How do you treat PPPD?
Daniel Johnson
Published Mar 01, 2026
How do you treat PPPD?
Treatment for PPPD usually involves “retraining” your brain through a combination of vestibular rehabilitation, strategies to address anxiety, such as medication and cognitive-behavioural therapy (CBT). You may also benefit from relaxation for your neck and shoulders.
What medication can I take for BPPV?
What Are Benign Paroxysmal Positional Vertigo (BPPV) Medications?
- meclizine (Antivert, Bonine, Dramamine II, D-Vert)
- diazepam (Valium)
- dimenhydrinate (Dramamine)
- promethazine (Phenergan)
- scopolamine (Isopto, Scopace)
How do you strengthen your vestibular system?
The exercises might include the following:
- In bed or sitting. A. Eye movements. Up and down. From side to side.
- Sitting. A. Eye and head movements, as 1. B. Shrug and circle shoulders.
- Standing. A. Eye, head and shoulder movements, as 1 and 2. B.
- Moving about. A. Walk up and down a slope. B.
How long does PPPD usually last?
These symptoms happen on most days for at least three months. They may last for hours at a time. They may not happen every day. Many people with PPPD find it hard to describe their symptoms.
What is the best medication for PPPD?
Medication. SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin norepinephrine reuptake inhibitors) have been used with success for patients with PPPD.
Does PPPD last forever?
PPPD is a chronic condition that can last for months or years,5, 6, 7 and is characterized by six basic aspects4: (1) Persistent sway or instability not detectable on physical examination; (2) Worsening of symptoms in the standing position; (3) Worsening of symptoms with head movements or with complex visual stimuli; ( …
What is the best over the counter medication for vertigo?
In general, short periods of vertigo or motion sickness respond well to over-the-counter antihistamines. Two common ones are dimenhydrinate (Dramamine) and meclizine (Bonine).
Can antihistamines help BPPV?
There are specific treatments for some causes of vertigo. A series of simple head movements (known as the Epley manoeuvre) is used to treat BPPV. Medicines, such as prochlorperazine and some antihistamines, can help in the early stages or most cases of vertigo.
Can vestibular damage be repaired?
The body has limited ability to repair damage to the vestibular organs, although the body can often recover from vestibular injury by having the part of the brain that controls balance recalibrate itself to compensate.
Is PPPD psychosomatic?
Persistent-postural perceptual dizziness (PPPD)-Yes, it is a psychosomatic condition!
Is PPPD a mental illness?
Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.