What medications are there for BPPV?
BPPV is usually treated with antihistamines - a group of medications that block signals in the brain which can cause symptoms of vertigo. But if the BPPV is caused by an infection, particularly an ear infection, you might need to take antibiotics.
Is there a ‘best’ treatment for BPPV?
If your BPPV is caused by otoconia, bio-crystals in your ears that help you with balance, your clinician might try something called the Epley manoeuvre. This manoeuvre involves moving your head in certain ways to try to displace the crystals. The procedure only takes a few minutes and has been shown to cure up to 72% of BPPV cases on the first treatment.
There are also exercises called Brandt-Daroff exercises that are used to treat BPPV, and your clinician may advise you to do them for a while until your symptoms are gone.
Does BPPV always need treatment?
BPPV doesn’t always need treatment. You might be able to manage your BPPV until it goes away on its own by avoiding triggers, reducing stress, and waiting out episodes. This is usually the preferred course of ‘treatment’ if your symptoms are mild.
In other words, you can avoid BPPV triggers by limiting sudden head movements. You’ll just need to try to be mindful of your condition whenever you need to stand up, lay down, or bend to pick something up. Stress can also be a trigger, so try to take some time off to relax every day so that your stress levels don't increase too much.
Waiting out episodes simply means sitting down and avoiding moving until your vertigo symptoms are gone. Sometimes closing your eyes can help too, but make sure you’re sitting down to avoid losing your balance.