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Re: Dealing with dizziness

Posted by yxibow on November 5, 2006, at 15:30:30

In reply to Re: Dealing with dizziness clint878, posted by ed_uk on November 5, 2006, at 7:14:37

> Would it be possible to reduce your lamotrigine dose? Alternatively, splitting up your daily dose may be helpful, if you are not doing so already eg. 100mg twice daily instead of 200mg once daily. I don't think anti-vertigo drugs will be helpful because although they can relieve nausea/vomiting associated with dizziness, they do not improve co-ordination.
>
> Ed

Probably true. Individual results may vary

Other agents that are used:

(Emedicine)
Diazepam (Valium) -- Effective in treating vertigo. Depresses all levels of CNS, including limbic and reticular formation, possibly by increasing activity of GABA, which is major inhibitory neurotransmitter. Individualize dosage and increase it cautiously to avoid adverse effects.

Lorazepam (Ativan) -- By increasing action of GABA, which is a major inhibitory neurotransmitter in the brain, may depress all levels of CNS, including limbic and reticular formation.


Ephedrine (Pretz-D) -- Stimulates release of epinephrine stores, producing alpha- and beta-adrenergic receptors.


I wouldn't particularly go with ephedrine with its fairly strong shock on the system, but a benzodiazepine test is fairly harmless.

Original Dramamine, which will make you drowsy, may be slightly better at vertigo, but they have similar mechanisms.

-- Jay

 

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