How can I manage symptoms of vertigo?

Introduction

Vertigo is a common symptom characterized by a sensation of spinning or dizziness, often impacting daily activities and quality of life. Effective management of vertigo involves a combination of pharmacological treatments, physical therapies, and lifestyle modifications tailored to the underlying cause.

Key Insights

Pharmacological Treatments:
- Medications such as anticholinergics, antihistamines, benzodiazepines, calcium channel antagonists, and dopamine receptor antagonists are commonly used to manage vertigo symptoms. These medications can either suppress vestibular symptoms or address the underlying disease process .
- Specific drugs like Levo-sulpiride, methoclopramide, tiethilperazine, diazepam, sulfate magnesium, and piracetam are used to reduce neurovegetative symptoms and vestibular damage in acute spontaneous vertigo.
- For migraine-related vertigo, treatments include dietary changes, medication, physical therapy, lifestyle adaptations, and acupuncture, with a high success rate in symptom control.
Physical and Vestibular Rehabilitation:
- Vestibular rehabilitation (VR) involving head, eye, and body exercises can significantly improve balance and reduce dizziness symptoms. This approach is beneficial in both acute and chronic cases of vertigo .
- Specific maneuvers such as Semont, Epley, or Lempert are effective in treating paroxysmal positional vertigo (PPV).
Self-Management and Education:
- Booklet-based self-management techniques, including vestibular rehabilitation and symptom control strategies, have shown to improve symptoms and enable patients to better cope with vertigo, particularly in Meniere's disease.
- Digital support systems, such as computerized clinical decision systems and mobile applications, can optimize the management of vertigo by improving diagnostic accuracy and treatment efficiency.
Lifestyle and Dietary Modifications:
- Lifestyle changes, including stress management and dietary adjustments, are crucial in managing vertigo, especially in cases related to migraines and Meniere's disease .

Conclusion

Managing vertigo effectively requires a multifaceted approach that includes pharmacological treatments, physical and vestibular rehabilitation, self-management education, and lifestyle modifications. Medications can help control symptoms and address underlying causes, while physical therapies and specific maneuvers can improve balance and reduce dizziness. Self-management techniques and digital support systems further enhance patient outcomes by providing tailored and efficient care.

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How can I manage symptoms of vertigo?

Summary

Introduction

Key Insights

Conclusion

Sources and full results

The treatment of acute vertigo

Acute vertigo can be effectively treated with pharmacotherapy, physical therapy, and physical maneuvers, including vestibular electrical stimulation.

Computerized clinical decision system and mobile application with expert support to optimize management of vertigo in primary care: study protocol for a pragmatic cluster-randomized controlled trial

The study aims to optimize management of vertigo and dizziness in primary care by implementing a computerized clinical decision system, mobile application, and interdisciplinary educational program.

A randomized controlled trial of exercise therapy for dizziness and vertigo in primary care.

Vestibular rehabilitation (VR) is a simple, inexpensive, and beneficial treatment for dizzy patients in primary care, improving balance and reducing symptoms compared to standard medical care.

Evaluation of Booklet-Based Self-Management of Symptoms in Ménière Disease: A Randomized Controlled Trial

Self-management booklets, offering vestibular rehabilitation and symptom control techniques, can effectively help people with Ménière disease cope with dizziness symptoms.

Medical Management of Migraine‐Related Dizziness and Vertigo

Individualized treatment approaches, including dietary changes, medication, physical therapy, lifestyle adaptations, and acupuncture, effectively control migraine-related vestibular symptoms.

Pharmacological Treatment of Vertigo

Pharmacological treatments for vertigo include anticholinergics, antihistamines, benzodiazepines, calcium channel antagonists, and dopamine receptor antagonists, with specific regimens tailored for specific causes.

Management options for acute versus chronic vertigo.

Acute vertigo can be managed with medication, while chronic vertigo may require surgical or rehabilitative measures for lasting relief.

Current Insights into Treating Vertigo in Older Adults

Vertigo in older adults can be effectively managed with pharmacotherapy, but overuse may prevent central compensatory mechanisms and require vestibular and physical rehabilitation.

Health services utilization of patients with vertigo in primary care: a retrospective cohort study

Systematic training in primary care services is needed to improve oto-neurological skills and reduce under- and misdiagnosis of vestibular disorders.

Vertigo

Vertigo management involves symptomatic treatment, including vestibular exercises and drug therapy, with drug therapy being the most effective and widely used treatment option.

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