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. 2023 Jul 19;13(4):528–545. doi: 10.3390/audiolres13040047

Table 1.

Previously reported management techniques for migraine-associated vertigo [24].

Management Examples Abortive Prevention
Abortive/symptomatic management: vestibular suppressants
  • Anticholinergics (scopolamine, homatropine)

  • Antihistamines (meclizine, diphenhydramine)

  • Anti-dopaminergic (prochlorperazine, metoclopramide)

  • Benzodiazepines

Initial prophylactic pharmacologic recommendations
  • Low-dose nortriptyline

  • Beta blocker (propranolol)

  • Referral to a neurologist

Neurologist-recommended prophylactic medications First-line treatments
  • Valproic acid

  • Topiramate

Some Efficacy
  • Selective serotonin reuptake inhibitors/serotonin-norepinephrine reuptake inhibitors (fluoxetine, venlafaxine)

Little Efficacy
  • Carbamazepine

  • Gabapentin

  • Calcium channel blockers (verapamil)

Lifestyle Management
  • Diet

  • Physical therapy

  • Acupuncture

Complementary and Integrative Medicine Alternatives for Tinnitus
  • Cognitive behavioral therapy

  • Yoga

  • Neurofeedback

  • Hypnosis

  • Acupuncture

Supplements
  • Zinc

  • Vitamin B2

  • Antioxidants

  • Melatonin

Complementary and Integrative Medicine Alternatives for Vertigo
  • Yoga

  • Physical therapy

  • Acupuncture

Supplements
  • Ginkgo biloba with/without neurofeedback

  • Zinc