Treatment FAQ

what is the most effective treatment for vertigo

by Isabell Ankunding Published 3 years ago Updated 2 years ago
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Acute vertigo is best treated with nonspecific medication such as dimenhydrinate (Dramamine®) and meclizine (Bonine®). These medications are eventually weaned as they can prevent healing over the long-term, explains Dr. Fahey.Jul 20, 2018

Medication

Jul 20, 2018 · Acute vertigo is best treated with nonspecific medication such as dimenhydrinate (Dramamine®) and meclizine (Bonine®). These medications are eventually weaned as they can prevent healing over the long-term, explains Dr. Fahey.

Procedures

Aug 01, 2008 · A review of study data has found the most effective therapy for vertigo is a safe, easy sequence of head movements, reports Harvard Women’s Health Watch. Harvard Health Publishing Harvard Health Publishing

Therapy

Nov 06, 2021 · If you want to get rid of vertigo fast, certain foods should be banned or at least minimized: alcohol caffeine sugar refined grains (gluten) sweeteners

Self-care

Aug 29, 2018 · Practice These Exercises for Vertigo Brandt-Daroff Exercise. Start in an upright, seated position on your bed or sofa. Move into a lying position on one... The Epley Maneuver. If symptoms have appeared on either the right or left side of your body, you can use the Epley... The Semont Maneuver. The ...

Nutrition

May 12, 2020 · Most antibiotics and steroids are used inside medicine so that the patient gets instant relief. At the same time, it eliminates swelling from your body and reduces infection. If you are struggling with Meniere’s disease vertigo, then you need it very much because it is beneficial in stopping the fluid.

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Popular herbal vertigo remedies include: Turmeric. Ginkgo biloba. Cayenne. Ginger root. Gongjin-dan.

What is the best over the counter medicine for Vertigo?

How to cure Vertigo quickly in minutes with easy exercises.?

Is meclizine dangerous for treating Vertigo?

How you can heal Vertigo with ginger root?

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What cures vertigo fast?

A technique called canalith repositioning (or Epley maneuver) usually helps resolve benign paroxysmal positional vertigo more quickly than simply waiting for your dizziness to go away. It can be done by your doctor, an audiologist or a physical therapist and involves maneuvering the position of your head.Oct 15, 2020

How do you make vertigo go away?

Help with vertigolie still in a quiet, dark room to reduce the spinning feeling.move your head carefully and slowly during daily activities.sit down straight away when you feel dizzy.turn on the lights if you get up at night.use a walking stick if you're at risk of falling.More items...

Which antihistamine is best for vertigo?

Antihistamines like dimenhydrinate (Dramamine), diphenhydramine (Benadryl), and meclizine (Antivert) can be useful treatments for vertigo.Dec 27, 2016

What triggers vertigo attacks?

A blow to the head, damage to the inner ear, or remaining on your back for an extended period of time are all common triggers of a vertigo attack. Basically, anything that can cause a shifting of the calcium carbonate crystals can result in feelings of vertigo.Aug 14, 2020

What causes vertigo in the elderly?

As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière’s disease, migraine, and anxiety disorders. Less common causes include vertebrobasilar ischemia and retrocochlear tumors. The distinction between peripheral and central vertigo usually can be made clinically and guides management decisions. Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Ménière’s disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor.

What is the name of the disease that causes vertigo, tinnitus, and roaring

Ménière’s disease (or endolympha tic hydro ps) presents with vertigo, tinnitus (low tone, roaring, or blowing quality), fluctuating low-frequency sensorineural hearing loss, and a sense of fullness in the ear. In this disorder, impaired endolymphatic filtration and excretion in the inner ear leads to distention of the endolymphatic compartment.

Is vertigo a dizziness?

Vertigo should be distinguished from other types of dizziness, such as imbalance (dysequilibrium) and lightheadedness (presyncope). Most cases of vertigo can be diagnosed clinically and managed in the primary care setting.

Can vertigo be a concurrent cause?

Because vertigo can have multiple concurrent causes (especially in older patients), a specific diagnosis can be elusive. The duration of vertiginous episodes and the presence or absence of auditory symptoms can help narrow the differential diagnosis ( Table 1). 1 Psychiatric disorders, motion sickness, serous otitis media, cerumen impaction, herpes zoster, and seizure disorders also can present with dizziness.

Is vertigo a sign of depression?

Vertigo commonly is associated with anxiety disorders (e.g., panic disorder, generalized anxiety disorder) and, less frequently, depression. 33, 34 Hyperventilation usually occurs and can result in hypocapnia with reversible cerebral vasoconstriction. Hyperventilation and hypocapnia may be accompanied by dyspnea, chest pain, palpitations, or paresthesias.

Why is motion sickness 9?

Motion sickness 9 is attributed to an incongruence in the sensory input from the vestibular, visual, and somato-sensory systems. Motion sickness occurs while riding in a car, boat, or airplane if the vestibular and somato-sensory systems sense movement, but the visual system does not.

What is the treatment for Ménière's disease?

Ménière’s disease often responds to the combination of a low-salt diet and diuretics.

Drugs used to treat Vertigo

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

What is the best way to end vertigo?

The semont maneuver is another technique you can try to end a bout of vertigo.#N#Below are the instructions from the left side. Reverse the moves if the vertigo begins on your right side.

How to get rid of vertigo on one side?

Start in an upright, seated position on your bed or sofa. Move into a lying position on one side, with your nose pointed about 45 degrees to the side where vertigo is originating. Remain in the position for 30 seconds, or until the vertigo subsides (whichever takes longer). Move back to the seated position.

Can stress cause vertigo?

Other Vertigo Exercises to Practice at Home. Sometimes vertigo can be the result of stress. Stress can manifest in a number of physical ways that can produce symptoms either slowly or instantaneously. This is true in cases of acute stress, as well as in chronic cases.

What causes dizziness in the inner ear?

These ongoing spells of dizziness can be the result of a number of conditions, usually occurring in the inner ear. The most common types of vertigo are benign paroxysmal positional vertigo (BPPV), Meniere’s disease, and acute onset vertigo. Treatment for vertigo will generally depend on what is causing it.

Can you use Epley maneuver for vertigo?

If symptoms have appeared on either the right or left side of your body, you can use the Epley maneuver for vertigo. The following directions apply to left-sided vertigo. If it originates from the right side, swap sides.

How to get a 45 degree angle?

Sit on the edge of your bed and turn your head about 45 degrees to the left. (About the midway point between staring straight ahead and at your shoulder.) Lie down quickly on your back with your head on the bed, still maintaining the 45-degree angle.

How to get rid of a swollen head?

Have a pillow under your shoulders and hold the position for 30 seconds. Turn your head 90 degrees to the right (your head should be in the same 45-degree position, just on the right side). Do not raise your head. Hold the position for 30 seconds.

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Overview

Pathophysiology

Diagnosis

Treatment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment for vertigo depends on the cause and severity of symptoms. During a vertigo attack, lying still in a quiet, darkened room may help to ease any symptoms of nausea and reduce the sensation of spinning. Some may be advised to take medication.
Medication

Corticosteroids: Maybe given for acute vestibular neuritis with gradual tapering of the dose.

Methylprednisolone


Antibiotics: Are given in case of bacterial infection of the middle ear.

Amoxicillin


Vestibular suppressants: Drugs that reduce the intensity of vertigo and nystagmus evoked by a vestibular imbalance.

Meclizine

Procedures

Canal plugging surgery: A bone plug is used to block the portion of inner ear that is causing dizziness.

Therapy

Canalith repositioning:Moves otoconia from semicircular canals of inner ear into vestibule that houses one of the otolith organs in ear.

Self-care

Always talk to your provider before starting anything.

Physical and breathing exercises, head massage, use slight raised pillow, get enough sleep.

Nutrition

Foods to eat:

  • Whole grains
  • Vitamin B6 containing foods such as fortified breakfast cereals, meat such as chicken and pork, fish that includes salmon and tuna, peanut butter, beans, bananas, walnuts, spinach and avocados

Foods to avoid:

  • Fatty foods
  • Foods containing high salt and sugar content (table sugar, honey)
  • Caffeine
  • Alcohol
  • Migraine triggers which include foods that contain the amino acid tyramine such as red wine, chicken liver, ripened cheese and nuts.

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Audiovestibular physician
Specializes in the investigation, diagnosis, medical and rehabilitative management of hearing and balance disorders.

Mechanism of action

Adverse effects

  • Vertigo results from acute unilateral vestibular lesions that can be peripheral (labyrinth or vestibular nerve) or central (brainstem or cerebellum). In contrast, tumors and ototoxic medications produce slowly progressive unilateral or bilateral lesions. Lesions that progress slowly or processes that affect both vestibular apparatuses equally usually do not result in verti…
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Benefits

  • Because vertigo can have multiple concurrent causes (especially in older patients), a specific diagnosis can be elusive. The duration of vertiginous episodes and the presence or absence of auditory symptoms can help narrow the differential diagnosis (Table 1).1 Psychiatric disorders, motion sickness, serous otitis media, cerumen impaction, herpes zoster, and seizure disorders a…
See more on aafp.org

Contraindications

  • Medications are most useful for treating acute vertigo that lasts a few hours to several days (Table 3).6,7 They have limited benefit in patients with benign paroxysmal positional vertigo, because the vertiginous episodes usually last less than one minute. Vertigo lasting more than a few days is suggestive of permanent vestibular injury (e.g., stroke), and medications should be s…
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Prognosis

  • Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter in the vestibular system.6 Benzodiazepines enhance the action of GABA in the central nervous system (CNS) and are effective in relieving vertigo and anxiety.
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Clinical significance

  • Older patients are at particular risk for side effects of vestibular suppressant medications (e.g., sedation, increased risk of falls, urinary retention). These patients also are more likely to experience drug interactions (i.e., additive effects with other CNS depressants).
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Symptoms

  • The vertigo improves with head rotation maneuvers that displace free-moving calcium deposits back to the vestibule. Maneuvers include the canalith repositioning procedure or Epley maneuver15 and the modified Epley maneuver16 (Figure 2). The modified Epley maneuver can be performed at home.
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Signs and symptoms

  • Patients may need to remain upright for 24 hours after canalith repositioning to prevent calcium deposits from returning to the semicircular canals, although this measure is not universally recommended. Contraindications to canalith repositioning procedures include severe carotid stenosis, unstable heart disease, and severe neck disease, such as cervical spondylosis with my…
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Mechanism

  • One study21 on the long-term effects of canalith repositioning procedures in patients with benign paroxysmal positional vertigo reported a recurrence rate of about 15 percent per year. Another study22 reported recurrence rates of 20 percent at 20 months and 37 percent at 60 months.
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