What are the most effective medications for treating dizziness and vertigo. How can you find long-term relief from vertigo symptoms. What role does vestibular rehabilitation therapy play in managing dizziness. When should you seek professional help for persistent dizziness.

Understanding Dizziness and Vertigo: Causes and Symptoms

Dizziness and vertigo are common complaints that can significantly impact a person’s quality of life. While often used interchangeably, these terms describe distinct sensations. Dizziness is a general feeling of lightheadedness or unsteadiness, whereas vertigo is characterized by a false sense of spinning or movement.

What causes dizziness and vertigo? There are numerous potential triggers, including:

• Inner ear disorders (e.g., Benign Paroxysmal Positional Vertigo, Ménière’s disease)
• Vestibular neuritis or labyrinthitis
• Migraine-associated vertigo
• Cardiovascular issues
• Neurological conditions
• Certain medications
• Dehydration or electrolyte imbalances

Identifying the underlying cause is crucial for effective treatment. However, many individuals resort to over-the-counter medications as a quick fix without addressing the root problem.

Common Over-the-Counter Medications for Dizziness

Over-the-counter (OTC) medications are often the first line of defense for those experiencing dizziness or vertigo. While these can provide temporary relief, they are not intended for long-term use.

Which OTC medications are commonly used for dizziness? Some popular options include:

• Meclizine (Antivert, Bonine)
• Dimenhydrinate (Dramamine)
• Diphenhydramine (Benadryl)

These medications primarily work by suppressing the vestibular system, which can help alleviate symptoms in the short term. However, prolonged use may interfere with the body’s natural compensation mechanisms and delay proper diagnosis and treatment.

Prescription Medications for Vertigo and Dizziness

When OTC options prove insufficient, healthcare providers may prescribe stronger medications to manage dizziness and vertigo. The choice of medication depends on the underlying cause and individual patient factors.

What prescription medications are used to treat vertigo? Some common options include:

1. Anticholinergics (e.g., scopolamine)
2. Benzodiazepines (e.g., diazepam, clonazepam)
3. Antihistamines (e.g., promethazine)
4. Calcium channel blockers (for vestibular migraine)
5. Beta-blockers (for vestibular migraine)
6. Tricyclic antidepressants (for vestibular migraine)

It’s important to note that these medications should be used under the guidance of a healthcare professional, as they can have side effects and may not be suitable for everyone.

The Limitations of Medication-Based Approaches

While medications can provide relief from dizziness and vertigo symptoms, they often serve as a temporary solution rather than addressing the underlying cause. Relying solely on medications can lead to several issues:

• Masking symptoms without resolving the root problem
• Potential side effects and drug interactions
• Risk of dependency or tolerance with long-term use
• Delayed diagnosis and treatment of the underlying condition

Are medications alone sufficient for treating chronic dizziness? In most cases, a comprehensive approach that includes proper diagnosis, targeted treatment, and rehabilitation is more effective for long-term management.

The Importance of Proper Diagnosis

Accurate diagnosis is crucial for effective treatment of dizziness and vertigo. Many patients struggle to find answers due to the complex nature of these symptoms and the variety of potential causes.

Why is diagnosing the cause of dizziness challenging? Several factors contribute to this difficulty:

• Overlap of symptoms among different conditions
• Multifactorial nature of some cases
• Lack of specialized knowledge among some healthcare providers
• Limited availability of advanced diagnostic tools in general practice settings

To overcome these challenges, patients experiencing persistent or recurrent dizziness should seek evaluation from specialists with expertise in vestibular disorders, such as vestibular audiologists or neurotologists.

Vestibular Rehabilitation Therapy: A Key Component of Treatment

Vestibular rehabilitation therapy (VRT) is a specialized form of physical therapy designed to address balance disorders and dizziness. This approach focuses on retraining the brain to process balance information more effectively.

What does vestibular rehabilitation therapy involve? VRT may include various exercises and techniques:

• Gaze stabilization exercises
• Balance training
• Habituation exercises
• Visual desensitization
• Optokinetic exposure
• Canalith repositioning maneuvers (for BPPV)

VRT is particularly effective for conditions such as unilateral vestibular hypofunction, bilateral vestibular loss, and BPPV. It can also be beneficial for patients with vestibular migraine and other balance disorders.

Comprehensive Approach to Managing Dizziness and Vertigo

Effectively managing dizziness and vertigo often requires a multifaceted approach that goes beyond medication. A comprehensive treatment plan may include:

1. Thorough diagnostic evaluation
2. Targeted medical interventions (when appropriate)
3. Vestibular rehabilitation therapy
4. Lifestyle modifications
5. Patient education and self-management strategies

How can patients actively participate in their treatment? Individuals can take several steps to support their recovery:

• Keeping a symptom diary to identify triggers
• Following prescribed exercise regimens consistently
• Making necessary lifestyle changes (e.g., diet, sleep habits)
• Communicating regularly with healthcare providers about progress and concerns

By adopting a holistic approach to treatment, many patients can achieve significant improvement in their symptoms and overall quality of life.

The Role of Lifestyle Modifications

In addition to medical treatments and rehabilitation, certain lifestyle changes can help manage dizziness and vertigo:

• Maintaining proper hydration
• Following a balanced diet low in sodium (especially for Ménière’s disease)
• Managing stress through relaxation techniques or counseling
• Avoiding known triggers (e.g., certain head movements, specific foods)
• Ensuring adequate sleep and regular exercise

These modifications can complement other treatments and contribute to overall symptom management.

When to Seek Professional Help for Dizziness

While occasional mild dizziness may not be cause for concern, certain situations warrant prompt medical attention. Individuals should consult a healthcare provider if they experience:

• Severe or prolonged episodes of dizziness or vertigo
• Dizziness accompanied by other neurological symptoms (e.g., headache, vision changes, weakness)
• Recurrent episodes that interfere with daily activities
• Sudden onset of intense vertigo
• Dizziness following a head injury

Early intervention can lead to more effective treatment and prevent potential complications.

Choosing the Right Healthcare Provider

Finding the right healthcare provider is crucial for effective management of dizziness and vertigo. Who should patients consult for persistent dizziness?

• Primary care physician (for initial evaluation and referral)
• Vestibular audiologist
• Neurotologist or otolaryngologist
• Neurologist (for cases with suspected neurological involvement)
• Physical therapist specializing in vestibular rehabilitation

Patients may need to consult multiple specialists to receive comprehensive care, depending on the complexity of their condition.

Emerging Treatments and Research in Vestibular Disorders

The field of vestibular medicine continues to evolve, with ongoing research into new treatments and diagnostic techniques. Some promising areas of development include:

• Advanced imaging techniques for visualizing inner ear structures
• Gene therapy for inherited vestibular disorders
• Vestibular implants for severe bilateral vestibular loss
• Novel pharmacological approaches targeting specific vestibular pathways
• Virtual reality-based rehabilitation techniques

These advancements hold the potential to improve diagnosis and treatment options for patients with dizziness and vertigo in the future.

The Importance of Patient Education

Empowering patients with knowledge about their condition is an essential aspect of effective management. Well-informed patients are better equipped to:

• Recognize and report symptoms accurately
• Adhere to treatment plans and rehabilitation exercises
• Make informed decisions about their care
• Implement appropriate self-management strategies
• Cope with the psychological impact of chronic dizziness

Healthcare providers should prioritize patient education as part of a comprehensive treatment approach.

Coping with the Impact of Chronic Dizziness

Living with chronic dizziness or recurrent vertigo can have significant psychological and social implications. Patients may experience:

• Anxiety and depression
• Social isolation
• Reduced work productivity
• Decreased quality of life
• Fear of falling or engaging in certain activities

Addressing these aspects of the condition is crucial for overall well-being. Support groups, counseling, and cognitive-behavioral therapy can be valuable resources for patients struggling with the emotional impact of vestibular disorders.

Strategies for Daily Living

Individuals with chronic dizziness can employ various strategies to manage their symptoms in daily life:

• Using assistive devices (e.g., canes, walkers) when necessary
• Modifying the home environment to reduce fall risks
• Planning activities and rest periods to avoid overexertion
• Practicing relaxation techniques to manage stress and anxiety
• Communicating openly with family, friends, and colleagues about their condition

These practical approaches can help patients maintain independence and improve their quality of life while managing their symptoms.

The Future of Dizziness and Vertigo Management

As our understanding of vestibular disorders continues to grow, the future of dizziness and vertigo management looks promising. Advancements in technology and research are likely to lead to:

• More precise diagnostic tools and techniques
• Personalized treatment approaches based on genetic and molecular profiles
• Improved rehabilitation methods incorporating advanced technology
• Better understanding of the underlying mechanisms of vestibular disorders
• Development of targeted therapies with fewer side effects

These developments hold the potential to significantly improve outcomes for patients with dizziness and vertigo, offering hope for more effective and tailored treatments in the years to come.

The Importance of Ongoing Research

Continued research in the field of vestibular disorders is crucial for advancing our understanding and improving patient care. Key areas of focus include:

• Identifying biomarkers for various vestibular conditions
• Investigating the role of the immune system in vestibular disorders
• Exploring the relationship between vestibular function and cognitive health
• Developing novel drug delivery systems for inner ear therapies
• Studying the long-term outcomes of different treatment approaches

Supporting and participating in research initiatives can contribute to the development of better diagnostic and treatment options for future patients.

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!

How to get rid of dizziness: Medications and remedies

There are various ways to treat dizziness, depending partially on the cause. Antihistamines, migraine medications, and anticholinergics are some medical options. Sometimes, drinking water or getting more sleep can resolve it.

Some people describe dizziness as feeling lightheaded, while some say it is a feeling of movement, either of themselves or the world around them. Another group might say dizziness is a feeling of being unbalanced, while others may have trouble describing it as anything other than plain dizziness.

Some of those who experience dizziness have accompanying nausea, vomiting, or a sense that they might faint.

Dizziness is not a disease or condition in its own right, but rather a symptom of another issue affecting someone.

Dizziness often goes away over time. In some cases, however, dizziness will not resolve on its own. Fortunately, there are multiple ways to treat it.

A doctor will take into account what is producing the symptom and then suggest treatments that can include medications, therapies, lifestyle changes, or even surgery.

Fast facts on dizziness and how to get rid of it:

• Dizziness can be gradual, sudden, and have various causes. If it is severe or lasts for longer than a week, someone should see a doctor.
• Dizziness can be treated with medication.
• Dizziness is sometimes caused by dehydration. Drinking water can help alleviate it in many cases
• Dizziness can often get better without treatment.

Was this helpful?

Share on PinterestDizziness may have many potential causes. Determining the root cause may help to establish the best treatment options.

Most of the time, no medication is needed, but there are some drugs that can be used to treat the underlying causes of dizziness. Depending on the cause, these can include:

• anti-anxiety medications, when dizziness is caused by panic disorders or by mental health issues
• anticholinergic drugs or antihistamines, which may reduce dizziness or offer relief from vertigo
• medications for migraines, if the dizziness is linked to migraines

Each of these medications can treat an underlying cause of dizziness, such as fluid buildup in the ear, anxiety, the side effects from a particular drug, or other reasons. Lifestyle changes or a further visit to the doctor may be necessary if these treatments do not help alleviate the dizziness.

Share on PinterestAcupuncture is one possible treatment that may help relieve dizziness.

If medication is not helping to treat dizziness, an individual may need to try some lifestyle changes.

These changes could be as simple as drinking more water or other non-alcoholic liquid to keep well-hydrated, or lying down when feeling dizzy.

Steps people can take to relieve dizziness include:

• lying down and closing the eyes
• acupuncture
• drinking plenty of water and keeping hydrated
• reducing stress plus alcohol and tobacco intake
• getting plenty of sleep

There are several therapeutic approaches that can also be used to help relieve dizziness, such as head position maneuvers, balance therapy, or psychotherapy.

• Head position maneuvers: A method called the Epley maneuver may help with feelings of dizziness. It involves moving the position of the head in specific ways to reposition small calcium crystals that are causing the dizziness. People should discuss the approach with a doctor before using it.
• Balance therapy: There are several exercises that people can do to train their bodies to become less sensitive to movement. These can help if dizziness is caused by a problem with the inner ear.
• Psychotherapy: If someone has dizziness that is related to an anxiety disorder, psychotherapy may help them to relieve this symptom.

A lifestyle change can be simple yet make a huge difference in reducing dizziness.

Someone with dizziness that does not resolve on its own after at least a week should see a doctor immediately.

According to a paper in the Journal of Neurology, Neurosurgery & Psychiatry, “The clinician’s first job is to sort out whether the dizzy patient is having attacks of vertigo, or attacks of some other paroxysmal symptom.”

Because dizziness is sometimes a symptom of a bigger issue, it is important for a doctor to diagnose the problem if the dizziness does not fade or become more manageable.

A doctor should be seen if the person experiences:

• persistent or severe headaches or migraines
• falling over regularly or a struggle when walking
• frequent or ongoing vomiting and nausea
• loss of consciousness
• shortness of breath or a struggle breathing
• any head injury
• a severely stiff neck
• seizures

If the dizziness is ongoing, frequent or severe, a doctor should be seen immediately.

When trying to get rid of dizziness, it is important to remember that it is a symptom of another issue and not a medical disorder in itself.

Share on PinterestDrinking water and staying hydrated can help to prevent dizziness, as dehydration may cause dizziness.

Dizziness can be caused by a wide variety of different factors, such as:

• consuming alcohol
• benign paroxysmal positional vertigo
• low blood pressure
• low blood sugar
• stroke
• dehydration
• hyperventilation
• panic disorder or panic attacks
• middle ear infection
• motion sickness
• Meniere’s disease
• an inflammation of the inner ear called labyrinthitis

There are many other instances and underlying causes of dizziness.

Certain medications can also cause dizziness as a side effect. People should always check the side effects of any medications they are taking to see if they may lead to dizziness.

Vertigo

Vertigo causes a similar feeling to dizziness but is a standalone condition. A person experiencing vertigo will feel like the environment around them is moving or spinning. Dizziness is a sensation while vertigo is the illusion of movement.

When someone feels as though they are moving in a similar manner, it is called subjective vertigo.

Diagnosing dizziness is often straightforward. Doctors will check to see if the person feels disorientated, woozy, or unbalanced. They will then look for other symptoms before checking for the underlying cause of the dizziness. A doctor will try to narrow down what is causing the dizziness so that they can treat that condition.

The doctor will ask a series of questions about when the dizziness began and other symptoms a person may have experienced.

They might then decide to check the inner ear, blood pressure, and other physical characteristics of the person, to make sure they are hydrated, their blood sugar is at a healthy level, and to check for other possible causes of the dizziness.

Once the doctor has decided about the probable cause of the dizziness, they will be able to suggest a treatment plan for the individual.

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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 does not carry serious naslіdkіv, but buvaє 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 vpadku, as if the confusion was viklikana to the turmoil 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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More about the problemLearn about the treatment

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 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;
● perilymphatic 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.