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Vertigo management : Prescribing guide


Labyrinth stabilizers, also known as vestibular suppressants, are medications used to manage symptoms of vertigo by stabilizing the inner ear and reducing the activity of the vestibular system.


The number of older people has been increasing over recent decades in Western populations. Dizziness, imbalance, and vertigo constitute some of the most common complaints in older patients, with the risk of falling being the most frequent and concerning consequence. It has been reported that 15–20% of the adult population experiences these debilitating symptoms. Among the diseases associated with vertigo, three classes of dizziness can be distinguished: otological, central, and functional (psychological). Vestibular disorders account for 48% of vertiginous complaints in the older population.


The approach to drug treatment for vertigo is almost exclusively symptomatic, focusing on three major goals:


Elimination of the Hallucination of Motion Reduction of Neurovegetative and Psychoaffective Symptoms Enhancement of Vestibular Compensation
Vestibular Suppressants: The primary aim is to eliminate the sensation of spinning or moving, which is a key symptom of vertigo. Drugs with vestibular suppressant properties, such as anticholinergics and antihistamines, are used for this purpose. Antidopaminergics: These medications help reduce associated symptoms like nausea, vomiting, and anxiety that often accompany vertigo.



Vestibular Compensation: The goal...

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