The Vertigo Medication Trap: Why These Pills Are Making You Dizzy (Not Better) | Dr Prateek Porwal
🎯 TL;DR (Too Long; Didn’t Read)
Main trap: Vestibular suppressants (antihistamines, benzodiazepines, anticholinergics) provide SHORT-TERM relief but PREVENT the brain’s natural healing process (central compensation)
72-hour rule: Suppressants appropriate ONLY for first 24–72 hours of acute vertigo attack; beyond that, they delay recovery by months
BPPV reality: Physical repositioning maneuvers (Epley, Semont) cure 80–90% of cases; NO medication can move ear crystals back to normal position
Rebound dizziness: Abrupt medication withdrawal causes temporary severe dizziness, BUT this is a sign the brain is waking up—not disease recurrence
Safe exit: Gradual medication taper + early mobilization + vestibular rehabilitation therapy (VRT) = true recovery (60–80% improvement)
Elderly risk: Suppressants dramatically increase fall risk, cognitive slowing, and drug-induced Parkinsonism in adults 65+
Action plan: If on dizziness pills >72 hours without diagnosis, ask for vestibular evaluation (Dix-Hallpike, HINTS) and supervised medication taper
Stop Calling Everything ‘Chakkar’: 3 Different Conditions That Mimic Each Other | PRIME ENT Center
BPPV (Benign Paroxysmal Positional Vertigo): Seconds-long spinning triggered by specific head movements, caused by loose crystals in the inner ear. Treatable with Epley Maneuver (success rate 80-90%).
Vestibular Neuritis: Viral inflammation of the balance nerve causing persistent dizziness lasting hours to days. Self-limiting; recovery occurs with central compensation.
Posterior Circulation Stroke: Dangerous condition mimicking vestibular neuritis but identified by failing the HINTS exam (Head Impulse, Nystagmus, Test of Skew). Requires immediate emergency intervention.
Traveling with Vertigo? The 5-Minute Hack That Stops Motion Sickness Dead | Dr Prateek Porwal
The problem: Motion sickness = sensory mismatch (inner ear, eyes, body position disagree)—brain interprets as “toxin” → triggers vomiting center
The 5-minute hack: Daily vestibular habituation (gaze stabilization X1, head movement drills) for 3–7 days BEFORE travel = brain recalibrates
Immediate travel trick: Sit in front seat + fixate on horizon (aligns visual + vestibular signals) = prevents nausea
Critical medication rule: Vestibular suppressants (scopolamine, meclizine) = max 1–3 days ONLY (longer use = permanent dizziness)
Special conditions require prep: BPPV = morning exercises; migraine = 48-hour dietary restriction; Menière’s = sodium reduction; PPPD = visual desensitization
Pharmacological backup: Scopolamine patch (most effective), meclizine (less sedating), ondansetron (for breakthrough nausea)
Recovery goal: Teach brain to accept motion = habituation = sustained travel confidence without medication
Vertigo or Stroke? The 60-Second Test Every Patient Should Know | PRIME ENT Center Hardoi
TL;DR – Vertigo or Stroke: The HINTS Exam Explained Vertigo or stroke HINTS exam? The 60-second HINTS exam (Head Impulse, Nystagmus, Test of Skew) is more accurate than MRI scans at detecting brainstem strokes. Key findings: Understanding this vertigo or stroke HINTS exam difference can be lifesaving in emergency situations. When to go to ER: […]
Dr Prateek Porwal in NESCON 2022 Conference at AIIMS New Delhi India
Dr Prateek Porwal in NESCON 2022 Conference at AIIMS New Delhi India Won 2nd Prize in Paper Presentation under Junior Consultant Category at AIIMS New Delhi 2022 Presenting My Research On VNG Features of Vestibular Migraine at Aiims New Delhi Dr Prateek Porwal Vertigo Specialist
Dr Prateek Porwal in NESCON 2023 Conference at Jaipur India
Glimpse of NESCON 2023 Conference at Jaipur India Presented on Role of High Frequency Head Shake Test for Vertigo Patients Also presented my experience with Anterior Canal BPPV.  Participated in a panel discussion of Pediatric Vestibular Disorders.   Dr Prateek Porwal vertigo Specialist  Dr Prateek Porwal in […]
Famous People with Vertigo
Famous People with Vertigo: How Celebrities Cope with This Disorienting Condition Vertigo, the unsettling sensation of spinning or that the world around you is spinning, can strike anyone at any time. This often debilitating condition affects millions worldwide, including some well-known celebrities. In this article, we’ll explore the experiences of famous people with vertigo […]
What is Vertigo?
What is Vertigo? Understanding the Spinning Sensation Vertigo is a term that many people have heard, but not everyone fully understands what it means or how it feels. If you’ve ever experienced a sudden sensation that you or your surroundings are spinning or moving, you may have had an episode of vertigo. In this […]