Have cervical spondylosis, vertigo, migraines. Done ECG. On holter monitor. On nystagmus and vertin. Continue medication?
Patient: Hi,I am an Indian female, 50 years old. in geerally good health. Exervise daily for about an hour. I have had cervical spondylosis for over 12 years now. Also have a history of vertigo (for 5 years) and migraines. Consulted a neurologist. I took a nystagmus test which confimred his diagnosis of a damaged inner right ear and the balancing nerve. Also, ECG with a Holtor monitor revealed a mitral valve prolapse. Have  been advised a beta blocker and Vertin 48 mg a day to be taken in the morning. Also Fenofibric 105 once a day, Dizitac twice a day and Inderal 10 mg twice a day.The Vertin makes me feel extremely drowsy all the time and also seems to slow my speech.Is 48 mg a too-high dose? I weigh 60 kg and am 157 cm tall. Doctor: Hi,Thank you for posting your query.Vertin (betahistine) is a common drug used for treating vertigo and is a relatively safe drug. Drowsiness and sleepiness is a common side effect of this drug. A total dose of 48 mg of vertin is routinely used, however, if you feel drowsy, please reduce the dose by half to 24 mg total. You can either take vertin 8 mg three times daily or 16 mg twice daily.In addition, you should also do vestibular rehabilitation or adaptation exercises.You can expect to get better in a few weeks.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in