Treatment FAQ

what are alternatives for meklazine for treatment of vertigo

by Dr. Jade Dibbert Jr. Published 2 years ago Updated 2 years ago

Antivert (meclizine HCl) and Phenergan (promethazine HCI) are antihistamines used to prevent or treat nausea, vomiting, and dizziness caused by motion sickness. Antivert is also used to reduce lightheadedness, dizziness, and loss of balance (vertigo) caused by diseases that affect the inner ear.

Meclizine Alternatives Compared
  • Ondansetron.
  • Zofran.
  • Promethazine.
  • Phenergan.
  • Zofran ODT.
  • Metoclopramide.

Full Answer

How long should one take meclizine for Vertigo?

Use for Motion Sickness: Take Dramamine, or Meclizine, one hour before setting off. If you are traveling for several days, you may take 1 dose for every 24-hour period. 1 standard adult dose is 25 to 50 mg. Use for Vertigo: Your doctor may recommend taking it several times a day.

Is meclizine dangerous for treating Vertigo?

While Meclizine is great to reduce vertigo symptoms, the medicine might not be able to address other issues like unsteadiness, lightheadedness, and imbalance issues. It is suggested to consume drugs only by vertigo patients who are experiencing the problem due to disorders like Labyrinthitis, Meniere’s disease, and Vestibular Neuritis in the acute level.

What is the best over the counter medicine for Vertigo?

Vertigo Treatment: Getting Rid of the Spins

  • Physical therapy to improve balance and inner ear issues. ...
  • Canalith Repositioning —also known as the Epley Maneuver. ...
  • Medication that targets the cause of our symptoms. ...
  • Surgery — an uncommon treatment for special cases. ...
  • Injections — when other treatments haven't worked. ...
  • Psychotherapy can help alleviate the stress of symptoms. ...

More items...

Does meclizine cure Vertigo?

Meclizine is dangerous because it masks the symptoms of dizziness and vertigo to reduce discomfort, but does not correct the underlying problem. The lack of root cause leaves the person with a balance impairment that has not been addressed, even if they no longer feel dizzy or spinny on the medication.

Is there an alternative to meclizine?

Scopolamine patches require a prescription. But according to studies, they are more effective than the motion sickness antihistamine meclizine (Antivert or Bonine). They're also just as effective as Dramamine (dimenhydrinate).

Is Dramamine better than meclizine for vertigo?

In an evaluation of 16 anti–motion sickness drugs, Wood and Graybiel found that dimenhydrinate 50 mg was more effective than meclizine 50 mg.

What is the best antiemetic for vertigo?

For patients with severe vertigo or vomiting, intravenous promethazine (Phenergan) used to be the drug of choice; however, this medication recently received a Black Box Warning from the FDA and is now only recommended to be given intramuscularly. Prochlorperazine (Compazine) is an alternative antiemetic.

Is it OK to take meclizine everyday?

You may take meclizine once every 24 hours while you are traveling, to further prevent motion sickness. To treat vertigo, you may need to take meclizine several times daily. Follow your doctor's instructions.

Which tablet is best for vertigo?

Acute vertigo is best treated with nonspecific medication such as dimenhydrinate (Dramamine®) and meclizine (Bonine®).

Can meclizine worsen vertigo?

Anti-Cholinergic Effect on the Brain Meclizine is dangerous because it works to reduce dizziness and vertigo by reducing the activity of a chemical called acetylcholine in the brain. Medications that are currently marketed to stop the progression of dementia increase the activity of acetylcholine in the brain.

Which antihistamine is best for vertigo?

Antihistamines like dimenhydrinate (Dramamine), diphenhydramine (Benadryl), and meclizine (Antivert) can be useful treatments for vertigo.

Is there a non drowsy meclizine?

LESS DROWSY MOTION SICKNESS RELIEF- meclizine hcl tablet.

What can you take naturally for vertigo?

Vertigo can be managed naturally with a variety of home remedies.Epley maneuver. The Epley maneuver is often recommended by chiropractors or physical therapists as a way of treating vertigo at home. ... Ginkgo biloba. ... Ginger tea. ... Almonds. ... Staying hydrated. ... Essential oils. ... Apple cider vinegar and honey. ... Acupressure.

Who should not take meclizine?

Warnings. You should not take this medication if you are allergic to meclizine. Before you take meclizine, tell your doctor if you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or urination problems. This medication may impair your thinking or reactions.

What drugs should not be taken with meclizine?

Drugs that treat anxiety, such as lorazepam, clonazepam, alprazolam, diazepam, chlordiazepoxide, paroxetine, and hydroxyzine. Taking these drugs with meclizine can increase your risk of sedative effects. These include drowsiness, slowed breathing, and trouble thinking.

How long should I take meclizine for vertigo?

Short term use of medication for vertigo The research in Vestibular care supports the use of vestibular suppressants, such as Meclizine, for the first 48 hours of a new onset of vertigo. This medication for vertigo is helpful to bring relief and minimize discomfort for an acute case, or a new case.

How to avoid vertigo?

Some simple wellness measures can help you avoid a vertigo episode and keep you feeling your best. These include: 1 Staying Hydrated Be sure to drink enough fluids throughout the day. Some causes of vertigo are linked to dehydration. 2 Getting Enough Sleep Sleep deprivation can trigger episodes of vertigo. Try to get at least seven to eight hours of sleep at night, and rest throughout the day if you need to. 3 Eating a Healthy Diet Consuming nutritious, whole foods can help you feel better and maintain a healthy weight. Try to include lots of veggies, fruits, whole grains, and lean proteins in your diet. Also, avoid any trigger foods that might worsen your vertigo symptoms. 4 Exercising Exercise can make you feel better overall. It might be difficult to exercise if you feel dizzy, but start with simple activities, like walking. If your symptoms are severe, some exercises can be performed while sitting in a chair. Ask your doctor about a regimen that fits your needs. Also, be sure to drink plenty of water before, during, and after a workout.

How to get rid of vertigo on the left side?

Turn your whole body and head another 90 degrees to the left side and wait for 30 seconds. Slowly sit up. Repeat these steps if needed, up to three times on the problematic side. ( 1) This technique can be performed on either side of your body. You might feel symptoms of vertigo during the treatment.

How to get rid of dizziness in the middle of the night?

It involves the following steps: Start by sitting upright on the edge of a bed. Turn your head 45 degrees to the left, then lie down on your right side. Hold this position for 30 seconds or until dizziness goes away. Sit up and turn your head back to the center.

How to exercise the left ear?

Here’s how it works for the left ear: Start by sitting on the edge of your bed. Turn your head 45 degrees to the right and quickly lie down on your left side.

What foods can cause vertigo?

Common culprits that could aggravate vertigo in certain people include: Salty foods. Sugary foods. Alcohol.

How much sleep do you need to get vertigo?

Getting Enough Sleep Sleep deprivation can trigger episodes of vertigo. Try to get at least seven to eight hours of sleep at night, and rest throughout the day if you need to.

How can yoga help with vertigo?

Yoga Can Help Improve Balance and Reduce Stress. Yoga is a good way to improve flexibility and balance, strengthen muscles, and reduce stress. Simple yoga poses may also help symptoms of vertigo. But you’ll probably want to avoid any positions that require sudden forward bends, as these may worsen symptoms.

What is vertigo?

Vertigo is dizziness that has movement quality, such as the feeling that you’re spinning or the world is spinning around you. You may feel like you have to hold onto something to not fall down.

What are the treatment options for vertigo?

The specific diagnosis dictates which of these treatment options is the best for each patient:

When to see a neurologist?

Frequency of your feelings of vertigo is perhaps the most important factor when considering if you need to see a doctor.

Schedule directly with a neurologist

Ohio State now offers direct online scheduling with our neurologists to address conditions such as vertigo without needing a referral from your primary care doctor.

Vertigo holding you down?

Call 614-293-4969 to schedule an appointment with the Ohio State team.

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What does vertigo feel like?

Vertigo is a false sensation of movement. Many patients describe a feeling like the room is spinning, tilting, or swaying. As a result, most people find that it is difficult to carry out normal daily activities during an attack. It can even lead to increased fall risk when episodes are severe and strike suddenly.

Does cortisone help with vertigo?

This is a corticosteroid that should suppress the immune system and thereby reduce inflammation in the body. It is used to treat everything from allergies to breathing disorders. As a result, it may help to relieve a condition that is causing vertigo. However, there are many side effects that include slowed ability to heal wounds, insomnia, mood swings, changes in where body fat is stored, and (you guessed it) vertigo.

Can you take prescription medication for vertigo?

Many doctors offer prescription medications for people who suffer from vertigo on a chronic basis. But is this always the best form of care? We’re going to look at 9 medications that doctors often prescribe to relieve vertigo. Then we will consider a natural means of fighting vertigo that is bringing hope to many patients who don’t want to deal with the side effects of medications.

Can benzodiazepine cause seizures?

Yet another benzodiazepine. This drug is primarily for anxiety disorders and seizures. Side effects once again include everything from dizziness to cognitive issues and depression. Stopping this drug abruptly after long-term use can have severe side effects such as seizures, vomiting, tremors, muscle cramps, and sweating.

Does a patch help with nausea?

This is a patch for patients with motion sickness or illness due to anesthesia. It reduces nausea and vomiting by reducing muscle spasms. The side effects of this drug also include dizziness, dry mouth, and drowsiness. Other common side effects are itchy skin and eyes, a feeling of restlessness, and memory problems.

Does a dopamine antagonist cause nausea?

This is a dopamine antagonist for nausea and vomiting. Again, the list of side effects is lengthy and can cause many of the symptoms it should relieve in the first place such as nausea and vomiting. Other common side effects include frequent urination, diarrhea, and insomnia. Rare but dangerous side effects include muscle stiffness, depression, and difficulty breathing.

Does cervical chiropractic help with vertigo?

Since these factors, as well as Eustachian tube function, can play a role in vertigo, correcting this misalignment has reduced the severity and frequency of vertigo for many. Some even find complete relief from chronic vertigo.

Why is meclizine dangerous?

Meclizine Is Dangerous Because It Masks the Problem. Meclizine is dangerous because it masks the symptoms of dizziness and vertigo to reduce discomfort, but does not correct the underlying problem.

Does meclizine cause falls?

Meclizine increases the risk of falling due to Medication Side Effects.

Is meclizine bad for vertigo?

Meclizine is dangerous for treating vertigo because the long-term use of Meclizine can cause irreversible cognitive impairment. Yes that’s right! Even so, older adults are still commonly prescribed Meclizine when they complain of dizziness or vertigo.

Is meclizine bad for you?

Meclizine is dangerous because it works to reduce dizziness and vertigo by reducing the activity of a chemical called acetylcholine in the brain. Medications that are currently marketed to stop the progression of dementia increase the activity of acetylcholine in the brain.

Is meclizine safe for older people?

In some cases, it may be needed but in other cases it is dangerous. Older adults are often frequently told that there’s nothing they can do about the vertigo because they are older.

Can you take meclizine with a doctor?

Please note: All medications should be taken as prescribed by your doctor . If you have been prescribed meclizine, you must follow up with your doctor to discuss your concerns and request for the medication to be reduced if possible.

Can meclizine be taken short term?

However, the accurate prognosis can not be determined until an exam by a vestibular expert provider has been conducted. Meclizine may also be helpful to take short term until proper vestibular care can be found. Sometimes, it takes awhile to find the right provider.

Why isn't meclizine prescribed?

Some doctors do not prescribe Dramamine (and Meclizine) to people aged 65 or over because it may produce an increased effect of dementia and amnesia and lead to greater confusion.

What is meclizine HCl?

Chemically, Meclizine HCl, USP is 1- (p-chloro-α-phenylbenzyl)-4- (m-methylbenzyl) piperazine dihydrochloride monohydrate. Meclizine is pharmacologically classified as an antihistamine, commonly associated with use in the treatment of allergies.

What is the name of the antihistamine that is used to treat nausea?

Dramamine is commonly marketed under the brand names Dramamine, Driminate, Gravol, Vomex, Gravamin, and Vertirosan. Dramamine or Dimenhydrinate is an antihistamine commonly prescribed in order to prevent and treat the nausea, vomiting, and dizziness caused by motion sickness and vertigo. Antihistamines work by blocking the parts ...

What to tell your doctor before taking Dramamine?

Also tell him of any pre-existing medical conditions or if you are pregnant, planning to get pregnant or breastfeeding.

Is meclizine good for nausea?

Both dramamine and meclizine are one of the most commonly used drugs in the treatment of motion sickness, nausea, vomiting, and vertigo. If you are suffering from these conditions, discuss it with your physician who will be able to determine whether taking Meclizine/Dramamamine could benefit you. If you are suffering from vertigo, you may get ...

Is meclizine the same as dramamine?

Dramamine and Meclizine for Vertigo and Motion sickness. You should know that Meclizine is not a medication but an active chemical element in the medication. It can replace Dramamine's main active element, Dimenhydrinate, for less sedative effects. Overall, the effect is pretty similar both both elements.

Is Dramamine a less drousy?

The brand Dramamine, without changing the name (that implies the presence of Dinengydrinate) issued so-called "Less Drousy" version of Dramamine that contains Meclizine as its active element. There's been some confusion among people regarding these two names.

How to reduce vertigo?

Some conditions that cause vertigo, including Meniere’s disease, can be triggered by stress. Developing coping strategies to navigate stressful circumstances could decrease your episodes of vertigo. Practicing meditation and deep-breathing techniques are a good place to start. Long-term stress isn’t something you can simply breathe through, and often the causes of stress aren’t things that you can cut out of your life. Simply being aware of what is causing you stress might cut down on your vertigo symptoms.

How does tai chi help with vertigo?

and tai chi are known to reduce stress while increasing flexibility and balance. Physical therapy performed in an outpatient setting trains your brain to compensate for the cause of your vertigo, and exercise you do at home can mimic this effect.

What causes vertigo in the inner ear?

BPPV is caused by deposits that build up in your inner ear, which navigates your sense of balance. Vestibular neuritis, stroke, head or neck injuries, and Meniere’s disease are all other conditions that can cause vertigo. If you are experiencing vertigo at home, there are several home remedies that you can use to treat it.

What does it mean when you feel dizzy?

Vertigo. Vertigo is a feeling of dizziness that occurs without any accompanying movement. It’s caused by your senses telling your brain that your body is off balance, even though it isn’t. Vertigo is a symptom of an underlying condition, not a diagnosis in itself. It can be a result of several different things.

Can vertigo only happen once?

Some types of vertigo will only happen once , and some types will continue to recur until the underlying condition is found. One of the most common types of vertigo is called benign positional paroxysmal vertigo (BPPV). BPPV is caused by deposits that build up in your inner ear, which navigates your sense of balance. Vestibular neuritis, stroke, head or neck injuries, and Meniere’s disease are all other conditions that can cause vertigo. If you are experiencing vertigo at home, there are several home remedies that you can use to treat it.

Is vertigo a diagnosis?

Vertigo is not a diagnosis, but it’s a symptom of an underlying condition if it keeps occurring. Treating vertigo at home might work as a short-term solution. But if you continue to experience frequent vertigo, it’s important to find out the cause.

Does vitamin D cause vertigo?

A study. Trusted Source. suggests that a lack of vitamin D can worsen symptoms for people that have BPPV, the most common cause of vertigo. A glass of fortified milk or orange juice, canned tuna, and even egg yolks will all give your levels of vitamin D a boost.

What is the generic name for meclizine?

Meclizine goes by a few names; meclizine is the generic term, but it is also packaged under the names Antivert, Bonine, and Dramamine II. The original Dramamine (I guess we will call it Dramamine I) is a similar medication called Dimenhydrinate.

Can meclizine cause dizziness?

The term “dizziness” is very vague and can mean many different things. Some complaints of dizziness can be helped by a temporary prescription of meclizine, many won’t be affected at all, and some could be made worse.

Does meclizine help with inner ear problems?

Meclizine ( or Dramamine, Bonine, etc) Doesn’t Actually Treat Inner Ear Disease. Most patients nod their head in agreement if I comment that they probably would not have come to my clinic if the meclizine resolved their symptoms. Most agree that the only thing they noticed was that the meclizine made them sleepy.

Does meclizine help with vestibular ocular reflex?

A recent 2012 study out of Belgium does support that meclizine probably has a sedating effect on the gain of the vestibular-ocular reflex, suspected to be a ‘central action on the medial vestibular nucleus’.

Is Dramamine 2 drowsy?

Dramamine II is marketed as the “less drowsy” formula, although I am unaware of any studies to sub stantiate that claim. In fact one study showed that dimenhydrinate caused drowsiness for a shorter period of time than did meclizine.

Does meclizine help with vertigo?

Temporary Relief. Basically, if your inner ear is making you sick, and by sick I mean nauseous, then there is a role for meclizine. It will help relieve the temporary but acute vertigo and nausea associated with a few specific inner ear conditions such as Meniere’s disease or vestibular neuritis.

Does meclizine make you sleepy?

Most agree that the only thing they noticed was that the meclizine made them sleepy. Most are surprised when I tell them that meclizine does not actually treat inner ear disease, that it won’t keep them for getting dizzy, lightheaded or off balance, and they won’t get better any faster by taking it.

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