SSRIs such as citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) may provide better relief.
Medicines, such as prochlorperazine and some antihistamines, can help in the early stages or most cases of vertigo. Many people with vertigo also benefit from vestibular rehabilitation training (VRT), which is a series of exercises for people with dizziness and balance problems.
Withdrawal from serotonergic drugs, such as SSRI antidepressants, is commonly associated with vertigo, and serotonin depletion can cause severe dizziness (Soto et al, 2013).
Some medications that I've seen people successfully use for vertigo and anxiety include Valium or Xanax in the short term, and anti-anxiety medications such as Lexapro for more long term use.
Meclizine for anxiety
Meclizine, also an antihistamine, is most often used to treat motion sickness and dizziness. The drug, sold under the brand name Antivert, can also treat nausea and dizziness during panic attacks.
Treatment with SSRIs also may be helpful for patients who experience chronic sensations of disequilibrium alone (ie, undifferentiated somatoform dizziness).
A number of medicines can be prescribed to help with the symptoms of vertigo. They include prochlorperazine or antihistamines such as cinnarizine, cyclizine or promethazine. These medicines are the same ones that are used to help treat any feeling of sickness (nausea) and motion sickness.
Although vertigo usually starts with a condition in the inner ear, stress and anxiety can make it worse. Chronic stress or worry can also lead to more episodes of vertigo in the future. In stress-related vertigo, using strategies for both the body and the mind is the best way to regain your sense of balance.
Adrenaline activates the autonomic nervous system, which prepares our bodies to run away or fight back if we need to. It speeds up our heartbeat and breathing, dilates our eyes and makes us more alert. It can also cause unpleasant side effects such as unsteadiness, dizziness and vertigo.
It's possible to experience vertigo-like symptoms with stress and anxiety. As with stress, anxiety also prompts the release of cortisol and adrenaline, which can trigger dizzy spells.
[15] found that patients with vestibular migraine were more likely to have high levels of depression and anxiety and patients with high levels of psychological distress reported more vertigo symptoms.
The most common causes of vertigo are peripheral vestibular disorders. Clinical practice has demonstrated that many patients with vestibular peripheral vertigo also have depression/anxiety.
It is similar to motion sickness and is characterized by dizziness or the feeling that the room is spinning. While many people believe that vertigo is a medical condition, it is actually considered a symptom of medical conditions that can affect the inner ear, vestibular nerve, brain stem, or cerebellum.
Meclizine and Vestibular Disorder
This action helps control the acute vertigo symptoms like spinning sensation and nausea. The drug is suitable for vertigo patients who are facing acute vertigo symptoms. The drug should not be taken for more than 5 days.
Precipitation: Vertigo can be precipitated as a psychiatric symptom as a part of certain disorders in the neurotic spectrum like panic attacks, panic disorder with or without agoraphobia, anxiety disorders, depression, conversion disorders, post-traumatic stress disorder (PTSD) and very rarely even psychosis.
Typically, cervical vertigo symptoms happen months or years after trauma to the cervical spine. Anxiety and stress can affect the severity of your symptoms. This is because stress and anxiety affect your muscle tone and the responses of your sympathetic nervous system. Cervical vertigo symptoms can be varied.
Dizziness due to chronic worry or stress (hyperstimulation) can last all day or longer. This type of anxiety dizziness can last as long as the body is chronically stressed.
If you have been experiencing vertigo for more than a day or two, it's so severe that you can't stand or walk, or you are vomiting frequently and can't keep food down, you should make an appointment with a neurologist.
If you have a headache associated with the dizziness, take some simple painkillers like Panadol and take a rest. If they tend to recur, it might be helpful to keep a dizzy diary to see if a pattern of triggers emerges.
Dizziness is more common with tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) than with other antidepressants. These medications can cause low blood pressure, resulting in dizziness. Consider these strategies: Rise slowly from sitting to standing positions.
Lexapro Common Side Effects
Like all medications it may cause side effects, most of which are not serious and will go away with time. Common side effects of Lexapro include: Dizziness. Drowsiness or fatigue.