Dizziness; Benign Positional Vertigo; Meniere's Disease; Benign Paroxysmal Positional Vertigo; Vertiginous Syndrome
Principal Proposed Natural Treatments
Other Proposed Natural Treatments
Ginkgo; Ginger; Hypnosis; Oxerutins; Vitamin B 6
Vertigo is closely related to dizziness, but involves the perception of actually seeing the room spin about you, similar to what happens when you spin around rapidly and then stop. Often, vertigo is accompanied by nausea and a loss of balance. Vertigo may pass quickly, or it may last for hours or even days.
There are many possible causes of vertigo including motion sickness, infection in the inner ear, vision problems, head injury, insufficient blood supply to the brain, and brain tumors. A condition called benign paroxysmal positional vertigo leads to attacks of vertigo triggered by certain head positions; its cause is believed to be deposits of calcium in the inner ear. Another condition, Meniere's disease, is characterized by sudden, intense attacks of vertigo often accompanied by nausea and vomiting, along with ringing in the ears and progressive deafness. Its cause is unknown.
Conventional treatments for vertigo depend upon the cause and severity of the condition. Drugs for motion sickness and mild vertigo of any cause include meclizine, dimenhydrinate, and perphenazine. Scopolamine is prescribed for severe motion sickness. Benign paroxysmal positional vertigo is often treated through a series of exercises which help to alleviate symptoms. 1,2 For Meniere's disease, changes in diet are often recommended (including limiting sodium, sugar, and alcohol intake), sometimes in combination with diuretic drugs.
Proposed Natural Treatments
Several natural treatments have been tried for vertigo; however, the scientific evidence for these treatments is very preliminary at this time. Note: Treatments (such as ginger ) used specifically for motion sickness are discussed in the motion sickness article.
A double-blind, placebo-controlled study of 67 people with vertigo found that 160 mg of Ginkgo biloba extract per day significantly reduced symptoms compared to placebo. 3 At the end of the 3-month study, 47% of the ginkgo group had completely recovered, as compared to only 18% of the placebo group. For more information, including dosage and safety issues, see the full ginkgo article.
This topic is also discussed in the homeopathy database, in the vertigo chapter.
1. Norre ME, Beckers A. Exercise treatment for paroxysmal positional vertigo: comparison of two types of exercises. Arch Otorhinolaryngol. 1987;244:291294.
2. Norre ME, Beckers A. Vertigo training. Rehabilitation treatment of vertigo by physical exercises. Acta Belg Med Phys. 1986;9:209211.
3. Haguenauer JP, Cantenot F, Koskas H, et al. Treatment of balance disorders using Ginkgo biloba extract. A multicentre, double-blind, drug versus placebo study [translated from French]. Presse Med. 1986;15:15691572.
4. Mowrey DB, Clayson DE. Motion sickness, ginger, and psychophysics. Lancet. 1982;1:655657.
5. European Scientific Cooperative on Phytotherapy. Zingiberis rhizoma (ginger). Exeter, UK: ESCOP; 1996-1997. Monographs on the Medicinal Uses of Plant Drugs, Fasciule 1.
6. Grontved A, Brask T, Kambskard J, et al. Ginger root against seasickness. A controlled trial on the open sea. Acta Otolaryngol. 1988;105:4549.
7. Grontved A, Hentzer E. Vertigo-reducing effect of ginger root. A controlled clinical study. ORL J Otorhinolaryngol Relat Spec . 1986;48:282286.
8. Stott JR, Hubble MP, Spencer MB. A double-blind comparative trial of powdered ginger root, hyosine hydrobromide, and cinnarizine in the prophylaxis of motion sickness induced by cross coupled stimulation. AGARD Conf Proc . 1985;(372):16.
9. Stewart JJ,Wood MJ, Wood CD,et al. Effects of ginger on motion sickness susceptibility and gastric function. Pharmacology. 1991;42:111120.
10. Wood CD, Manno JE, Wood MJ, et al. Comparison of efficacy of ginger with various antimotion sickness drugs. Clin Res Pract Drug Reg Aff. 1988;6:129136.
11. Moser M, Ranacher G, Wilmot TJ, et al.A double-blind clinical trial of hydroxyethylrutosides in Meniere's disease. J Laryngol Otol. 1984;98:265272.
12. Lewy A, Fox N. Clinical notes; new instruments and techniques: pyroxidine (B6) used in the treatment of vertigo. Arch Otolaryngol . 1947; 681683.
13. Cedercreutz C, Lahteenmaki R, Tulikoura J. Hypnotic treatment of headache and vertigo in skull injured patients. Int J Clin Exp Hypn. 1976;24:195201.
Last reviewed August 2013 by EBSCO CAM Review Board
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