Best drug for vertigo. Best Medicine for Vertigo: Comprehensive Guide to Effective Treatments
What are the most effective medications for vertigo. How do different vertigo drugs compare in terms of efficacy and side effects. Which vertigo treatments work best for different types and causes of dizziness. What non-medication options can help manage vertigo symptoms.
Understanding Vertigo: Causes, Symptoms, and Diagnosis
Vertigo is a disorienting condition characterized by a false sensation of movement or spinning. While often described as dizziness, vertigo is more specific – it’s the illusion that you or your surroundings are rotating or moving when they’re actually stationary. This disturbance in spatial perception can significantly impact daily life and lead to complications if left untreated.
Common Causes of Vertigo
- Benign Paroxysmal Positional Vertigo (BPPV)
- Meniere’s disease
- Vestibular neuritis or labyrinthitis
- Acoustic neuroma
- Migraine-associated vertigo
- Certain medications
- Head or neck injuries
Identifying the underlying cause is crucial for determining the most effective treatment approach. For instance, BPPV, the most common cause, results from calcium crystals in the inner ear becoming dislodged, while Meniere’s disease involves fluid buildup in the inner ear.
Recognizing Vertigo Symptoms
Vertigo symptoms can vary in intensity and duration, but typically include:
- Sensation of spinning or tilting
- Loss of balance
- Nausea and vomiting
- Headache
- Sweating
- Abnormal eye movements (nystagmus)
- Ringing in the ears (tinnitus)
These symptoms may be triggered by certain head movements or occur spontaneously, depending on the underlying cause.
Diagnosing Vertigo
Accurate diagnosis is essential for effective treatment. Healthcare providers may use various methods to diagnose vertigo:
- Physical examination
- Dix-Hallpike test
- Electronystagmography (ENG) or videonystagmography (VNG)
- Magnetic Resonance Imaging (MRI)
- Computerized Tomography (CT) scan
- Audiometry
These tests help determine the type of vertigo and its underlying cause, guiding treatment decisions.
Top Medications for Vertigo Treatment
Several medications can effectively manage vertigo symptoms. The choice of medication often depends on the underlying cause, severity of symptoms, and individual patient factors.
Meclizine: A First-Line Treatment Option
Meclizine, an antihistamine, is one of the most commonly prescribed medications for vertigo. It works by reducing the activity of nerve fibers in the inner ear, which helps alleviate dizziness and nausea associated with vertigo.
- Brand names: Antivert, Bonine, Dramamine II
- Average rating: 6.8 out of 10 based on 151 reviews
- Available as: Prescription and over-the-counter
- Pregnancy category: B
Meclizine is particularly effective for motion sickness and vertigo caused by inner ear problems. However, it may cause drowsiness and is not recommended for long-term use.
Dimenhydrinate: Combating Nausea and Dizziness
Dimenhydrinate, another antihistamine, is effective in treating vertigo symptoms, especially nausea and vomiting.
- Brand name: Dramamine
- Available as: Over-the-counter
- Best for: Short-term relief of vertigo symptoms, particularly related to motion sickness
While effective, dimenhydrinate can cause significant drowsiness and is not ideal for long-term management of chronic vertigo.
Promethazine: A Versatile Option
Promethazine is a phenothiazine antiemetic that can be useful in managing severe vertigo symptoms, including intense nausea and vomiting.
- Brand name: Phenergan
- Available as: Prescription only
- Best for: Severe vertigo episodes with pronounced nausea
Promethazine can cause significant sedation and may interact with other medications, so it should be used under close medical supervision.
Comparing Efficacy and Side Effects of Vertigo Medications
When choosing a medication for vertigo, it’s important to consider both efficacy and potential side effects. Here’s a comparison of some common vertigo medications:
Medication | Efficacy | Common Side Effects | Best For |
---|---|---|---|
Meclizine | Moderate to High | Drowsiness, dry mouth | General vertigo, motion sickness |
Dimenhydrinate | Moderate | Drowsiness, dizziness | Motion sickness, short-term relief |
Promethazine | High | Sedation, dry mouth | Severe vertigo with nausea |
Betahistine | Moderate | Headache, upset stomach | Meniere’s disease |
Individual response to these medications can vary, and what works best for one person may not be as effective for another. It’s crucial to work closely with a healthcare provider to find the most suitable treatment option.
Non-Medication Approaches to Vertigo Management
While medications can be highly effective in managing vertigo symptoms, several non-pharmacological approaches can also provide relief and improve overall management of the condition.
Vestibular Rehabilitation Therapy (VRT)
VRT is a specialized form of physical therapy designed to improve balance and reduce dizziness-related problems. It involves exercises that help the brain compensate for inner ear problems and reduce vertigo symptoms.
- Gaze stabilization exercises
- Balance training
- Habituation exercises
VRT can be particularly effective for chronic vertigo and may reduce reliance on medications over time.
Canalith Repositioning Procedures
For vertigo caused by BPPV, canalith repositioning procedures like the Epley maneuver can be highly effective. These maneuvers involve specific head movements designed to guide displaced calcium crystals back to their proper location in the inner ear.
Success rates for these procedures can be as high as 80% in resolving BPPV symptoms, often providing immediate relief.
Lifestyle Modifications
Certain lifestyle changes can help manage vertigo symptoms and reduce the frequency of episodes:
- Avoiding triggers (e.g., certain head movements)
- Staying hydrated
- Managing stress
- Getting adequate sleep
- Avoiding alcohol and tobacco
These modifications, when combined with appropriate medical treatment, can significantly improve quality of life for those with vertigo.
Emerging Treatments and Research in Vertigo Management
The field of vertigo treatment is continually evolving, with new therapies and approaches being researched and developed. Understanding these emerging options can provide hope for those who haven’t found relief with traditional treatments.
Gene Therapy for Inner Ear Disorders
Researchers are exploring gene therapy as a potential treatment for certain types of vertigo caused by genetic inner ear disorders. This innovative approach aims to correct or replace faulty genes responsible for vestibular dysfunction.
While still in experimental stages, early studies have shown promising results in animal models, potentially opening new avenues for treating previously intractable forms of vertigo.
Vestibular Implants
Similar to cochlear implants for hearing loss, vestibular implants are being developed to address severe balance disorders. These devices aim to restore vestibular function by providing the brain with electronic signals to compensate for a damaged vestibular system.
Clinical trials are ongoing, and while not yet widely available, vestibular implants represent a exciting frontier in vertigo treatment, especially for those with bilateral vestibular loss.
Neuromodulation Techniques
Various neuromodulation techniques are being investigated for vertigo treatment:
- Transcranial magnetic stimulation (TMS)
- Galvanic vestibular stimulation (GVS)
- Vagus nerve stimulation (VNS)
These methods aim to modulate neural activity in areas of the brain involved in balance and spatial orientation. While research is ongoing, early results suggest potential benefits in reducing vertigo symptoms and improving balance.
Integrative Approaches to Vertigo Management
An integrative approach to vertigo management, combining conventional medical treatments with complementary therapies, can offer comprehensive relief for many patients. This holistic strategy addresses not only the symptoms but also the overall well-being of individuals suffering from vertigo.
Acupuncture and Traditional Chinese Medicine
Acupuncture has shown promise in managing vertigo symptoms for some patients. This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to balance the flow of energy or life force.
- May help reduce dizziness and improve balance
- Can be used in conjunction with conventional treatments
- Limited side effects when performed by a qualified practitioner
While more research is needed to fully understand its efficacy, many patients report improvement in vertigo symptoms with regular acupuncture sessions.
Herbal Remedies and Supplements
Certain herbs and supplements have been traditionally used to manage vertigo symptoms:
- Ginkgo biloba: May improve blood flow to the brain
- Ginger: Known for its anti-nausea properties
- Vitamin D: Deficiency has been linked to BPPV
It’s important to consult with a healthcare provider before starting any herbal or supplement regimen, as these can interact with medications and may not be suitable for everyone.
Mind-Body Techniques
Stress and anxiety can exacerbate vertigo symptoms. Mind-body techniques can help manage these factors and improve overall well-being:
- Meditation
- Yoga (with modifications for balance issues)
- Tai Chi
- Biofeedback
These practices can help reduce stress, improve balance, and enhance overall quality of life for those dealing with chronic vertigo.
Long-Term Management and Prognosis of Vertigo
Managing vertigo often requires a long-term strategy, as the condition can be chronic or recurrent for many individuals. Understanding the prognosis and developing a comprehensive management plan is crucial for maintaining quality of life.
Monitoring and Adjusting Treatment
Regular follow-ups with healthcare providers are essential for effective long-term management of vertigo. These appointments allow for:
- Assessing treatment efficacy
- Adjusting medications as needed
- Addressing any new or changing symptoms
- Evaluating the need for additional therapies
Treatment plans may need to be modified over time as the condition evolves or as new treatments become available.
Coping Strategies for Chronic Vertigo
Living with chronic vertigo can be challenging, but developing effective coping strategies can significantly improve daily life:
- Creating a safe home environment to prevent falls
- Using assistive devices when necessary
- Practicing relaxation techniques to manage stress
- Joining support groups to connect with others experiencing similar challenges
These strategies, combined with medical treatment, can help individuals maintain independence and quality of life despite ongoing vertigo symptoms.
Prognosis and Recovery
The prognosis for vertigo varies depending on the underlying cause:
- BPPV: Often resolves with treatment, but can recur
- Vestibular neuritis: Usually improves over weeks to months
- Meniere’s disease: Chronic condition requiring ongoing management
- Migraine-associated vertigo: May improve with migraine management
Many individuals experience significant improvement with appropriate treatment and management strategies. However, some may need to adapt to living with occasional or chronic symptoms.
In conclusion, while vertigo can be a challenging condition, a wide range of treatment options and management strategies are available. From medications and physical therapies to emerging treatments and integrative approaches, individuals with vertigo have numerous pathways to explore in their journey toward symptom relief and improved quality of life. Working closely with healthcare providers and staying informed about new developments in vertigo treatment can help ensure the most effective and personalized management plan.
List of 11 Vertigo Medications Compared
Other names: Balance Disorder; Benign Positional Vertigo; BPV; Dizziness; Lightheadedness, dizzy; Loss of balance
An illusion of movement, a sensation as if the external world were revolving around the patient
Drugs used to treat Vertigo
The following list of medications are in some way related to or used in the treatment of this condition.
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Drug name | Rating | Reviews | com website.”> | Rx/OTC | Pregnancy | CSA | Alcohol |
---|---|---|---|---|---|---|---|
meclizine | 6.8 | 151 reviews for meclizine to treat Vertigo | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Brand names: Antivert, Bonine, Dramamine II, Dramamine Less Drowsy, Travel-Ease Drug class: For consumers: For professionals: | |||||||
Antivert | 7. 2 | 11 reviews for Antivert to treat Vertigo | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Drug class: For consumers: For professionals: | |||||||
Bonine | 8. 2 | 11 reviews for Bonine to treat Vertigo | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Drug class: For consumers: | |||||||
Dramamine II | 9. 1 | 7 reviews for Dramamine II to treat Vertigo | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Drug class: For consumers: | |||||||
promethazine | 6. 3 | 10 reviews for promethazine to treat Vertigo | Rx | C | N | X | |
Generic name: promethazine systemic Brand names: Phenergan, Phenadoz, Promethegan, Antinaus 50 Drug class: For consumers: For professionals: | |||||||
Phenergan | 6. 8 | 5 reviews for Phenergan to treat Vertigo | Rx | C | N | X | |
Generic name: promethazine systemic Drug class: For consumers: For professionals: | |||||||
Dramamine Less Drowsy | 9. 0 | 2 reviews for Dramamine Less Drowsy to treat Vertigo | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Drug class: For consumers: | |||||||
Phenadoz | Rate | Add review | Rx | C | N | X | |
Generic name: promethazine systemic Drug class: For consumers: | |||||||
Promethegan | Rate | Add review | Rx | C | N | X | |
Generic name: promethazine systemic Drug class: For consumers: For professionals: | |||||||
Travel-Ease | Rate | Add review | Rx/OTC | B | N | X | |
Generic name: meclizine systemic Drug class: For consumers: | |||||||
Antinaus 50 | Rate | Add review | Rx | C | N | X | |
Generic name: promethazine systemic Drug class: For consumers: | |||||||
Frequently asked questions
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Learn more about Vertigo
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- Dizziness
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Rating | For ratings, users were asked how effective they found the medicine while considering positive/adverse effects and ease of use (1 = not effective, 10 = most effective). |
---|---|
Activity | Activity is based on recent site visitor activity relative to other medications in the list. |
Rx | Prescription only. |
OTC | Over-the-counter. |
Rx/OTC | Prescription or Over-the-counter. |
Off-label | This medication may not be approved by the FDA for the treatment of this condition. |
EUA | An Emergency Use Authorization (EUA) allows the FDA to authorize unapproved medical products or unapproved uses of approved medical products to be used in a declared public health emergency when there are no adequate, approved, and available alternatives. |
Expanded Access | Expanded Access is a potential pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available. |
Pregnancy Category | |
---|---|
A | Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters). |
B | Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women. |
C | Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks. |
D | There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks. |
X | Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits. |
N | FDA has not classified the drug. |
Controlled Substances Act (CSA) Schedule | |
---|---|
M | The drug has multiple schedules. The schedule may depend on the exact dosage form or strength of the medication. |
U | CSA Schedule is unknown. |
N | Is not subject to the Controlled Substances Act. |
1 | Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision. |
2 | Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence. |
3 | Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence. |
4 | Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3. |
5 | Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4. |
Alcohol | |
---|---|
X | Interacts with Alcohol. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medical Disclaimer
Medications for Dizziness – And Other Vertigo Treatments
As creatures of habit, we prefer the easiest solution. It doesn’t matter if it’s the best solution. As long as it requires the least amount of effort. That’s why there exists an entire class of medications for dizziness which are widely prescribed and used.
Ironically, there’s a long list of medications that cause dizziness. But that’s beside the point.
Are over-the-counter medications for dizziness effective? Sometimes. Are they something you should use long-term? Most certainly not.
However, many dizzy patients find themselves using OTC dizziness medications for years of their lives without ever getting the proper treatment.
Medications for Dizziness
Undoubtedly, the pharmaceutical industry has developed some great medications for dizziness. We cannot deny that. And they can be used short-term on patients who are really in a bad state.
These are some of the most widely-used medications for short term dizziness:
- Meclizine
- Promethazine
- Bonine
- Antivert
- Dramamine
However, these dizziness medications are a band-aid solution. An accessible, temporary fix that only temporarily alleviates symptoms.
Using over-the-counter medications for dizziness is like patching a hole on your roof with paper towels. It might work for a day or a couple of hours, but you’re committing to changing those paper towels every day… And who wants to do that?!
There are too many types of dizziness and sources of dizziness to just take a pill and expect it to solve your problems. For instance, you might be taking Antivert when your dizziness is actually caused by high blood pressure. So what’s the right way to treat dizziness?
When working with your physician and knowledgeable vestibular specialists, it will be determined if medications are necessary and the potential risk certain medications can have on slowing down the vestibular compensation process.
There are a few classes of prescription medications useful in the treatment of vertigo. And working with your physician will determine what specific regimen makes the most sense for your cause of symptoms.
They can be used to alter the severity of symptoms (a good example of this would be when vestibular suppressants like anticholinergics and benzodiazepines are used for Ménière’s disease and briefly used for vestibular neuritis), or when prescribed to address the underlying cause of migraine associated vertigo (prophylactic agents L-channel calcium channel antagonists, beta-blockers and tricyclic antidepressants).
For BPPV and bilateral vestibular disorders, medications (over-the-counter or prescription) are not currently recommended and starting vestibular rehabilitation therapy is vital.
The Right Way to Treat Dizziness
First and foremost, if you experience frequent dizzy or vertigo spells, then you need to find the right doctor to diagnose your problem. Unfortunately, too often, people visit the wrong doctors to treat their dizziness. That’s why there’s The Dizzy Diagnosis Conundrum: Why Dizzy Patients Struggle to Get Answers.
Following up with your primary care physician and getting medical clearance is important. Once your doctor has evaluated you, following up with the right doctor for dizziness is a Vestibular Audiologist, such as the team at the Dizzy & Vertigo Institute.
Vestibular Audiologists have the proper equipment to pinpoint the source of many types of dizziness. Whether it’s coming from the inner ear, the brain stem and nervous system, or even from other causes (hydration, blood pressure, stress, etc. ). Vestibular Audiologists specialize in dizziness.
Fixing dizziness longterm happens through Vestibular Rehabilitation Therapy. It’s a program that encompasses recalibrating the input the brain takes in between the ears, eyes and muscles through Visual Desentization, Optokinetic Exposure, Gaze Stabilization, Habituation and/or Canalith Repositioning. All of which are used to naturally reset your balance system and build your body’s ability to reset its own balance.
To understand our process for treating dizzy patients in detail, head over to this article: How We Treat Dizziness – What To Expect Working with the Dizzy & Vertigo Institute.
We know that life is hectic. And adding dizziness on top of it only makes things worse. So, we understand why you might be tempted to reach for Antivert or Dramamine. But there’s a better, long-lasting solution out there for you. And it starts with a consultation at the Dizzy & Vertigo Institute.
You can reach us at (310) 954-2207 or by filling out our contact form.
We’re standing by, ready to help!
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Well, if the head is fooled by such a good fortune, then there is no drive for praise. However, even if it’s a wrapper because of the disruption of the function of such an organ in the human body, then it’s good to think about going to the doctor. Often zamorochennya do not carry serious nasledkіv, ale bovaє і navpaki. The reasons for the confusion can be different, the main ones are: problems in the work of the cardiovascular system, strong and sharp shocks, damage to the soft and hard tissues of the head. If it is necessary for a person to consult with a doctor, I will explain the reason for this and recognize the faces of the confusion.
Causes and treatments for constipation.
Tanakan, Betaserk, Relanium, Veroshpiron, Seduxen, Diazepam are prescribed in this way due to the problems in the work of the heart-vascular system. These preparations are available in any pharmacies. At that point, as if the confusion was blunted by the disruption or by disorders of the mucosal-intestinal tract, then zastosovuyut: Festal, Mezim, Pancreatin, -shpa Ale. If the head is fooled by the problems of the musculoskeletal apparatus, then the most common drug is Diclofenac, Ibuprofen, Ibuprom, Promethazine, Tagista.
Another way to understand how to correct confusion, it is also called “vertigo”. With such a state, all dovkol and people will be spinning, it is possible to step out of the carousel. In such a situation, I can turn for help likіv in the confusion of Betaserk. Such a camp is talking about the loss of the vestibular apparatus. It is not safe, if the confusion is accompanied by weakness at once, it can be evidence of oncological or infectious diseases.
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Complaints of dizziness are among the most frequent in practical medicine, second only to headache. Vertigo syndrome can be an important sign of various diseases: neurological, otiatric (inner ear), cardiovascular, mental and others. Dizziness is a symptom and is not a disease.
Possible causes of dizziness 2 :
- pathology of the vestibular analyzer;
- Meniere’s disease;
- migraine;
- neurotic disorders;
- destructive changes in the cervical spine;
- diseases of internal organs;
- diseases of the organ of vision;
- labyrinthitis;
- vestibular neuritis;
- cholesteatoma;
- disorders of cerebral circulation.
Dizziness may be temporary or prolonged, especially if it is a sign of inflammation of the middle or inner ear (eg Meniere’s disease). A person with dizziness may have problems with balance and consciousness, feel dizzy, nausea, pain. Dizziness itself is the feeling that the room or environment is spinning around the person.
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Any drug “for dizziness” is a symptomatic therapy that eliminates only the unpleasant sensations themselves. Therefore, the first step in the treatment of dizziness is a visit to a neurologist or therapist, and if it is ear pain, an ENT doctor.
List of top 5 tablets for dizziness according to KP
Important! All drugs have side effects and contraindications. Our material is an overview and does not serve as a guide to action. Before buying drugs, consult your doctor.
Aviamarin
The drug belongs to the pharmacological group of h2-histamine receptor blockers, and its active ingredient is dimenhydrinate. The remedy is used for pathologies of the vestibular apparatus: motion sickness in transport, Meniere’s disease. Aviamarin is also used as a prevention and treatment of symptoms of vestibular and labyrinth disorders.
Contraindications : 1st trimester of pregnancy, lactation, hypersensitivity to the components of the drug, epilepsy, age up to 3 years, acute exudative and vesicular dermatoses.
Dramina
The drug is available in the form of tablets, its active ingredient is also dimenhydrinate. The tool has antiemetic, sedative and moderate antiallergic effect, helps to eliminate dizziness.
Indications for use are motion sickness in transport, prevention and treatment of symptoms of vestibular and labyrinth disorders (dizziness, nausea, vomiting), as well as Meniere’s disease.
Contraindications: acute dermatoses, epilepsy, age up to 3 years, pregnancy, breastfeeding period, hypersensitivity to the drug components.
Memoplant
The herbal preparation is available in the form of small white film-coated tablets. The active substance of the product is a dry extract of the leaves of ginkgo biloba, which is used for disorders of attention and memory, dizziness, tinnitus, fear, sleep disorders. The instructions indicate that Memoplant improves cerebral and peripheral circulation.
Contraindications : hypersensitivity to the components of the drug, reduced blood clotting, peptic ulcer of the stomach and duodenum in the acute phase, erosive gastritis, acute cerebrovascular accident, arterial hypotension, acute myocardial infarction, pregnancy and breastfeeding, age up to 18 years old.
Ginkoum
Herbal product with dry extract of Ginkgo biloba leaves as an active ingredient. The drug helps to improve cerebral circulation and the supply of oxygen and glucose to the brain, has a vasodilating effect, helps to normalize metabolic processes.
Ginkoum is available in the form of brown capsules and is used for disorders of attention and memory, dizziness, tinnitus, sleep disorders, general malaise arising from cerebrovascular disorders.
Contraindications : reduced blood clotting, erosive gastritis, peptic ulcer of the stomach and 12 duodenal ulcer in the acute phase, acute cerebrovascular accident, acute myocardial infarction, arterial hypotension, pregnancy, lactation, age up to 18 years, hypersensitivity to drugs ginkgo biloba.
Vertigoheel
Multi-component homeopathic preparation is available in white and yellowish-white lozenges and drops for oral administration. Indications for admission are dizziness of various origins, including dizziness associated with motion sickness in transport.
Important! Vertigoheel can cause allergic reactions, so it must be taken strictly according to the instructions, and if the condition worsens, immediately consult a doctor.
Contraindications : increased individual sensitivity to the components of the drug, pregnancy, breastfeeding, age up to 18 years, lactase deficiency, lactose intolerance.
How to choose pills for dizziness
Given the fact that there are a lot of causes of dizziness, it is impossible to say unequivocally which are the best pills for dizziness. In each specific situation, these can be drugs of completely different pharmacological groups and the principle of action. Generally speaking, doctors prescribe a number of medications for the development of dizziness and its accompanying symptoms. It can be:
- tranquilizers;
- diuretics;
- antihistamines;
- drugs from the group of calcium antagonists;
- ACE inhibitor tablets;
- cerebrovascular dilators;
- anti-inflammatory drugs.
A specific drug and concomitant treatment is selected only by a doctor, focusing on the patient’s age, the cause that provoked dizziness, existing contraindications and chronic diseases. It is forbidden to take any drugs on your own.
If the problem is related to the brain itself, nootropic drugs are most often used, which help in accelerating the metabolism in the cells of the cerebral cortex and saturating them with oxygen.
If the cause is in various diseases of the nervous system, neuroleptics can help, which suppress psychomotor agitation, inhibit the activity of nervous processes.
Antihistamines, which have a sedative effect, can be used for motion sickness or drug side effects.
With migraines, Meniere’s disease and some problems with blood vessels, antispasmodics will be effective, which relieve spasms of blood vessels and improve blood flow to the brain.
Popular Questions and Answers
We asked a neurologist of the highest category Evgeny Mosin about dizziness and the choice of drugs for it.
What causes dizziness?
— Dizziness can be caused by a variety of conditions, which usually involve an imbalance in the inner ear or problems with the central nervous system (CNS). Conditions that can lead to dizziness include the following:
● Labyrinthite. This disorder can occur when an infection from the middle ear or nasopharynx causes inflammation of the labyrinth, part of the inner ear. This area contains the vestibulocochlear nerve. This nerve sends information about head movement, body position, and sound to the brain. In addition to dizziness, a person with labyrinthitis may experience hearing loss, tinnitus, headaches, ear pain, and vision changes.
● Vestibular neuritis. The infection also causes vestibular neuritis, which is inflammation of the vestibular nerve. The disease is similar to labyrinthitis, but does not affect a person’s hearing. Vestibular neuritis causes dizziness, which may accompany blurred vision, severe nausea, or a feeling of imbalance.
● Cholesteatoma. This non-cancerous growth develops in the middle ear, usually due to repeated infection. When it grows behind the eardrum, the tumor can damage the bony structures of the middle ear, leading to hearing loss and dizziness.
● Meniere’s disease. This condition causes fluid to build up in the inner ear, which can lead to bouts of vertigo with tinnitus and hearing loss. It is more common in people between the ages of 40 and 60. The exact cause is unclear, but it may be caused by narrowing of the blood vessels, a viral infection, or an autoimmune reaction.
Dizziness may also occur with:
● migraine;
● head injuries;
● ear surgery;
● perilymph fistula, where fluid from the inner ear seeps into the middle ear due to a rupture of one of the two membranes between the middle ear and the inner ear;
● herpes zoster in or around the ear;
● otosclerosis, where the problem of overgrowth of the bones of the middle ear leads to hearing loss;
● ataxia resulting in muscle weakness;
● stroke or transient ischemic attack, which people sometimes refer to as a mini-stroke;
● cerebellar or brain stem disease;
● acoustic neuroma, which is a benign growth that develops on the vestibulochochlar nerve near the inner ear;
● multiple sclerosis.
Prolonged bed rest and the use of certain medications can also cause dizziness.
What to do if you feel dizzy?
– Some types of dizziness go away without intervention, but the person may need treatment for the underlying problem. A doctor may, for example, prescribe antibiotics for a bacterial infection or antivirals for shingles. Medications are available that can relieve some of the symptoms. These medications include antihistamines and antiemetics to reduce motion sickness and nausea.
If other treatments fail, surgery may be needed, especially for BPPV and acoustic neuroma. But you can’t take anything on your own, be sure to contact a neurologist or ENT.
Can you get rid of dizziness yourself?
– There are some things you can do at home to help relieve dizziness and limit its effects. But these are not drugs, but lifestyle changes.
Steps that can help relieve dizziness include:
● lying still in a quiet, dark room if you feel dizzy;
● sitting down on a chair or leaning on objects as soon as dizziness appears;
● careful movement that may cause symptoms: standing up abruptly, turning or tilting the head;
● squatting instead of bending down to pick something up;
● use a walking stick if necessary;
● head up on two or more pillows;
● Devices in the house to turn on the light when getting up at night to prevent falling.