What are the positional exercises for Tegretol (Carbamazepine)?

From the Guidelines

The most effective positional exercise for treating benign paroxysmal positional vertigo (BPPV) is the Canalith Repositioning Maneuver (CRP), also known as the Epley Maneuver, which has been shown to be more effective than other exercises such as the Brandt-Daroff exercises 1. To perform the CRP, patients are moved sequentially through a series of head position changes, designed to utilize gravity to move free-floating particles through the alignment of the posterior semicircular canal back into the vestibule, thereby relieving the pathologic stimulus that had been producing the vertigo in BPPV. The steps involved in the CRP are as follows:

• The patient starts by sitting on a bed with their head turned 45 degrees toward the affected ear.
• The patient is then moved to a supine position with their head hanging slightly off the edge of the bed, maintaining the 45-degree rotation.
• The patient's head is then turned 90 degrees to the opposite side, and they are rolled onto their side in the same direction their head is facing.
• The patient is then moved to a sitting position, and the process is repeated as necessary. The CRP has been shown to be highly effective in treating BPPV, with a 2010 meta-analysis finding that patients treated with CRP had a 6.5-times greater chance of improvement in clinical symptoms relative to controls 1. Some key points to note when performing the CRP include:
• Patients should be informed that nausea, occasional vomiting, and/or a sense of falling may arise during the CRP.
• Patients who previously manifested severe nausea and/or vomiting with the Dix-Hallpike maneuver may be offered antiemetic prophylaxis 30 to 60 minutes prior to CRP.
• The CRP is most commonly performed in the outpatient setting by a clinician after the diagnosis of posterior semicircular canal BPPV has been confirmed.

From the Research

Positional Exercises for Tego

There are no research papers to assist in answering this question as the provided studies do not mention "Tego" and are focused on benign paroxysmal positional vertigo (BPPV) and its treatment with various maneuvers such as the Epley maneuver, Semont maneuver, and Brandt-Daroff exercises.

Available Exercises for BPPV

However, the studies do provide information on the following exercises:

• Epley maneuver: a series of movements performed to help relieve BPPV symptoms 2, 3, 4, 5, 6
• Semont maneuver: a maneuver intended as a statoconia-detachment maneuver 5, 6
• Brandt-Daroff exercises: a set of exercises intended to habituate the patient to the vertigo 5
• Semont-plus maneuver: a variation of the Semont maneuver 6

Key Findings

Some key findings from the studies include:

• The Epley maneuver is a safe and effective treatment for posterior canal BPPV 2, 3
• The Semont maneuver and Epley maneuver have similar cure rates for BPPV 5
• The Semont-plus maneuver may be superior to the Epley maneuver in terms of the number of days until recovery in pcBPPV 6