Vestibular vertigo should be treated with the appropriate medication chosen according to the cause of the vestibular apparatus lesion. Common causes include Meniere’s disease, benign paroxysmal positional vertigo, and vestibular neuronitis. Commonly used drugs include antihistamines, benzodiazepines, glucocorticoids and antibiotics.
1. Meniere’s disease: it is a kind of otogenic vertigo disease characterized by the accumulation of water in the membrane labyrinth. Commonly used drugs include antihistamines, such as ipecac; benzodiazepines, such as diazepam; glucocorticosteroids, such as dexamethasone, etc. Dehydrating agents, such as mannitol, etc., can be used in the diagnosis of clear cases.
2. Benign paroxysmal positional vertigo: also known as otolithiasis, belongs to peripheral vertigo. It is self-limiting and some patients can recover spontaneously. The main treatment is otolith reset. Drugs cannot reset the otolith, and if combined with vertigo, antihistamines can be used to relieve the symptoms.
3. Vestibular neuronitis: It is mainly caused by damage to the vestibular nerve and is mostly related to infection. In addition to the above types of drugs used to relieve the symptoms of vertigo, can be actively anti-infective treatment, such as antiviral drugs ganciclovir, etc.; antibiotics, such as cefadroxil, etc. to achieve the purpose of infection control.
If the patient has tinnitus, vertigo and other symptoms, should go to the hospital in a timely manner, after a clear cause, under the guidance of the doctor to actively standardize the treatment. The above drugs should be used under the guidance of a doctor, avoid buying and using on their own.