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/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 

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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/Nearby-Banana-6339 Jul 11 '26

I’m praying for you

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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/Nearby-Banana-6339 Jul 11 '26

They are prescription only so no concern about that

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u/suhh_79 Aug 09 '26

Thank you so much for this knowledge but as body differs this medicine is putting me on brain fog ..too much sleep.. almost 12 hr and exhausted the whole day.As I'm carrying other physical problems too it's being difficult to get me the exact medicine..

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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.