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Vertigo Caused by Medication

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Vertigo Caused by Medication, Medication Causes of Vertigo, Drug-Induced Vertigo, Dizziness Caused by Medication, Medication Causes of Dizziness, Drug-Induced Dizziness

  • See Also
  1. Vertigo Causes
  2. Dizziness Causes
  3. Medication Use in the Elderly
  4. Ototoxic Drug
  • Background
  1. Medications are responsible for 23% of persistent Dizziness in elderly patients
    1. Maarsingh (2010) Ann Fam Med 8(3): 196-205 [PubMed]
  2. Polypharmacy with more than 5 medications increases the Dizziness risk
    1. Tinetti (2000) Ann Intern Med 132(5): 337-44 [PubMed]
  • Causes
  • Cardiovascular Agents
  1. Class Ia Antiarrhythmics (e.g. Quinidine, Imipramine, Amiodarone, Disopyramide)
  2. Antihypertensives (esp. Beta Blockers)
  3. Diuretics (e.g. Lasix)
  4. Digoxin
  5. Nitroglycerin
  6. Dipyridamole
  • Causes
  • Endocrine Agents
  1. Antithyroid Drug (Bone Marrow suppression)
  2. Injectable and Oral Hypoglycemic Agents (esp. SGLT2 Inhibitors such as Invokana)
  • Causes
  • Hematologic Agents
  1. Salicylates or Aspirin (Ototoxicity)
  2. Dipyridamole (e.g. Aggrenox)
  • Causes
  • Infectious Disease Agents
  1. Amantadine
  2. Aminoglycosides (Ototoxicity)
  3. Quinolones (e.g. Ciprofloxacin)
  • Causes
  • Neurologic Agents
  1. Antidementia agents (e.g. Namenda)
  2. Antiparkinsonism Medications (esp. Anticholinergics such as Benztropine, Trihexyphenidyl)
  3. Anticonvulsants (typically at toxic levels)
    1. Dilantin
    2. Phenobarbital
    3. Primidone
  • Causes
  • Psychiatric agents
  1. Antidepressants
  2. Benzodiazepines
  3. Lithium
  • Causes
  • Miscellaneous
  1. See Ototoxic Drug
  2. Alcohol
  3. Hydroxychloroquine (Ototoxicity)
  4. Phosphodiesterase Inhibitors (e.g. Viagra, Cialis, Levitra)
  5. Opioids
  6. Toxin Exposure (e.g. Carbon Monoxide)
  7. Anticholinergic Agents
    1. See Anticholinergic Agent
    2. Antihistamines (esp. First Generation Antihistamines, Diphenyhydramine)
    3. Skeletal Muscle Relaxants (e.g. Flexeril)
    4. Urinary Antispasmodics (e.g. Ditropan)
  • References
  1. Muncie (2017) Am Fam Physician 95(3): 154-62 [PubMed]
  2. Shoair (2011) Otolaryngol Clin North Am 44(2): 455-71 [PubMed]