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Current and Emerging Medical Therapies for Dizziness
Mallory J Raymond1, Esther X Vivas2
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue MSC 550, 11th Floor, Charleston, SC 29425, USA.
Otolaryngologic Clinics of North America
|September 20, 2021
Summary
This study reviews medical therapies for dizziness, including acute treatments like antihistamines and long-term strategies for conditions such as Meniere disease and vestibular migraine.
Area of Science:
- Neurology
- Otolaryngology
- Pharmacology
Background:
- Dizziness is a common symptom with various underlying causes.
- Effective management requires targeting vertigo, secondary symptoms, or the root pathology.
Purpose of the Study:
- To provide a comprehensive overview of pharmacotherapies for different types of dizziness.
- To outline current treatment strategies for acute and prophylactic management.
Main Methods:
- Literature review of medical therapies for dizziness.
- Categorization of treatments based on dizziness etiology and acuity.
Main Results:
- Acute peripheral vertigo treatments include antihistamines, calcium channel blockers, and benzodiazepines.
- Meniere disease management involves betahistine, diuretics, intratympanic steroids, and gentamicin.
- Vestibular migraine and related disorders may benefit from SSRIs, SNRIs, TCAs, and calcium channel blockers.
Conclusions:
- Pharmacological interventions are tailored to specific dizziness causes.
- A range of medications exist for acute symptom relief and long-term management.
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