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The best pill for acute dizziness with nausea
In acute vertigo that is accompanied by nausea, the first priority is to quickly relieve symptoms. According to a systematic review and meta-analysis, antihistamines (such as dimenhydrinate and diphenhydramine) are more effective than benzodiazepines (such as diazepam) in two-hour treatment of dizziness.
Dimenhydrinate is one of the most common options that has both antihistamine properties and good anti-nausea effect. Hydroxyzine is also used as a first-generation antihistamine for nausea with dizziness, especially in acute balance fluctuations.
1. Antihistamines
Antihistamines such as dimenhydrinate reduce the activity of the balance system of the inner ear and stabilize brain function. These drugs are effective for controlling acute dizziness with nausea and vomiting.
The use of antihistamines is usually recommended at the beginning of an attack and has a fast effect. However, their long-term use may cause drowsiness and reduced alertness; Therefore, short-term use under the supervision of a doctor should be taken seriously.
English text:
Quoted from healthdirect
Dizziness can be caused by many different things, including heart problems. If you have other symptoms while feeling dizzy, such as numbness and pain, get medical help. Farsi translation: Dizziness can be caused by various factors, including heart problems. If you have other symptoms when you feel dizzy, such as numbness and pain, see your doctor.
2. Antinausea
Anti-nausea drugs such as ondansetron and metoclopramide help reduce nausea with dizziness. These drugs are usually taken to make them more effective. In addition to controlling nausea, these drugs also help reduce the severity of vertigo attacks by reducing stress and anxiety caused by nausea. Proper use and timing of the medicine increases its effectiveness and reduces side effects.
3. Diazepam or Lorazepam
Benzodiazepine drugs such as diazepam and lorazepam are used to reduce anxiety and stabilize the central nervous system. These drugs are effective in relieving severe and acute dizziness in some specific and short-term cases with the doctor's opinion, especially when anxiety increases the severity of the symptoms. However, long-term use may cause dependence and decreased concentration. Therefore, their consumption is limited to acute attacks and is recommended under the supervision of a doctor.| Appropriate drugs | Inappropriate drugs / with limited use |
|---|---|
| Antihistamines (dimenhydrinate, diphenhydramine, hydroxyzine) | Long-term use of antihistamines due to drowsiness and decreased alertness |
| Antinauseas (ondansetron, metoclopramide) | Use alone and without combining with antihistamines is less effective. |
| Dimenhydrinate for acute dizziness with nausea | Benzodiazepines are less effective than antihistamines in the first two hours |
| Benzodiazepines (diazepam, lorazepam) in acute attacks with anxiety | Long-term use of benzodiazepines due to dependence and reduced concentration |
| Betahistine for vertigo with tinnitus and auditory fluctuation (Meniere) | Betahistine for immediate relief of acute vertigo, fast effect It does not. |
| Diuretics (furosemide, spironolactone) in Meniere's with fluid accumulation | Unmonitored use of electrolytes due to the risk of pressure drop and electrolyte disturbance |
| Triptans and migraine preventive drugs in migraine vertigo | Arbitrary use of migraine drugs without advice Specialist |
| — | Pills are not suitable for vertigo caused by anxiety, stroke, tumor or severe damage to the inner ear. |
The best pill to treat vertigo with fluctuating hearing and tinnitus (Meniere's)
For vertigo caused by Meniere's disease, which is usually associated with tinnitus, fluctuating hearing loss, and a feeling of ear pressure, many medications are used to control symptoms.
Betahistine is one of the options that reduces the frequency of dizziness attacks by improving the blood circulation of the inner ear and reducing the fluid pressure in the vestibular channels. Regular use of this drug, along with a low-salt diet and adequate hydration of the body, has a more optimal effect. It can also significantly improve the quality of life of patients.
In cases where fluid accumulation in the inner ear causes severe symptoms, diuretics reduce ear fluid pressure and control vertigo attacks. These drugs are especially useful for patients who have dizziness, ear swelling, or severe hearing loss.
1. Betahistine
The drug Betahistine improves blood circulation in the inner ear and reduces fluid pressure in the vestibular channels. This drug reduces the frequency and severity of dizziness, tinnitus and hearing loss in patients with Meniere's disease. Regular consumption of betahistine along with a low-salt diet has a better therapeutic effect. Its effect is time-consuming and it usually takes several weeks to reduce the frequency of attacks.
English text:
The most important thing to do if you're feeling dizzy is to lie down in a safe place and stay still until the spell passes.
Persian translation:
The most important thing to do when you feel dizzy is to lie down in a safe place and stay still until the nausea subsides. noopener">ent-md
2. Diuretics
Diuretics reduce fluid retention in the inner ear, reduce the pressure inside the vestibular canals and control the symptoms of Meniere's vertigo. These drugs are especially effective in patients whose increased fluid pressure causes severe attacks. Accurate consumption and control of electrolyte levels have a great impact on reducing possible side effects such as blood pressure or electrolyte disorders.
The best pill to treat dizziness with migraine
In migraine-related vertigo, drugs that stabilize cerebral blood flow and nerve activity are helpful. Triptans, as the main drugs for migraine, reduce the headache associated with migraine by reducing inflammation and dilation of cerebral vessels.
Also, preventive migraine medications such as beta-blockers and antiepileptics can reduce the frequency of migraine-related vertigo attacks. The use of these drugs must be under the supervision of a neurologist to ensure the effectiveness and of course the safety of drug use.What type of dizziness is the pill not suitable for?
Some types of vertigo, especially vertigo caused by mental problems or anxiety, do not respond well to pills. Also, dizziness caused by severe damage to the inner ear, stroke or brain tumor requires specialized and combined treatment, and self-administration of medicine in such conditions will be dangerous.
In these cases, non-pharmacological treatment including vestibular rehabilitation, maneuvers and lifestyle modification are more effective. Accurate diagnosis of the cause of vertigo before starting the medication is necessary to avoid side effects and exacerbation of symptoms.
Conclusion
Choosing the best pill for vertigo depends on the cause, severity of symptoms and underlying disease. Antihistamines, antiemetics and benzodiazepines are effective for acute dizziness with nausea. Betahistine and diuretics are also suitable for Meniere's vertigo and triptans are used for migraine vertigo. However, in some cases tablets do not respond and non-pharmacological or combination therapy is necessary. Accurate diagnosis of the cause of dizziness and regular medical follow-up is the best way to choose the most effective drug and reduce side effects. If you need more advice about the best pills for vertigo treatment, talk to a medical professional.
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