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ENT and Dentistry

Vertigo

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Features

Features:

  • Either a sensation of motion when there is no motion or an exaggerated sense of motion in response to movement.
  • Duration of vertigo episodes and association with hearing loss are the keys to diagnosis.
  • Must differentiate peripheral from central etiologies of vestibular dysfunction. Peripheral Vertigo: Onset is sudden; often associated with tinnitus and hearing loss;

horizontal nystagmus may be present.

  • Central Vertigo: Onset is gradual; no associated auditory symptoms.
  • Evaluation includes audiogram and electronystagmography (ENG) or videonystagnnography(VNG) and head MR1.

Management

  • Treat the underlying cause.
  • Supportive care with a single drug or any combination of the following for a month
  1. Tab- Serc (betahistine) 16-24mg 1 tablet PO x TDS.
  2. Tab- Stematil (prochlorperazine) 5-10mg, 1 tablet PO x TDS with meals.
  3. Tab- Novertigo/ Stugeron cerebrin (cinnarizine) 25-75mg 1 tablet PO x TDS with meals.