Vertigo Medication in New Zealand_ Treatment Options and Availability

Vertigo Medication in New Zealand: Treatment Options and Availability

In New Zealand, the management of vertigo follows similar principles to other developed countries, with a range of medications available through the public health system and private prescriptions. The choice of medication depends on the underlying cause of vertigo, its severity, and individual patient factors. Here's an overview of common vertigo medications available in New Zealand:

Antihistamines:

Cyclizine (Nausicalm)

Meclozine (Sea-Legs)

Promethazine (Phenergan)

These medications are often the first line of treatment for vertigo and associated nausea. They are available over-the-counter in New Zealand pharmacies.

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Anticholinergics:

Hyoscine hydrobromide (Scopoderm TTS)

Available as a transdermal patch, this medication is particularly useful for motion sickness-induced vertigo.

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Benzodiazepines:

Diazepam (Stesolid)

Lorazepam (Ativan)

These may be prescribed for short-term relief of severe vertigo symptoms but are used cautiously due to their sedative effects and potential for dependence.

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Antiemetics:

Ondansetron (Zofran)

Metoclopramide (Maxolon)

These medications are primarily used to control nausea and vomiting associated with vertigo.

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Betahistine:

Serc (brand name in NZ)

This medication is commonly prescribed for Meniere's disease and other types of vertigo. It's funded by PHARMAC, the New Zealand government agency that decides which pharmaceuticals to publicly fund.

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Prochlorperazine:

Buccastem (brand name in NZ)

This medication can be effective for both vertigo and associated nausea.

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Cinnarizine:

Stugeron (not widely available in NZ, may require special authorization)

This antihistamine is sometimes used for vertigo but is not commonly prescribed in New Zealand.

It's important to note that in New Zealand, many of these medications require a prescription from a general practitioner or specialist. The public health system may cover the cost of some medications, while others may need to be purchased privately.

In addition to medication, New Zealand healthcare providers often recommend:

Vestibular rehabilitation exercises

Lifestyle modifications (e.g., dietary changes, stress reduction)

Cawthorne-Cooksey exercises for balance improvement

For persistent or severe cases of vertigo, referral to an ENT specialist (Otolaryngologist) or neurologist may be necessary. These specialists can provide more advanced diagnostic tests and treatments.

New Zealand also has specialized balance clinics in major cities, offering comprehensive assessment and management of vertigo and balance disorders.

It's crucial for patients in New Zealand to consult with their healthcare provider before starting any new medication for vertigo. The treatment approach should be tailored to the individual's specific condition, taking into account any other health issues and medications.

Remember, while medications can provide relief from vertigo symptoms, they are often most effective when used as part of a comprehensive treatment plan. Always follow the advice of your healthcare provider and report any side effects or concerns promptly.