How is migraine-associated dizziness treated?
Migraine with vertigo can be treated with suppressants such as Stemetil if attacks are infrequent. However, prophylactic treatment is necessary if attacks are occurring more than once every few weeks. Tricyclic antidepressants such as amitriptyline are good first line choice, beta-blockers, calcium channel blockers, etc., are also effective in some individuals. Medication should be tried for at least one month before another type is tried because the effect often builds over several weeks. A newer migraine treatment aimed at the headache phase such as sumatriptan is generally not effective for migraine-associated vertigo spells.
