capillaries of the cervical spine, you must regularly perform 7 simple exercises: Metronome. Tilt your head to the right to your shoulder, hold for a few seconds, return to the previous position.Exercises for the neck at stage 2 of hypertension. Respiratory gymnastics Strelnikova with hypertension. Video. Headaches with high blood pressure are a constant phenomenon, drugs and special gymnastics help to cope with them. Light exercise can be done at home in any free time. Many doctors refer to the risks of developing hypertension as pinching of the nerve endings and blood vessels in the cervical spine, which causes the brain to experience oxygen starvation. Insufficient nutrition of the brain and oxygen starvation leads to an increase in intracranial pressure, spasmodic headaches, dizziness, and weakness.Wellness gymnastics for the neck with hypertension from Dr. Shishonin. Hypertension is a health risk and threat. We do gymnastics for hypertension according to the method of Dr. Shishonin in order to reduce unpleasant symptoms. Tatiana Shamanina edition. Tags. Hypertension is also familiar to us as high blood pressure. Vascular problems can lead to serious health complications and increase the risk of heart disease. Blood pressure determines how hard the blood acts on the walls of the blood vessels.First of all, hypertension is a risk. We will tell you how to stay healthy and how to do gymnastics of Dr. Shishonin for the neck in the treatment of hypertension. Gymnastics for the neck of Dr. Shishonin. Shishonin’s exercises: rules of execution. The benefits of Shishonin’s gymnastics. The main benefit of the author’s exercise according to Dr. Shishonin is to strengthen and increase the tone of the neck muscles, restore blood circulation and tissue nutrition. In addition, the work of the brain improves, spasms and muscle tension are eliminated.With regular exercise, you can forever say goodbye to headache, dizziness, discomfort in the cervical region, insomnia and high blood pressure. Over time, remedial gymnastics restores movement. What is Shishonin’s gymnastics for? Basically, gymnastics can be used for two diseases: 1. Hernia in the cervical spine (not complicated). 2. Hypertension (not complicated). The mode of performing gymnastics. Once a day for 2-4 weeks. Then 3 times a week.A warning! No need to do gymnastics with force! Master the technique first, you do not need to forcefully pull the muscles and vertebrae. Only when you have mastered the technique and started doing the exercises correctly can you add strength, but without fanaticism. After doing gymnastics, the pressure may rise slightly, do not worry – this is a reaction of the body. Analysis of a set of exercises. Shishonin’s gymnastics for osteochondrosis of the cervical spine consists of simple movements, each of which is performed 5 times. The starting position for all exercises is sitting, looking straight ahead.Beforehand, you can self-massage the shoulders and neck to warm them up and reduce the likelihood of injury. brain; with cervical osteochondrosis; hypertension and increased intracranial pressure; with frequent dizziness; insomnia osteochondrosis of the cervical spine. Hypertension is a dangerous and insidious disease, so its treatment must be taken seriously. The greatest efficiency will be if you combine drug treatment with non-traditional methods. Gymnastics. Shishonin for hypertension was developed almost ten years ago.It happened in the Bubnovsky Rehabilitation Center, because this method of treatment is also sometimes called exercises for Bubnovsky’s hypertension. Essentially, it’s the same thing.

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Dizziness is a general term that generally denotes weakness, lack of clarity of consciousness, loss of balance or sensation of rotation.

General

Dizziness attacks usually do not pose a great threat to health, but sometimes they can be based on serious disorders (stroke, brain tumor, anemia).Mild dizziness, occurring in the form of episodes of confusion, confusion, can occur when the head is turned in different directions, when the position of the head changes, and also when a person gets out of a chair or bed. Such attacks of dizziness last no more than a minute. More severe vertigo can last for minutes, hours, or even days and is accompanied by symptoms such as loss of balance (with risk of falls), unsteady gait, hearing impairment, nausea, ringing in the ears, and blurred vision.During such an attack, you may feel a sharp weakness, as if you could faint. Such attacks occur with diseases of the inner ear, anxiety, hyperventilation.

Some people feel dizzy when they rise too quickly from a sitting or horizontal position. This type of dizziness, which occurs when changing position, is also called orthostatic hypotension and is caused by a sharp outflow of blood from the brain during a sharp change in position.At the same time, the pressure in the vessels supplying the brain decreases rather quickly. To avoid this condition, you need to get up not abruptly, gradually. Before getting up, sit on the edge of a bed or chair to find a fulcrum. When lifting, the muscles of the legs should be tense, so that more blood will flow to the brain.

There are other causes of dizziness. These include dehydration, high blood pressure, heart disease, and anxiety. Be sure to tell your doctor if you have hypertension or heart disease or feel dizzy.

If you have problems maintaining balance, it becomes difficult to walk straight and straight. There is a feeling that your feet are unsteady on the ground, and that you are about to fall. This type of balance disorder is a serious hazard, as there is a high risk of injury if you fall. Impaired balance is often caused by age-related changes in the vestibular apparatus of the inner ear (labyrinth), decreased sensitivity of the balance receptors of the lower extremities and their joints, arthritis, and poor vision.See your doctor if you feel unable to maintain your balance or lose your sense of support. To protect yourself from falling, do not turn off the lights at night, remove the carpets, because you can trip over them, walk with a cane or a special stick.

With systemic dizziness, there is a sensation of rotation, whirling, twisting of the surrounding objects. This can also cause nausea, vomiting and flies before the eyes. This type of dizziness is usually temporary, does not pose a great danger to life, but is caused by a disturbance in the semicircular canals of the inner ear, which are responsible for maintaining balance.Such disorders include labyrinthitis, benign positional vertigo, and Meniere’s disease.

What makes your head spin more often

  • A sharp rise from a sitting or lying position
  • Hunger, stress, high temperature
  • Diseases of the visual apparatus
  • Certain medicines, alcohol
  • A sharp rise to a great height (in an airplane), because at high altitudes, the oxygen content in the air is less than on the ground.
  • Motion sickness.

Dizziness can be a sign of more serious medical conditions:

  • Anemia
  • Hypoglycemia (low blood sugar)
  • Heart disease
  • Temporary partial blockade of blood flow in the arteries supplying the brain
  • Heavy blow to the head
  • Subdural hemorrhage (bleeding in the space between the membranes covering the brain)
  • Brain tumor

Symptoms

  • Periodic dizziness and feeling of disorientation, weakness when getting out of bed.
  • Imbalance, a feeling of circling objects around, lasting more than three days.
  • Imbalance with nausea and vomiting.
  • A feeling of disorientation in space associated with fever, hearing loss, ringing in the ears, or pain in the ear.
  • A feeling of disorientation in space with a head injury or severe headache.
  • Dizziness with feeling of numbness, weakness in the limbs and involuntary urination and defecation.
  • Dizziness and flies before the eyes or double vision, hearing loss, slurred speech
  • Loss of balance with symptoms of shock (rapid pulse, rapid shallow breathing, cold, damp to the touch, pale face).
  • Loss of balance and feeling of pressure or chest pain.

What can you do when you feel dizzy

If an attack of dizziness begins when you stand up quickly, do it slowly, slowly.If you are currently feeling dizzy, sit up slowly and assume a reclining position. This makes it less likely that you will fall and injure yourself. If you feel that you may pass out, or your eyes become dark, sit with your head between your knees.

Drink plenty of fluids to stay hydrated and maintain normal blood pressure.

Give up alcohol, caffeine, smoking. Don’t drive.

Relaxation techniques can be used to overcome anxiety. Breathe slowly and deeply.

If you feel the approach of an attack of dizziness, do not close your eyes and focus your vision on any one stationary object. This can help reduce the intensity of the discomfort.

If your family members also feel dizzy, have a headache, or complain of nausea or vomiting, this could be due to carbon dioxide poisoning.Go outside immediately and seek help from a hospital.

Consult a physician if dizziness persists, recurs frequently, becomes more intense, or is accompanied by visual impairment, hearing impairment, numbness or weakness in the arms and legs.

What a doctor can do

The doctor can determine the immediate cause of the dizziness and prescribe appropriate medications (for example, antiemetic or antihistamines). If your doctor discovers any serious health problems that are causing you dizziness, he or she may refer you to an appropriate specialist.

Attention! Symptom chart is for educational purposes only. Do not self-medicate; for all questions regarding the definition of the disease and methods of treatment, contact your doctor. Our site is not responsible for the consequences caused by the use of information posted on the portal.

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You can use a massage pillow not only at home, but also on a car seat in a car. Where to buy medication for dizziness for cervical osteochondrosis? The pillow is big enough.There are only 4 rollers, but they are large and rotate in opposite directions, there is infrared heating. The fabric does not absorb water, does not absorb fat, sometimes I wipe it with a napkin – so to preserve its original appearance. You can massage not only the cervical and shoulder region, but also the entire back and legs. Having one at home is a must, even if you are not a massage fan. Perfectly helps to normalize the nervous system, sleep and get rid of stress.

What drugs, tablets are used for dizziness with cervical.osustave.com Osteochondrosis. Drugs for dizziness with cervical. Medicines for the treatment of circulatory disorders of the brain are produced in tablets and injections. The list of tablets for dizziness with cervical osteochondrosis is continued by means that reduce the tone. The list of drugs for dizziness in cervical osteochondrosis. Medication for cervical osteochondrosis. Treatment of cerebral arachnoiditis. Add a comment. Drugs for dizziness in cervical osteochondrosis. … Dizziness pills for cervical osteochondrosis cannot completely resolve.Medication. Cervical osteochondrosis must be treated. Doctors recommend choosing drugs for cervical vertigo. List of drugs for dizziness with cervical osteochondrosis. … Anesthetic-type medications are recommended to be used to quickly get rid of discomfort. First. Treatment of dizziness and treatment of alcoholism with cervical osteochondrosis consists in the use of certain medications. You can get rid of dizziness with the help of non-steroidal anti-inflammatory drugs, with the help of which the fight against puffiness is carried out.How to treat dizziness with cervical osteochondrosis with medication? … Drug therapy for osteochondrosis is not the main method of treatment – its use is justified only during the period. Drugs for the treatment of headaches in cervical osteochondrosis have general contraindications for use. For the treatment of dizziness, drug therapy must necessarily be accompanied by a complex of exercise therapy. A set of effective exercises is selected by the instructor. Content. What drugs to take.Vasodilators. Chondroprotectors. Euphyllin. Effective medicines for cervicothoracic osteochondrosis. Analgesics. Antispasmodics. Vasodilators. Physiotherapy treatment. Medicines for cervicothoracic ost.

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drug treatment of dizziness with cervical osteochondrosis medicines

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Treatment of osteochondrosis of the cervical spine with injections: what drugs are prescribed for the treatment of the spine? Osteochondrosis of the cervical spine – deformation of the intervertebral discs and dystrophy of the cartilage tissue. The disease occurs due to a sedentary lifestyle and curvature of posture. In the head. Video – Drugs for the treatment of cervical osteochondrosis. Osteochondrosis – clinics in Moscow. … Of all parts of the human body, the neck is considered the most mobile. The cervical spine includes 7 individual vertebrae.Between these vertebrae are located. If a diagnosis is made of osteochondrosis of the cervical spine, in addition to degenerative changes in a person. Pain relievers. Acute attacks in the thoracic spine require immediate treatment. In this case, analgesics are used that are produced. Osteochondrosis of the cervical spine occurs due to a number of reasons and requires complex treatment, including drug therapy, physiotherapy, massage, exercise therapy.Osteochondrosis of the cervical spine is a dangerous disease. There are many tablets for osteochondrosis of the cervical spine. … Treatment of osteochondrosis of the cervical spine includes the use of drugs that eliminate the neurological symptoms of the disease (including as part of the drug treatment of osteochondrosis of the cervical spine are often used. Taking pills for osteochondrosis of the cervical spine should be carried out in courses, the duration of the first reaches 2-3 months. for the joints during the given.What medications are used to treat cervical osteochondrosis? … Cervical osteochondrosis is a dystrophic destruction of the intervertebral discs of the cervical spine. Treatment of osteochondrosis of the cervical spine with medicines is necessarily supplemented with vitamins. An effective remedy is group B vitamins. Which pills to take does not matter, since such vitamins are presented in a wide range on the shelves of pharmacies. Drugs for the treatment of osteochondrosis of the lumbar spine and neck are produced in tablet form, c.Patients are advised to take pills for osteochondrosis of the cervical spine or drugs in the form of powders. This will lead to a gradual accumulation of drugs.

Heading health: everything about dizziness

Dizziness is one of the most frequent and at the same time one of the most “unloved” complaints by doctors. Dizziness is a fairly common condition, it is detected in about 5% of patients during general medical examinations and in about 10% of patients during examinations by otorhinolaryngologists and neurologists.

Vertigo is always a symptom and never a disease. At least 80 diseases have been described that have dizziness as a possible symptom, so it is probably not surprising that in about 40% of cases, a clear and definite diagnosis is not made.

The fact is that dizziness can be a symptom of a wide variety of neurological and mental diseases, diseases of the cardiovascular system, eyes and ear.

What is vertigo?
Since patients can call a variety of sensations “dizziness”, it is necessary first of all to clarify the nature of these sensations.They usually fall into one of four categories.

A. Vestibular dizziness (true dizziness) is usually caused by damage to parts of the vestibular system. It is manifested by the illusion of movement of one’s own body or surrounding objects. This creates sensations of spinning, falling, tilting or swaying. Acute dizziness is often accompanied by autonomic symptoms (nausea, vomiting, increased sweating), fear, imbalance, and nystagmus (oscillatory movements of the eyeballs).

B. Fainting and light-headedness. These terms denote a temporary loss of consciousness or the feeling of impending loss of consciousness. In a light-headed state, there is often increased sweating, nausea, fear, and darkening of the eyes. The immediate cause of fainting is a drop in cerebral blood flow below the level necessary to supply the brain with glucose and oxygen. Fainting and light-headedness usually develop against the background of arterial hypotension, heart disease, or as a result of autonomic reactions, and the tactics for these conditions are completely different than with vestibular dizziness.

B. Imbalance is characterized by instability, shaky (“drunk”) gait, but not true dizziness. The cause of this condition is damage to various parts of the nervous system that provide spatial coordination.

G. Vague sensations, often described as dizziness, occur with emotional disorders (neuroses). Patients usually complain of “fog in the head”, a feeling of slight intoxication, lightheadedness or fear of falling.These sensations are quite distinct from sensations in vestibular dizziness, fainting and imbalance. Since any dizziness, regardless of its cause, can cause anxiety, it cannot serve as proof of the psychogenic nature of the disease.

What can be accompanied by dizziness?
Dizziness is often accompanied by hearing loss and tinnitus if a hearing aid is involved. Quite often, dizziness is accompanied by vibrations of the eyeballs (nystagmus).

I often have dizziness in transport and at altitude. Why is this happening?
Motion sickness is caused by an unusual acceleration of the body or a mismatch between information coming to the brain from the vestibular and visual systems. For a person in a closed cabin of a ship or in the back seat of a moving car, vestibular information creates a sensation of acceleration, while visual information indicates the relative immobility of surrounding objects.The motion sickness is reduced with a sufficient panoramic view to make sure that the movement is real. Visually caused dizziness occurs when observing moving objects – due to a mismatch of visual information with the vestibular (for example, when a person watches a movie with a car chase).

Altitude dizziness is a common phenomenon that occurs when the distance between a person and the stationary objects they observe exceeds a certain critical value.The often observed fear of heights hinders adaptation.

Can medicines cause dizziness?
Many medications can make you feel dizzy. Most often these are some anticonvulsants, tranquilizers, antibiotics, and alcohols (alcohol).

After a traumatic brain injury, dizziness lasts for a long time. When will it pass?
Despite the fact that the vestibular apparatus is protected by a bone sheath, its thin membranes are easily damaged by injury.Uncomplicated concussion is associated with dizziness in more than 20% of cases. Vestibular dizziness, nausea, and vomiting may occur immediately after injury. The dizziness is persistent. Symptoms are aggravated by sudden head movements. In most cases, spontaneous improvement occurs within 2 months. after injury, and within 2 years – almost all. The trauma case is always special, it should be borne in mind that while the legal proceedings are ongoing, recovery is slower.

My dizziness occurs only in a certain position of the head and lasts for seconds. What is it?
Benign positional vertigo is probably the most common vestibular disorder. Dizziness in this case appears only when moving or changing the position of the head, especially when it bends back and forth. This condition often occurs when the patient turns over from his back to one side and suddenly, at a certain position of the head, he feels that “the room has gone.”Vertigo usually lasts for a few seconds. Often, patients know in what position of the head it occurs. There are many reasons for this condition.

What to do in case of persistent dizziness?
Since head movements and external stimuli increase dizziness, the patient is recommended to lie in a darkened room for 1-2 days. Fixation of the gaze reduces nystagmus and dizziness in some types of vestibular disorders. Often, the condition improves – and even to a greater extent than when lying with closed eyes – if patients fix their gaze on some closely located object (for example, in a painting or a finger raised up).Since mental stress increases dizziness, it is advisable to combine gaze fixation with methods of mental relaxation. The person feels seriously ill and is afraid of repeated attacks of dizziness. In such a situation, it is important to reassure the patient by convincing him that most acute vestibular disorders are not dangerous and pass quickly. It should also be explained that within a few days the nervous system will adjust to the imbalance between the vestibular organs and the dizziness will stop.Vestibular gymnastics, which stimulates the central compensatory processes, begins a few days after the acute manifestations subside.

Which medicine is better to take in case of acute dizziness?
Dizziness often comes on suddenly. For an accurate diagnosis of the cause, a doctor’s consultation and additional examinations are required. Today there are highly effective diagnostic tests, as well as drugs used to treat dizziness, motion sickness, tinnitus (Betaserc, etc.). Dizziness can be cured and let your head spin only from success!

Be healthy!

Arpimed

Driving and using machinery

Amlodipine may affect the ability to drive or use machinery. If after taking the pills you feel unwell, dizzy, tired or have a headache, do not drive, do not operate machinery and contact your doctor immediately.

The drug contains less than 1 mmol sodium (23 mg) per tablet, i.e. practically sodium-free.

How to take Amlodipine

Always take this medicine exactly as recommended by your doctor or pharmacist. If you have any doubts about taking a drug, consult your doctor or pharmacist.

The recommended starting dose of Amlodipine is 5 mg once a day. The dose of Amlodipine can be increased to 10 mg once a day.

This medicinal product can be used both before and after meals and drinks. This drug should be taken at the same time of day with water. Do not take Amlodipine with grapefruit juice.

Use in children and adolescents

For children and adolescents (6 to 17 years old), the recommended starting dose is 2.5 mg once a day. The maximum recommended dose is 5 mg once a day.Amlodipine 5 mg tablets can be divided into two equal doses.

It is important not to stop taking the drug. Do not wait until you run out of pills before going to the doctor.

If you took more Amlodipine than you recommended

Taking too many pills can cause a drop in blood pressure, up to alarming values. This may cause dizziness, weakness, or fainting. When blood pressure drops too much, shock can develop.This causes the skin to become cold and clammy and may develop unconsciousness. If you have taken too many Amlodipine tablets, seek medical attention immediately.

If you forget to take Amlodipine

Don’t worry. If you forget to take a tablet, skip this dose. Take your next dose at the right time. Do not take a double dose of the drug to make up for the missed dose.

If you stop taking Amlodipine

Your doctor will tell you how long to take this medicine.If you stop taking this drug earlier than the recommended time, a relapse is possible.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

What is dizziness, possible causes

Dizziness (vertigo) is an alarming symptom that accompanies a variety of diseases. Depending on the severity of the manifestations, a person may feel discomfort, disorientation in space, and nausea.In rare cases, dizziness is so strong that the patient loses consciousness, cannot stand on his own feet. The symptom is widespread among people of different genders and ages, but is especially common among the elderly and women.

Causes of dizziness

There are two groups of reasons why the head is spinning: physiological (caused by the natural state of the body) and pathological (caused by a disease).

Physiological factors

Among them:

  • abrupt start of movement, for example, a jump from a height;
  • oversaturation of the lungs with oxygen;
  • severe fright;
  • low level of hemoglobin in the blood;
  • insufficient nutrition or prolonged periods without food;
  • menstruation, menopause, or pregnancy (the main reason women feel dizzy).

Meteosensitivity is distinguished into a separate group of physiological factors. Around the world, a huge number of people complain about feeling unwell due to the weather. Violations cause changes in humidity, temperature, changes in atmospheric pressure before a blizzard or thunderstorm.

Pathological factors

Among them:

1. Ear diseases. Any disturbance in the vestibular apparatus can lead to the fact that the person will be constantly dizzy.For example, labyrinthitis – septic inflammation of the inner ear – provokes severe dizziness. The patient has a fever, headache, regular vomiting.

2. Pathology of the cervical spine. Diseases such as osteochondrosis, hernias, and whiplash injuries lead to impaired blood supply to the brain. This is one of the reasons why you feel dizzy.

3. Various phobias. Fear of heights, open spaces, and crowds can cause dizziness.Sometimes a person feels bad only from the thought of his fear.

4. Vascular pathologies. Ischemia, strokes, thrombosis cause cerebral hypoxia. Chronic oxygen starvation causes frequent dizziness.

5. Neuritis. The vestibulocochlear structure is affected, which transmits information from the vestibular apparatus directly to the brain. With neuritis, the dizziness may subside and worsen, accompanied by wandering headaches.

6. Meniere’s disease. In 5–8% of cases, this pathology is the cause of dizziness. Meniere’s disease is characterized by an increase in the volume of endolymph, which accumulates inside the labyrinth. The fluid creates excessive pressure in the inner ear, edema develops, and the work of the vestibular nerve is disrupted. The head is spinning in short fits, sporadically. The main symptom is accompanied by hearing loss, tinnitus.

7. Intoxication. When your head starts to spin sharply, it can be a symptom of poisoning with chemicals, food, various poisonous substances.Mercury, arsenic, lead are especially dangerous for the brain.

8. Brain tumors. The neoplasm in the process of growth compresses the surrounding tissues and disrupts their trophism.

9. Microstrokes. Transient cerebrovascular accident worsens the trophism of cerebral structures. Dizziness with a microstroke is strong, pronounced, accompanied by a sharp headache, paresis, speech disorders. An episode can last for several hours and requires urgent treatment.

10. Head injuries. Dizziness is caused by concussions, bruises. If a hematoma forms in the brain, the increase in CSF volume causes compression of the surrounding tissues. The nutrition of the brain is disturbed, the vessels are compressed.

Classification

Depending on the nature of the manifestations, several types of dizziness are distinguished in men and women:

1. True. Pathology is caused by abnormalities in the extrapyramidal system or vestibular apparatus.True dizziness occurs with vertebral artery syndrome, cerebellar pathology, inflammatory diseases of the inner ear, due to traumatic brain injury.

2. Pseudo-dizziness (organic syndrome). The patient feels unwell immediately after sleeping or when trying to get up quickly after sitting for a long time. There is no dizziness as such, but the person loses balance and falls. The reason for the false pathology may lie in a sharp violation of cerebral blood flow, insufficient trophism of tissues and organs.A similar symptom, when dizzy when standing up, is more often experienced by people with overweight or underweight, patients with neurological diagnoses. Rapid movement does not allow the body to adapt to the changed load. As a rule, pseudo-vertigo is harmless and does not require treatment. It is important to exclude the state of orthostatic hypotension, when a person’s blood pressure drops sharply when standing up.

3. Peripheral vertigo. The cause of the malaise is diseases of organs and systems that are not related to the brain.The head is dizzy due to the defeat of the vestibular apparatus. Trauma, toxic poisoning, viral and bacterial infections can lead to inflammation or destruction of the labyrinth. By itself, peripheral vertigo is not dangerous, but the underlying disease must be treated. Inflammation of the inner ear can progress to meningitis, spread to the sinuses, into the throat. Even without development, the disease interferes with daily life.

4. Central vertigo. Pathology is formed against the background of damage to the central nervous system. Possible causes: swelling, inflammation, compression of tissues in the frontal, occipital or parietal lobes, disorders of the cerebellum, extrapyramidal system. Central vertigo begins abruptly. Especially often, the symptom occurs during a rapid head turn, an unsuccessful tilt, or with other abnormal and abrupt movements. If dizziness is accompanied by weakness, hallucinations, you need to see a doctor immediately.Early diagnosis of pathologies is the key to successful treatment.

5. Secondary disorder. Dizziness develops as a consequence of the underlying disease. For example, impaired insulin sensitivity may be the cause of a secondary disorder.

6. Sensual form. The onset of a symptom provokes problems in the functioning of sensory organs. The patient may have impaired vision and hearing. Confusion is possible with a combination of light and noise stimuli, for example, when a person begins to feel dizzy when entering the dance floor.Sensual vertigo is always provoked by some external factor. Eliminating the trigger relieves the symptom.

Symptoms

The condition usually occurs suddenly, for no apparent reason. The person begins to feel dizzy, due to disorientation he is taken in one direction or the other. If the patient is sitting at this time, there may be a feeling of tilt in space or movement of surrounding objects. The manifestations are similar to those that occur after a long ride on the merry-go-round.The patient is uncertainly on his feet. In order not to fall, he needs support. The symptoms of vertigo usually subside quickly. Sometimes it is enough to sit or lie down and be at rest for a while.

Depending on the causes of dizziness, others may be added to the main symptom:

  • cold hands or feet;
  • feeling of lack of air;
  • feeling of fear, anxiety;
  • increased sweating in one area (for example, on the palms) or all over the body;
  • confusion of thoughts, feeling of lightness in the head;
  • nausea, vomiting;
  • numbness of the face, lips;
  • tinnitus;
  • acceleration of the heartbeat;
  • increase or decrease in pressure;
  • flashing “flies” before the eyes, darkening;
  • involuntary twitching of the eyeballs, etc.d.

Diagnostics

In total, about 80 diseases of various systems and organs can cause dizziness. For an accurate diagnosis, it is necessary to undergo a comprehensive examination by a general practitioner.

The patient is prescribed procedures in accordance with his condition:

1. General analysis of urine and blood.

2. Biochemical blood test.

3. Doppler ultrasonography of cerebral vessels.

4. Electroencephalography.

5. Research of hearing. Results of acoustic impedance, threshold audiometry may be required.

6. Posturography. During the study, the doctor assesses the mechanisms of interaction of the vestibular, visual and musculoskeletal systems that ensure balance. Rotation tests, caloric test are carried out.

7. Rheoencephalography. The study allows you to assess the trophism of brain tissue.

8. MRI. From the images, the doctor receives information about the state of the blood supply system, the presence and location of the tumor, the location of the inflammation focus, and other important data.

What to do in case of dizziness

When your head starts spinning, you need to calm down. Panic will complicate the situation. It is recommended to squat down or just on the floor, try to concentrate your gaze on one of the furnishings. Do not close your eyes! The dizziness will worsen if the brain stops receiving visual information.

If for some time the symptom intensifies, palms begin to sweat, nausea sets in, there is a feeling of tightness in the chest, it is necessary to call a doctor.Before the arrival of an ambulance, it is better to lie down horizontally, not to make sudden movements.

If you witness another person’s dizziness, help him to sit up. You can unbutton your outerwear and open the window for fresh air. The patient is placed on a sofa or any other horizontal surface, shoulders and neck are placed on a pillow. In an elevated position, the arteries will not bend and allow blood to flow to the brain. A cold towel applied to your forehead will help relieve the attack.

Treatment of dizziness

Complex treatment, selected individually for each patient. To prescribe adequate therapy, the doctor must have a clear answer to the question of why the patient is dizzy.

Drug therapy

If the cause of dizziness in a woman or a man is a circulatory disorder, vasodilator drugs are prescribed. An additional intake of antihistamines or other drugs that improve the rheological properties of blood is possible.

If the head is spinning due to a neurological disease, the doctor prescribes nootropics. Medicines improve nerve conduction.

Osteochondrosis causing dizziness requires complex treatment. Prescribe non-steroidal anti-inflammatory drugs, muscle relaxants.

Dizziness in women, which occurs during menopause or on certain days of the menstrual cycle, disappears after hormone therapy. Treatment is carried out under the supervision of a gynecologist.

Compliance with work and rest regime

The patient is recommended to normalize his sleep, reduce the time spent in front of the computer if possible. It is important to observe the alternation of physical and mental stress.

Diet

It is necessary to exclude from the diet foods that increase or decrease blood pressure, spasm blood vessels, and have an exciting effect on the nervous system. The patient is advised to give up salty, spicy foods, strong tea and coffee.

Gymnastics

Simple exercise is helpful between attacks. Gymnastics will improve blood circulation, relieve muscle spasms, and stabilize the psychological state. You can rotate your head, body. If you do exercises with open and closed eyes, the vestibular apparatus will be additionally strengthened.

Simple complexes for balance, swimming, any other feasible loads are welcome.

Prevention of dizziness

To reduce the frequency of attacks and prevent them from occurring, it is recommended to adhere to the principles of a healthy lifestyle:

  • giving up bad habits: smoking and drinking alcohol;
  • exclusion from the diet of salty, spicy, smoked, fatty foods;
  • limited intake of sweets and caffeine;
  • daily morning exercises, physical activity;
  • regular walks in the fresh air;
  • fractional proper nutrition with a large amount of vegetables, fruits, rich in vitamins;
  • sleep on orthopedic mattresses and pillows if there are problems with the spine.