Treatment:

Medications to treat peripheral vertigo may include:

• Anticholinergics (such as scopolamine)
• Antihistamines (such as meclizine)
• Benzodiazepines (such as diazepam or lorazepam)
• Promethazine (to treat nausea and vomiting)

The cause of any brain disorder causing vertigo should be identified and treated when possible.

Persistent balance problems may improve with physical therapy. To prevent worsening of symptoms during episodes of vertigo, try the following:

• Keep still and rest when symptoms occur.
• Gradually resume activity.
• Avoid sudden position changes.
• Do not try to read when symptoms occur.
• Avoid bright lights.

You may need help walking when symptoms occur. Avoid hazardous activities such as driving, operating heavy machinery, and climbing until 1 week after symptoms have disappeared.

Expectations (prognosis):

The outcome depends on the cause.

Complications:

Persistent, unrelieved vertigo can interfere with driving, work, and lifestyle. It can also cause falls, which can lead to many injuries, including hip fractures.

Calling your health care provider:

Call for an appointment with your health care provider if vertigo is persistent or troublesome.