How is Migraine Associated Vertigo Treated?
Eliminating food triggers and prophylactic treatment are the methods used most frequently in treatment. Patients are initially told to abstain from foods such as chocolate, cheese, alcohol, and MSG-containing preparations. If this is not successful, after a month, patients are started on verapamil, or a long-acting beta-blocker such as long acting propranolol or a tricyclic medication such as amitriptyline. Verapamil and amitriptyline are particularly useful because of their anticholinergic properties may help control vertigo independently of whether they are useful for migraine. A recent, small trial of 10 patients with migraine and vertigo found topiramate to relive symptoms in all participants (Carmona, 2005).
