From the Guidelines
Treatments for Vertigo Vertigo can be effectively managed with canalith repositioning procedures, such as the Epley maneuver 1, which has been shown to be highly effective in treating benign paroxysmal positional vertigo (BPPV).
- Canalith Repositioning Procedure (CRP): This procedure involves a series of head movements designed to move free-floating particles in the inner ear back into the vestibule, relieving vertigo symptoms 1.
- Liberatory Maneuver (LM): Also known as the Semont maneuver, this procedure uses inertial and gravity forces to move particles in the inner ear and relieve vertigo symptoms 1.
- Vestibular Rehabilitation: This type of therapy can help improve balance and reduce vertigo symptoms in some patients 1.
- Observation: In some cases, observation with follow-up may be recommended as initial management for patients with BPPV 1. It's essential to note that vestibular suppressant medications, such as antihistamines and benzodiazepines, are not recommended for routine treatment of BPPV 1. Instead, these medications may be used to alleviate nausea and vomiting associated with vertigo, but their use should be limited to a short duration due to potential side effects. Key Considerations
- Patients should be educated about the impact of BPPV on their safety and the potential for disease recurrence 1.
- Clinicians should assess patients with BPPV for factors that modify management, including impaired mobility or balance, central nervous system disorders, and increased risk for falling 1.
- The role of patient preferences in making decisions about treatment should be considered, taking into account factors such as absolute benefits, adverse effects, and cost of treatment 1.
From the FDA Drug Label
Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults (1). Recommended dosage: 25 mg to 100 mg daily, in divided doses (2.1).
The treatment for vertigo is meclizine hydrochloride tablets, with a recommended dosage of 25 mg to 100 mg daily, in divided doses 2.