Over-the-counter options for vertigo

Vertigo is a false sensation that you or your surroundings are moving, often spinning. It may arise from the inner ear, migraine, or another problem affecting balance. Benign Paroxysmal Positional Vertigo can cause brief episodes after head movement, while Meniere's Disease may include ear symptoms; these patterns need different assessment.

Motion-sickness or anti-nausea products can cause drowsiness, dry mouth, blurred vision, or interactions with other medicines. They can mask symptoms without treating the underlying problem. Do not drive, climb, or operate machinery while dizzy or sedated.

Sit or lie still in a safe place, move your head slowly, and use support when standing. Drink fluids if you can, avoid alcohol, and ask a pharmacist to review your medicines before choosing a product. Keep a note of triggers, episode length, hearing changes, headache, vomiting, and recent illness.

A clinician may consider [Benign Paroxysmal Positional Vertigo](/conditions/benign-paroxysmal-positional-vertigo/) or recommend an [Epley Manoeuvre](/treatments/minor-procedures/epley-manoeuvre/) when the pattern fits. A [Middle Ear Infection](/conditions/middle-ear-infection/) can also affect balance.

Get emergency help for vertigo with facial drooping, weakness, trouble speaking, severe new headache, fainting, chest pain, or inability to walk. Seek prompt assessment for new hearing loss, persistent vomiting, severe headache, fever, or symptoms after a head injury. Recurrent episodes deserve review even if they settle.

What pattern best explains my vertigo? Could migraine or an inner-ear condition be involved? Are my medicines contributing? Is a repositioning manoeuvre suitable? Which symptoms should trigger urgent help?