Vertigo Medication: Bonine
Bonine is a popular over-the-counter medication commonly used to treat vertigo symptoms, motion sickness, and other balance disorders. The active ingredient in Bonine is meclizine hydrochloride, an antihistamine that works by reducing the activity in the vestibular system, which is responsible for balance and spatial orientation. Here's a comprehensive overview of Bonine as a vertigo medication:
Active Ingredient: Meclizine hydrochloride (25 mg per tablet)
How It Works: Bonine primarily works by suppressing the vestibular system in the inner ear, which helps reduce feelings of dizziness, nausea, and vertigo. It also has antiemetic properties, which can help prevent vomiting associated with vertigo and motion sickness.
Effectiveness: Bonine is generally considered effective for many types of vertigo, particularly those related to inner ear disturbances. It's often recommended for conditions such as:
Benign Paroxysmal Positional Vertigo (BPPV)
Vestibular neuritis
Labyrinthitis
Motion sickness-induced vertigo
Dosage: The typical adult dosage is one 25 mg tablet taken once daily. However, it's essential to follow the instructions on the package or as directed by a healthcare provider.
Onset and Duration: Bonine typically starts working within about an hour after ingestion. Its effects can last for 24 hours, which is why it's often preferred over some other vertigo medications that require more frequent dosing.
Side Effects: Common side effects may include:
Drowsiness
Dry mouth
Blurred vision
Headache
Fatigue
Precautions:
Bonine can cause drowsiness, so it's important to avoid driving or operating heavy machinery until you know how it affects you.
It should be used with caution in elderly patients, as they may be more sensitive to its effects.
People with certain medical conditions, such as glaucoma, enlarged prostate, or urinary retention, should consult a doctor before using Bonine.
Interactions: Bonine can interact with other medications, particularly:
Other antihistamines
Sedatives or tranquilizers
Some antidepressants
Alcohol (which can increase drowsiness)
Availability: Bonine is available over-the-counter in many countries, including the United States. It can be found in most pharmacies and many general stores.
Long-term Use: While Bonine is generally safe for short-term use, long-term use should be discussed with a healthcare provider. Prolonged use may mask underlying conditions that require different treatment.
Alternatives: Other brand names containing meclizine include Antivert and Dramamine Less Drowsy Formula. These are essentially the same medication as Bonine.
Non-drowsy Claims: While Bonine is marketed as ”less drowsy” compared to some other antihistamines, it can still cause drowsiness in some people.
Use in Pregnancy and Breastfeeding: Bonine is generally considered safe during pregnancy (Category B), but it's always best to consult with a healthcare provider. Limited data is available on its use during breastfeeding, so caution is advised.
Children's Use: Bonine is not recommended for children under 12 years old without a doctor's advice.
Preventive Use: Some people use Bonine preventively, such as before travel or activities that might trigger vertigo. This can be effective, but should be discussed with a healthcare provider.
While Bonine can be an effective treatment for vertigo symptoms, it's important to remember that it treats the symptoms, not the underlying cause of vertigo.