However, since suppressant medications may hinder the function of the vestibular apparatus at a time when the patient is most dependent upon it, these patients actually may experience greater symptoms.
In 1972 a randomized, double-blind crossover study indicated that meclizine had a greater effect than a placebo on diminishing symptoms and signs of vertigo of vestibular origin.
It is not recommended for complaints of unsteadiness, loss of balance, and disequilibrium, whether of vestibular origin or not.
This medication should be takenearly in the evening, or half-dose in the evening and the other half at bedtime to avoid morning hangover.However, this is a less than ideal treatment for two reasons: a therapeutic dosage of Antivert creates a lasting sedating effect only to marginally reduce the intensity of symptoms, which last only a few seconds, and Canalith repositioning procedures are extremely effective in relieving the symptoms of positional vertigo.Many patients describing dizziness do not experience vertigo and may have perfectly normal vestibular function.Research indicates that long-term use may not be the best solution By Alan L. Although etiology of these complaints was not obtained, we know that BPPV is the most common cause of vertigo, and disequilibrium and unsteadiness can be the result of vestibular and/or non-vestibular pathology. On further questioning, approximately 75 percent described their dizziness as unsteadiness, disequilibrium, loss of balance, or pre-syncopal lightheadedness.