Lightheadedness and vertigo medical therapy
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Differentiating Lightheadedness and Vertigo from Other Symptoms |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Treatment for lightheadedness can include drinking plenty of water or other fluids (unless the lightheadedness is the result of water intoxicationin which case drinking water is quite dangerous), eating something sugary, and lying down or sitting and reducing the elevation of the head relative to the body (for example by positioning the head between the knees). On the other hand, specific treatment is required for central causes of vertigo.
Medical Therapy
Treatment options may include:
- Reassurance and time important for treatment of vertigo
- Vestibular rehabilitation
- Anticholinergics such as scopolamine
- Anticonvulsants such as topiramate or valproic acid for vestibular migraines
- Antihistamines such as betahistine, dimenhydrinate, or meclozine, which may have antiemetic properties
- Benzodiazepines
- Calcium channel antagonists, specifically Verapamil and Nimodipine
- Beta blockers such as metoprolol for vestibular migraine
- GABA modulators, specifically gabapentin and baclofen
- Neurotransmitter reuptake inhibitors such as SSRI's, SNRI's and Tricyclics
- Meclizine
- Diuretics for Meniere's Disease