What medications are effective for treating otolithiasis (benign paroxysmal positional vertigo)?
Disease description:
Recently, when getting up or turning over, I suddenly experience vertigo as if the world is spinning, along with nausea and vomiting. The symptoms ease within seconds but recur repeatedly. Could this be otolith disease (benign paroxysmal positional vertigo)? What medications can help?
Doctor's answer (1)
Dr. Lu Cheng
Benign paroxysmal positional vertigo (BPPV) refers to a common inner ear disorder characterized by brief episodes of dizziness. Generally, medications such as mecobalamin tablets, betahistine hydrochloride tablets, promethazine hydrochloride tablets, flunarizine hydrochloride capsules, and diazepam tablets may help alleviate symptoms of BPPV. However, these medications should be used under a physician's guidance.
1. Mecobalamin Tablets
This is a coenzyme medication used to treat peripheral nerve disorders and may help relieve symptoms caused by benign paroxysmal positional vertigo.
2. Betahistine Hydrochloride Tablets
This is a vasodilator that can be used to treat orthostatic dizziness and tinnitus caused by hypertension. It is effective for severe dizziness symptoms associated with benign paroxysmal positional vertigo.
3. Promethazine Hydrochloride Tablets
This is an antihistamine that can relieve dizziness caused by benign paroxysmal positional vertigo and also help alleviate anxiety and tension.
4. Flunarizine Hydrochloride Capsules
This medication selectively acts on cerebral blood vessels, relieves vascular spasms, increases cerebral blood flow, improves inner ear circulation, and alleviates symptoms such as dizziness and tinnitus.
5. Diazepam Tablets
This is a sedative-hypnotic medication that can reduce anxiety and tension caused by vertigo and also has a certain anti-vertigo effect, helping to relieve symptoms.
These medications do not directly treat benign paroxysmal positional vertigo but are used only to alleviate associated symptoms. They should be used under medical supervision to avoid unnecessary side effects.
