Can betahistine relieve positional paroxysmal vertigo?

Positional paroxysmal vertigo usually refers to benign paroxysmal positional vertigo (BPPV). Betahistine is available in various formulations including tablets and injections, and it generally can alleviate symptoms of BPPV. It is recommended to use this medication under a physician's guidance. If any physical discomfort occurs, it is advisable to seek medical attention at a hospital promptly and follow the doctor's instructions for treatment.

Betahistine can reduce the resting potential of vestibular receptors, thereby regulating vestibular function and decreasing episodes of vertigo. For patients with benign paroxysmal positional vertigo, betahistine helps alleviate vertigo symptoms, relieve sensations of dizziness and rotational vertigo, and improve bodily balance. After otoconia repositioning, patients may still experience symptoms such as dizziness and balance disorders. At this stage, administering medications like betahistine that improve microcirculation in the inner ear can assist in treatment and promote recovery.

The common treatment for benign paroxysmal positional vertigo is physical therapy, such as manual repositioning maneuvers, which involve specific head movements to reposition the ear stones and eliminate vertigo. Therefore, when dealing with benign paroxysmal positional vertigo, one should first consult a specialist to determine the exact cause and choose the appropriate treatment method under the physician's guidance. In some cases, betahistine may be used as an adjunctive treatment, but in most instances, physical therapy remains the more direct and effective treatment option.

Patients should strictly follow the physician's instructions regarding medication and avoid adjusting the dosage or discontinuing the medication on their own. Maintaining healthy lifestyle habits and avoiding excessive fatigue and mental stress can help prevent and reduce vertigo symptoms.