Piracetam, a derivative of the neurotransmitter gamma-aminobutyric acid (GABA), has been investigated as a treatment option for Ménière disease.Neither drug is available in the United States as of early 2021. Another calcium channel blocker and antiemetic, cinnarizine, is being explored as a potential vertigo therapy as well. Flunarizine, a calcium channel blocker drug used for migraines in Europe but not approved in the United States, has shown promise as a potential treatment for migraine-associated vertigo.What Novel and Emerging Strategies May Benefit Those with Vertigo? Diuretic medications are commonly used to treat Ménière disease, but some evidence suggests medication may not be effective.The half-somersault maneuver to move crystals out of the semicircular canals is a technique developed for at-home use without assistance.
TREATMENT FOR VERTIGO MANUAL
A physical examination that evaluates for nystagmus or other eye movement abnormalities may help a clinician rule out certain causes of dizziness.Several vertigo diagnostic algorithms are available, with most depending on the timing, triggers, and duration of vertigo episodes.Physicians must rule out urgent causes of vertigo and dizziness, such as stroke.If a new medication was initiated soon before to the onset of vertigo, it should be more closely scrutinized as a possible factor contributing to symptoms. Many medications can cause dizziness or vertigo, including some antibiotics, statins, and antidepressants.Several comorbid conditions increase the risk of vertigo, including diabetes and abnormal glucose metabolism, osteoporosis, high cholesterol, and depression and anxiety.Migraine sufferers have an elevated risk of developing vertigo, as do older people, women, and people with a family history of the condition.Another potential cause of vertigo is Ménière disease, a rare but serious condition associated with progressive episodes of vertigo, hearing loss, and tinnitus (ringing in the ears).
Debris in the inner ear causes benign paroxysmal positional vertigo (BPPV), the most common type of vertigo, which accounts for between 17% and 42% of cases.What are Vertigo Causes and Risk Factors? Natural interventions, such as vitamin D, calcium, ginkgo biloba, and coenzyme Q10 (CoQ10) have shown promise for the management of vertigo. At-home repositioning techniques may also improve vertigo. The primary treatment for the most common type of vertigo, caused by debris in the inner ear, is repositioning therapy, which can relieve vertigo in a single session when performed by a trained clinician. Some types of vertigo and dizziness are associated with abnormal glucose metabolism, osteoporosis, sleep apnea, and menopause and hormone fluctuations. Seeking medical attention quickly for sudden unexplained vertigo is essential, as stroke is an uncommon but life-threatening cause of vertigo.ĭizziness usually falls into one of four categories: vertigo, fainting sensation (presyncope), imbalance sensation (disequilibrium), and lightheadedness. Vertigo, typically characterized by a sensation of spinning or dizziness, is usually caused by problems involving the inner ear (peripheral vertigo) or, less commonly, the central nervous system (central vertigo).