Key clinical recommendationLabelReferences
The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo.A18,19,20
The modified Epley maneuver also is effective in patients with benign paroxysmal positional vertigo.B16
Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis.C6,7,8
Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis.B14
Treatment with a low-salt diet and diuretics is recommended for patients with Ménière’s disease and vertigo.B23,24,25
Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises.B13,30,31,32
Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders. Because of side effects, slow titration is recommended.B34