Suggest remedy for vertigo while standing up
Patient: I arrived in New Zealand from a long haul flight this morning. I am currently suffering from vertigo while standing up and I would really like to know how I can relieve these symptoms fairly quickly without sleeping (I would like to get in to the time zone routine). Thank you. Doctor: If your vertigo is associated with the room spinning (or a sensation of movement even though you are still), and there are no other symptoms associated with this, like weakness, numbness, difficulty hearing, etc, then a trial of meclizine (start with 12.5 mg by mouth twice a day) may be helpful. A scopolamine patch from your physician may also help. If you are having symptoms of vertigo only when you move your head, I recommend going to see your doctor (or an ear nose throat specialist) to have them perform Dix-Hallpike maneuvers, as you may be suffering from BPPD. (benign paroxysmal positional vertigo). If you are lightheaded when standing up but the room doesn't spin and there is no sensation of abnormal movement, you most likely are suffering from orthostatic hypotension and at this point I would recommend trying to stay well hydrated and you can consider also purchasing some over the counter compression garments for your legs.