BPPV: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

BPPV: management. Antihistamine drugs: to reduce nausea and vomiting, Other drugs: to help with motion sickness. Fully referenced neurology checklist.

Vestibular suppressants: in selected cases

  • Benzodiazepines: to reduce the subjective sensation of spinning
  • Antihistamine drugs: to reduce nausea and vomiting
  • Other drugs: to help with motion sickness

Surgery: for persistent BPPV

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Other management measures

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Interventions to avoid in clinically definite BPPV

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Acronym

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References

  1. Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg 2017; 156(3_suppl):S1-S47.
  2. Nguyen-Huynh AT. Evidence-based practice: management of vertigo. Otolaryngol Clin North Am 2012; 45:925-940.
  3. Seemungal BM, Bronstein AM. A practical approach to acute vertigo. Pract Neurol 2008; 8:211-221.

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