Dizziness Medications

1. What is dizziness?

Headache is a feeling (or an illusion) of everything spinning around. Dizziness is a sign of some diseases, such as pathologies of the inner ear, brain disease, pathology of the sensory nervous system.

Dizziness will come with other symptoms, such as tinnitus, nausea or vomiting, sweating, drumming feeling in the chest, panic attack, and anxiety attack.

2. Classifications of dizziness

There are 2 types of dizziness, Peripheral Vertigo, and Central Vertigo

– Approximately 80 percent of vertigo is Peripheral. The reason is usually related to the disorders/ abnormalities of the inner ears.

– Approximately 20% of vertigo is Central, and it is usually related to the brainstem and cerebellar lesions.

3.  the causes of dizziness

– The causes of Peripheral Vertigo are labyrinthitis, vestibular neuritis, carnival 8th nerve tumor, inner ear infection, Meniere’s disease, Benign Paroxysmal Position Vertigo, etc.

– The causes of Central Vertigo are Hemorrhagic stroke or cerebral infarction, especially at the brainstem and cerebellar, brain tumors, cerebello-pontine angle tumors, multiple sclerosis, traumatic brain injury, etc.

Alongside low blood pressure

4.  Dizziness Medications

The medications are prescribed by specific symptoms and conditions of the disease. Antibiotics or antiviral medicines are indicated for cases of otitis media/ inner ear infections caused by bacteria or Herpes viruses.
Symptomatic treatment:

– Antibiotics on Histamine: helps restrict Histamine which is a transmitter in the nervous system. Some popular medicines are Meclizine hydrochloride (Antivert), Diphenhydramine Hydrochloride, Promethazine (Phenergan), Cinnarizine, Betahistine (Betaserc).

– Antibiotics on Cholinergic: Dimenhydrinate (Dramamine) and Amitriptyline (Elavil) are the antibiotics on both Cholinergic and Histamine.

– Antiemetics: metoclopramide, meclizine, promethazine.

– Anti-Anxiety Medications: seduxen, diazepam, Lorazepam (Ativan).

– Calcium channel blockers: Flunarizine, cinnarizine, verapamil

– Diuretics: Acetazolamide can be considered to be used as a Meniere’s treatment.

– Corticosteroids: is used as a treatment for the 8th cranial nerve inflammation and Meniere’s disease

– Acetyl-leucine: brand name is Tanganil. It is a treatment of acute vertigo. However, the mechanism of action is not vibrant yet.

–  Ginkgo Biloba and Piracetam: they are effective in curing both Peripheral Vertigo and Central Vertigo. Biloba helps increase cerebral perfusion pressure and the peripheral vestibular system, while Piracetam affects the vestibular and brainstem nuclei.

Surgical method: Surgical method is appointed to the 8th nerve tumor, brain tumor, cerebello-pontine angle tumors, or Benign Paroxysmal Position Vertigo which doesn’t meet the internal remedies, etc.

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