Treatment Overview

Benign paroxysmal positional vertigo (BPPV) may go away in a few weeks by itself. If treatment is needed, it usually consists of head exercises (Epley and Semont maneuvers). These exercises will move the particles out of the semicircular canals of your inner ear to a place where they will not cause vertigo.

Over time, your brain may react less and less to the confusing signals triggered by the particles in the inner ear. This is called compensation. Compensation occurs most quickly if you continue normal head movements, even though doing so causes the whirling sensation of vertigo. A Brandt-Daroff exercise may also be done to speed the compensation process.

Medicines called vestibular suppressants (such as antihistamines, sedatives, or scopolamine) may be tried if your symptoms are severe. But using medicines to control vertigo often extends the time needed for compensation to occur.

Antiemetic medicines may also be used to reduce nausea and vomiting that can occur with vertigo.

In rare cases, surgery may be used to treat BPPV.