I recently posted how Nort joined my ever growing graveyard of medications tried. I’ve had quite a bit of recent success with the following. I get Promethazine Hydrochloride on prescription as a sleep aid as I have Fibromyagia. So two 10mg at night. In the morning I’m taking a Certrizine 10mg daily and 3 times a day a Betahistine 16mg, again I was prescribed these when my GP didnt know what my issue was. I’ve had a good week balance wise and on this regimen my symptoms are pretty well controlled. I’d say between 70% to 80% of how I was prior to becoming unbalanced. I’m also taking 5HTP at night for sleep.
I dont know which one is helping or if they’re working in synergy. I probably need to elimanate each one to see if one is helping or not but I’m just enjoying not feeling so unbalanced. The relief is palpable. I’d forgotten how it felt to be up and about without feeling drunk or clumsy. I didnt realise how apprehensive I’d become at having to walk.
Its also made me question how its helping as all the info I’ve seen says antihistamines dont help MAV/PPPD. Which is now makng me wonder if I’ve been misdiagnosed and I’ve got an ear problem. My right ear has issues with fluttering sensation and hyperacusis. Its making me wonder if I need a second opinion?
I had room spinning vertigo accompanied immediately by a headache. Zyrtec (started for ear fullness) has caused mine to go away for years now. Still have the ear fullness though, just a bit less. Amitriptyline is not only an antidepressant but also an antihistamine. And cyproheptadine is an old antihistamine that can be used for migraines in kids.
I wouldn’t personally rule out a MAV diagnosis because an antihistamine appears to help. Regardless of what you want to call it, if it works I say keep it up.
I have some experience with Promethazine Hydrochloride 25g once a night. It was the only thing which reduced my vertigo in the past. What I was told is that it has a sedating effect, which I personally experienced. I suspect the sedating effect can lessen your triggers of vertigo, but I am by no means a doctor its just what it felt like for me.
One thing to mention is that you should definitely check with your GP about how long you can take it. I do not think it is meant for long term use. I took it for 5-7 days and was having some side effects once I stopped.
I’ve been taking it on and off for years, long before all my balance nonsense started as a sleep aid for Fibro. I’m very med sensitive and cant take traditional Fibromyalgia drugs like antidepressants or antiseizure medications. So my GP suggested Promethazine and I take that.