From the Research
Medication Considerations for Elderly Patients with Dizziness
When considering medication for an elderly patient (80 years or older) experiencing dizziness, several factors must be taken into account, including age-related physiologic changes, multiple comorbidities, and potential drug interactions 1, 2.
Potential Medications for Dizziness
Some medications that may be used to treat dizziness in elderly patients include:
- Antihistamines, calcium channel blockers, and benzodiazepines for acute peripheral vertigo 3
- Betahistine and diuretics for Meniere disease 3
- Selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, and calcium channel blockers for vestibular migraine, persistent postural perceptual dizziness, and mal de débarquement 3
Important Considerations
It is essential to consider the potential risks and benefits of each medication, as well as the patient's individual needs and health status 1, 2. Elderly patients are more prone to adverse side effects and drug interactions, and potentially inappropriate medications should be avoided 2.
Diagnosis and Treatment Approach
A targeted history and physical examination can help establish a correct diagnosis and guide treatment 4. Lifestyle and diet modification may also be recommended for certain conditions, such as Meniere disease 4.
Key Principles
When prescribing medications for elderly patients with dizziness, it is crucial to apply the principles of rational, conservative, and evidence-based pharmacotherapy, taking into account the patient's biological and chronological framework 2.