![]() ![]() Although the immediate goal is to reduce the vertigo, several medications that reduce vertigo may also reduce the brain’s ability to compensate for the reduction in vestibular function, and therefore may be indicated only for a short time. ![]() Many patients also experience anxiety that may be quite disabling and can limit activity required for compensation. The neurovegetative symptoms, such as nausea, vomiting, and prostration, are often more bothersome to the patient than the vertigo itself. The goals of pharmacotherapy for vertigo include eliminating the vertigo, enhancing vestibular compensation, and decreasing the neurovegetative and psychoaffective symptoms that often accompany vertigo and that may limit the patient’s ability to compensate. This chapter focuses on medication used to treat vertigo and other various vestibular disorders. When prescribing medication to relieve dizziness, it is critical to attempt to define what type of dizziness the patient is experiencing, and therefore which of the three systems may be malfunctioning. True rotatory vertigo is secondary to lesions or dysfunction within the vestibular system. Vertigo is the sensation of motion without true motion, and is typically a spinning sensation. If a mismatch occurs between any of these three systems, the brain may perceive a sensation of dizziness or vertigo. It is composed of three building blocks interacting in complex order: the labyrinth within the inner ear, the visual system, and the somatosensory system. The vestibular system is critical for perception of one’s position in space. ![]() 19 Medications Used in Treating Acute and Chronic Vertigo and Various Vestibular Disorders ![]()
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