Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo Treatment
The definitive treatment for BPPV requires that crystals causing inflammation in the semicircular canals be moved out of those canals. This can be done by the Epley maneuvers, where the head is taken through a series of position changes that allow the crystals to be emptied out of the canals. Epley maneuvers require a special skill set, first to know which canal the crystals are in, and second, how to "shake" the head to get them removed. If a person without these skills is not available, medication may be helpful in decreasing or resolving symptoms.
Several medications, including common motion sickness remedies, may relieve symptoms of BPPV and may be used for less severe episodes of vertigo or in addition to the Epley maneuvers. Examples of these medications include:
- meclizine (Antivert, Bonine, Dramamine II, D-Vert)
- diazepam (Valium)
- dimenhydrinate (Dramamine)