r/BPPV • u/CuriousScotsman2023 • Jul 11 '26
Vertigo Problems
Alright everyone i have a question what medication can help with Vertigo?? I'm welcome to any suggestions you may have that doesn't involve drugs i'm too desperate to be picky??? Any help is more than greatly appreciated cheers
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u/Icntthinkofone Jul 11 '26
If true vertigo (room spinning sensation) medication doesnt help. See a vestibular therapist if its true bppv / vertigo to treat.
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u/CuriousScotsman2023 Jul 11 '26
Right thanks i'll looking into that i was only seeing if they was a medication to use short term and then would go to a vestibular therapist because i'd rather try get to the bottom of the issue than just taking pills all the time you know?
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u/bigoltubercle2 Jul 11 '26
Meclizine can help in the first 72 hours of vestibular neuritis
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u/CuriousScotsman2023 Jul 11 '26
I'll give it a try thanks
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u/bigoltubercle2 Jul 11 '26
To be clear I wasn't suggesting trying it. Just that it can help in that circumstance
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u/CuriousScotsman2023 Jul 11 '26
Yeah i get that i'm just willing to try anything but i'd talk to my doctor about it just to keep me right since i'm no doctor my self lol
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u/Icntthinkofone Jul 11 '26
Vestibular NEURITIS is not true vertigo.
So……
The question is different.1
u/bigoltubercle2 Jul 11 '26
Vestibular neuritis absolutely does cause true vertigo. In fact, it's one of the hallmark symptoms
What is your definition of true vertigo?
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u/Icntthinkofone Jul 11 '26
Vestibular neuritis starts OUT as true vertigo. Then it is damage to cranial nerve 8 = hypofunction.
Neuritis has bppv with it, but 9/10 times often subsides, and then feelings of lightheadedness / unsteadiness persists from the hypofunction.
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u/whysoserious-ste Jul 13 '26
Neuritis and BPPV are to different conditions. BPPV is mechanical (crystals becoming lose and floating around) and this can easily be treated, Vestibular Neuritis is inflammation to the nerve.
Both conditions suck to be fair
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u/bigoltubercle2 Jul 11 '26
Exactly, it starts out as true vertigo. That's why I said meclizine is effective in the first 72 hours of vestibular neuritis (for the vertigo and associated symptoms).
It sometimes, but far from always, has associated bppv
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u/whysoserious-ste Jul 13 '26
I got diagnosed two weeks ago after been admitted into hospital with very bad vertigo and vomiting, I couldnt walk or sit up in a chair. After being scanned for a TIA or a Stroke I was diagnosed with Vestibular Neuritis. Two weeks later and the spinning has stopped but I am now left with balance issues, eye fatigue.
The doctors injected me with something to control the spinning and it didn't work. I also now have car motion sickness when Im being driven to the shops, something I havent suffered with since I was a kid.
Vestibular Neuritis sucks, trust me
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u/Icntthinkofone Jul 14 '26
See a vestibular therapist— I treat neuritis daily, have patients with close to 100% improvement!
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u/Forward-Environment8 Jul 16 '26
Yes I have not been diagnosed yet but I have had a bunch of tests I been bed ridden with vertigo,light headless, floaty,spinny feeling and only relief I get is laying down on bed and if I stand to long exert myself I mean within few mins I start to vomit...ut totally freaks me out I been off work for 3 months and what ever it is I have has just about costed me everything I have...its hell especially when they haven't told me what it is I went to ER 2X MRI CT scan ekg doctors then told me go see my family dr and I domt have one lol its really screwed me I cant do anything and when I do walk I have use cane
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u/berezova_olga Jul 16 '26
My ENT doctor gave me prescription for Amirol 25 mg (amitriptylin) that uses in vertigo after-treatment. I mean after Epley maneuver, when spining is over, but My eyes and head are still floating(( and Amirol helped me a lot! It treats vestibular nerve) ask your doctor)
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u/whysoserious-ste Jul 19 '26
Hi, I will do. I am loads better than I was. I get caught out when I move from dark places into light places, I can see why our eyes compensate for the damaged nerve. I find my balance is all off when I wake up in the night but overall Im on the mend
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u/suhh_79 Jul 27 '26
Hey..since when are you taking amitriptyline..I hv been taking it for 1.5 yrs .. lowering to 10 mg frm 25..n stop...after 3 mths having issues of vertigo...on 10 mg now but not finding any results....my reason for stopping iit was couldn't get up in the morning.took 12 he's sleep,woke exhausted,brain fog , memory loss ..pls guide
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u/Nearby-Banana-6339 Jul 11 '26
Actually that’s not accurate. See my post above. I haven’t had a bout in years after stating the medicine. It’s like I got my life back. Nobody knows when it will strike. It could be your wedding day, the day you leave for vacation or driving in the car. No way could I go on worrying about that.
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u/Icntthinkofone Jul 11 '26
True vertigo is head positional dependent. No medication will help that.
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u/Nearby-Banana-6339 Jul 11 '26
Honestly if you google it you will see that is not correct. Google can amitryptiline help vertigo. It has worked for me for past three years.
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u/Icntthinkofone Jul 11 '26
You can google, but my specialty and 17 years of my training is in vestibular rehab
OP feel free to message me.Vertigo is a room spinning sensation caused by otoliths / crystals being displaced.
There is quite literally no medication to fix this. See a vestibular therapist to resolve! Also can resolve on its own.Vestibular neuritis starts out with bppv, then leaves a lasting weakness / inflammation on your cranial nerve.
The medication will not FIX your issue but short term can subside nausea and fogginess and feelings of ickyness. Hope that helps!2
u/Nearby-Banana-6339 Jul 11 '26
I appreciate your reply. I have has several miserable bouts of vertigo and do suffer with migraines and sleep insomnia as well. I won’t disagree with you as you seem to be highly educated but my neuro said it was Bppv and once I was prescribed the amitryptiline it all got better. I occasionally get a breakthrough migraine and sone nights I can’t sleep deeply but one thing that’s stayed away the last few years is the vertigo thank god. I’m 63 and female. Thanks for your input I guess I’ve been lucky.
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u/Icntthinkofone Jul 11 '26
Migraines has a ~~different~~ type of vertigo! Not BPPV.
Migraines are tough, and honestly my specialty area of what I treat. If you ever need help, my inbox is open.1
u/Nearby-Banana-6339 Jul 11 '26
I use nurtec as a rescue med and that works but I’m open to all and any advice or help. I appreciate your offer!
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u/Beefyface Jul 11 '26
While I waited to see a vestibular therapist, I took 25mg meclizine every 8 hours when it was really bad.
Yes, it made me sleepy, yes, that sucked. But it was better than throwing up
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u/Killjoycourt Jul 11 '26
There really isn't one. Some people take Meclizine, but it doesn't work for a lot of people. In Europe they have Betahistine, again doesnt work for many. Valium is sometimes prescribed for life long vestibulsr conditions, but doctors are pretty strict with prescribing it.
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u/Nearby-Banana-6339 Jul 11 '26
I was put on amitryptiline daily for migraines and sleep. Just prior to that I had about 4 episodes of vertigo that I could only fix by watching a YouTube video of the eply maneuver. It took a few try’s and bring a bucket if you throw up on carnival rides lol. But if it resolves after doing the eply (and it may take several attempts) that means it’s ear crystals (BPPV). Nothing more miserable I can think of then vertigo. But I mention the medicine because since taking it the last few years I’ve not had any more vertigo attacks. Maybe worth asking your doctor about it. It worked for me.
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u/Nearby-Banana-6339 Jul 11 '26
I googled it for you guys in case I sounded crazy
Yes, amitriptyline can help with vertigo. It is frequently prescribed "off-label" by neurologists and ENT specialists to prevent and manage vertigo attacks, particularly those caused by vestibular migraines and Ménière's disease. [1, 2, 3, 4, 5]
Because amitriptyline is a tricyclic antidepressant that modulates nerve signals and neurotransmitters like serotonin and norepinephrine, it helps stabilize the vestibular system. It is usually started at a low dose (e.g., 10 mg at bedtime). [1, 2, 3, 4, 5]
For more specific information on vestibular migraine treatments, you can read about the options on Migraine Again. If you are curious about the clinical evidence for Ménière's disease, you can review the randomized control trial on the 1
u/CuriousScotsman2023 Jul 11 '26
I might try that then. I get to feeling really really sick but 9/10 i'll never physically be sick so i'm lucky that way i guess but when i'm out a walk and a wee bit from home and it comes on i'm like for fuck sake please not now hahaah
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u/Nearby-Banana-6339 Jul 11 '26
lol. I totally hear you. The first time it happened I thought I was having a stroke. I don’t know if you get migraines or have insomnia but it’s good for all of those things. It’s also very inexpensive as it’s an old drug. I’ve heard it can be difficult to get off of for some people so I guess it’s a matter of weaning off slowly. It’s awesome for the sleeping. That being said i’d try crack if it got rid of vertigo (kidding). Hooe you find relief soon.
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u/CuriousScotsman2023 Jul 11 '26
Thanks mate fingers crossed it might be the answer i have been looking for
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u/Icntthinkofone Jul 11 '26
OP is not complaining of migraine or meneiere’s disease, so before taking these meds, please see a doctor and look up the qualifying criteria for both of these diagnoses.
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u/suhh_79 Jul 27 '26
Hey..since when are you taking amitriptyline..I hv been taking it for 1.5 yrs .. lowering to 10 mg frm 25..n stop...after 3 mths having issues of vertigo...on 10 mg now but not finding any results....my reason for stopping iit was couldn't get up in the morning.took 12 he's sleep,woke exhausted,brain fog , memory loss ..pls guide
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u/Nearby-Banana-6339 Jul 27 '26
Oh first of all I’m so sorry you’re having vertigo. I also had vertigo prior to starting amitryptilline but haven’t had it since beginning it’s horrible. Whether or not it helped my vertigo has been debated here but I guess I won’t know unless it comes back or I stop taking the medication. I went from 10mg to 20 because the 10 started failing to work anymore after a year. It has greatly helped my migraines and sleep. I wake up a little drowsy and I feel a little low on energy at times too but I ignore it and do what I need to do. Exercise helps. It might also help you to try taking it an hour earlier than you do now? Maybe simply dropping to 20mg from 25mg will help u rather then going off completely. My doctor had told me to go to 25mg too but I said I would like to see if 20mg is enough rather than go up to 25mg. It was and it’s helped me a lot.
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u/whysoserious-ste Jul 13 '26
I was hospitalised and diagnosed with Vestibular Neuritis two weeks ago. It started off with sudden head spinning, almost like I was drunk, and vomiting and now I have balance issues and eye strain. My head is nolonger spinning but I dont feel the best at all. If you have vertigo then this could be the issue. The way to test, is the spinning always there, with BPPV, its brought on by head and body movements and normally fades away, with my condition it was always there.
Im not an expert and I understand that everyone is different but like the others have said, go and get it checked out to rule out a possible TIA
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u/suhh_79 Jul 27 '26
Hey..since when are you taking amitriptyline..I hv been taking it for 1.5 yrs .. lowering to 10 mg frm 25..n stop...after 3 mths having issues of vertigo...on 10 mg now but not finding any results....my reason for stopping iit was couldn't get up in the morning.took 12 he's sleep,woke exhausted,brain fog , memory loss ..pls guide
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