Article

Dizziness and vertigo encompass a spectrum of balance-related
symptoms caused by a variety of etiologies. Balance is affected by many systems:
proprioceptive pathways, and visual, cerebellar, vestibulocochlear, and
vascular/vasovagal systems. Treatment includes antihistamines, antiemetics,
benzodiazepines, anti-inflammatory, anti-Meniere's, anti-migraine,
antidepressants, anticonvulsants, and aminopyridines. Many medications may cause
these balance-related symptoms. Onset characteristics differ and may be
reversible or irreversible. Ototoxic drugs may affect the cochlea, the vestibular
system, or both. Medications, whether at "therapeutic" or toxic doses, have a
spectrum of side effects, depending on the medication and individual. PURPOSE:
The section on drugs that treat dizziness and balance deficiencies was divided to
elaborate on medications by classes and etiology specific treatment. Drugs with
potential to cause balance-related symptoms were chosen to elaborate on specific
medical issues encountered in rehabilitation. Background on advantages of certain
drugs and methods to minimize adverse effects are reviewed. SUMMARY: Effective
treatment depends on generating an accurate diagnosis, using the appropriate
drug, appropriate dosage, and for an appropriate duration. For every medication,
there is a spectrum of side effects at "therapeutic" and toxic doses, depending
on the medication and individual. CONCLUSION: Practitioners must ensure correct
diagnoses and cater their treatments to the patients' clinical scenario and
medical units' capacities.
- Vertige

Langue : ANGLAIS