Vertigo: An Overview

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Vertigo is a very common complaint in clinical practice and its management is one of the challenges faced by medical practitioners. Effective treatment depends on accurate diagnosis of the causes of the complaints. Betahistine is a histamine modulator and its efficacy and safety has been demonstrated in numerous clinical trials. The effectiveness of betahistine has been demonstrated to be dose-dependent and time-dependent. This review is an update on the use of betahistine in the management of vertigo with focus on dose and duration of treatment.
Keywords: Betahistine, vertigo, dose, duration of therapy, Meniere’s disease
Vertigo and Its Management: An Overview
Vertigo is a term that refers to an illusion of self or environmental motion, typically described as spinning or whirling. The sense of motion is commonly rotatory, but it may also be linear. Usually it produces some sense of disorientation in space, and it may also be accompanied by vegetative disturbances (nausea, vomiting, sweating) or auditory symptoms (hearing loss, tinnitus, feeling of ear fullness). Vertigo is one of the most common symptoms which patients present to physicians. It has been estimated that the annual prevalence of vertigo is 4.9% for the general population, and the lifetime prevalence of vertigo is ~ 20–30%1.
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Vertigo is also referred as giddiness, dizziness, and imbalance. Vertigo as a possible symptom have been reported in at least 80 different disorders. So, it can be said that in about 40% of cases, a definite and clear diagnosis of vertigo is not possible even though modern diagnostic procedures are available. True vertigo is an unpleasant sensation of imbalance, spinning and disorientation associated with nausea and vomiting. During an acute attack, many patients are understandably

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