Vertigo Antidotes Cheat Sheet
Vertigo Treatment
In the following Table there is provides a list o f commonly used medications for suppression of vertigo. As noted these medications should be reserved for short-term control of active vertigo， such as during the first few days of acute vestibular neuritis, or for acute attacks of Ménière’s disease. They are less helpful for chronic dizziness a nd, as previously stated, may hinder central compensation. A n exception is that benzodiazepines may attenuate psychosomatic dizziness and the associated anxiety, although SSRls are generally preferable i n such patients.
Vertigo Antidotes/Treatment
| Agents | Dose |
|---|---|
| Antihistamines | |
| • Meclizine • Dimenhydrinate • Promethazine | 25-50 mg 3 times daily 50 mg 1 -2 times daily 25 mg 2-3 times daily (also can be given rectally and 1M) |
| Benzodiazeplnes | |
| Diazepam Clonazepam | 2.5 mg 1 -3 times daily 0.25 mg 1 -3 times daily |
| Anticholinergic | |
| Scopolamine transdermal' | Patch |
| Physical therapy Repositioning maneuversd Vestibular rehabilitation | |
| Other | Diuretics and/or low-sodium (1 000 mg/d) diet' |
| Antimigrainous drugs | |
| Methylprednisolone9 Selective serotonin reuptake inhibitorsh | 100 mg daily days 1 -3; 80 mg daily days 4-6; 60 mg daily days- 7-9; 40 mg daily days 10一12; 20 mg daily days 13-15; 10 mg daily days 16-18， 20，22 |
Al l listed dru gs are approved by the u.s. Food and Drug Administration, but most are not approved for the treatment of vertigo.