Vertigo
Vertigo is the feeling that you or the world around you is spinning when there is no actual movement. It is not a fear of heights but a genuine disturbance of balance, most commonly traced to the inner ear. Episodes can last seconds or persist for hours, and are often accompanied by nausea, vomiting, and difficulty walking steadily.
Key points
- Displaced calcium crystals within the inner ear, a condition called BPPV, are the most common trigger of spinning episodes.
- Meniere’s disease along with inflammation of the vestibular nerve or the inner ear are other common causes of spinning episodes.
- Betahistine helps regulate inner-ear fluid to reduce how often and how severely Meniere’s-related attacks occur.
- Prochlorperazine targets the nausea and vomiting that often accompany an acute spinning episode.
What triggers it
The commonest cause is benign paroxysmal positional vertigo (BPPV), where tiny calcium crystals in the inner ear shift out of place. Meniere’s disease, vestibular neuritis, and labyrinthitis are other frequent culprits. Inner-ear infections following upper respiratory illness are a notable trigger, partly because high humidity favours the viral and bacterial conditions that precede them.
Managing spinning episodes
Treatment targets both the underlying balance disorder and the accompanying nausea. Betahistine works on the histamine receptors of the inner ear to improve fluid regulation and reduce the frequency and severity of attacks, making it the mainstay for Meniere’s disease. For acute episodes with significant nausea, prochlorperazine helps suppress the vomiting reflex and eases the sense of spinning. Both sit within the broader neurology range.
Seek medical attention promptly if vertigo comes on suddenly with headache, double vision, difficulty speaking, or weakness on one side, as these may indicate a more serious cause requiring urgent assessment.
Further reading
What is vertigo?
Vertigo is the feeling that you or the world around you is spinning when there is no actual movement. It is a genuine disturbance of balance, most commonly traced to the inner ear, and not a fear of heights. Episodes can last seconds or persist for hours.
What causes vertigo?
The commonest cause is benign paroxysmal positional vertigo, where tiny calcium crystals in the inner ear shift out of place. Meniere's disease, vestibular neuritis, and labyrinthitis are other frequent culprits. Inner-ear infections following upper respiratory illness are a notable trigger.
What are the symptoms of vertigo?
The main symptom is the feeling that you or the world around you is spinning when there is no actual movement. Episodes are often accompanied by nausea, vomiting, and difficulty walking steadily. They can last seconds or persist for hours.
When should I see a doctor about vertigo?
Seek medical attention promptly if vertigo comes on suddenly with headache, double vision, difficulty speaking, or weakness on one side. These may indicate a more serious cause requiring urgent assessment.
Which treatments for vertigo can I order?
The medicines listed for vertigo contain betahistine and prochlorperazine. Examples include Serc and Compazine. Each product page lists the strengths and forms.
Can I buy medicines for vertigo over the counter in Thailand?
Yes, online. Yasabai does not ask for a prescription to order medicines for vertigo. We are an online store, not a dispensing pharmacy; we arrange your order and delivery on your behalf.
Ordering without a prescription →Where can I buy medicines for vertigo online?
Our pharmacy partners ship from India to Thailand and across Asia in discreet packaging. Standard Airmail takes up to 3 weeks; Express Tracked Courier takes up to 1 week.
How ordering works →