What causes dizziness when lying down or getting up, and what medication should be taken?

Generally, dizziness when lying down or getting up may be related to factors such as medication side effects, benign paroxysmal positional vertigo (BPPV), hypotension, otolith disorders, or cervical spondylosis. Medications such as Ginkgo biloba tablets, dexamethasone acetate tablets, and compound theophylline-ephedrine tablets may be taken under medical guidance to help relieve symptoms.

1. Medication side effects: Certain medications may cause dizziness or vertigo, especially during changes in body position. For example, some antihypertensive drugs, anti-anxiety medications, antidepressants, and sedatives can lead to feelings of dizziness. A physician should evaluate these effects and adjust the treatment plan accordingly.

2. Benign paroxysmal positional vertigo (BPPV): This is one of the most common causes. Such dizziness typically occurs when quickly changing from a prone or supine position to sitting or standing. Positional vertigo may result from a condition known as benign paroxysmal positional vertigo, which is caused by small particles in the inner ear moving into incorrect positions. This type of dizziness often resolves spontaneously. Treatment may include medications such as flunarizine hydrochloride capsules or Ginkgo biloba tablets, used under medical supervision.

3. Hypotension: Low blood pressure can occur when rapidly transitioning from lying or sitting to standing, causing a sudden drop in blood pressure that may lead to dizziness, lightheadedness, or even fainting. If you frequently experience dizziness or vertigo, medications such as compound theophylline-ephedrine tablets or dexamethasone acetate tablets may be used under medical guidance.

4. Otolith disorder: Brief episodes of vertigo accompanied by nystagmus may occur with certain head movements. This is a self-limiting condition associated with changes in head motion. The main symptoms include sudden-onset rotational vertigo, often accompanied by nausea and vomiting. Treatment typically involves taking medications under medical advice—such as promethazine hydrochloride tablets or betahistine hydrochloride tablets—that improve microcirculation in the inner ear.

5. Cervical spondylosis: This condition can compress blood vessels, nerves, and surrounding spinal cord tissue, leading to symptoms such as dizziness and headache when lying down or getting up. Treatment usually includes neurotrophic medications such as mecobalamin tablets or vitamin B1 tablets, taken as directed by a physician.

If symptoms persist or worsen, prompt medical attention is recommended.