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  The Leaders in Treatment for Dizziness and Balance Dysfunction  
             

Medication Information

 

Medications patients should not take 48 hours prior to ENG testing

 All Pain medications including: Acetaminophen (Tylenol, Tylenol PM, etc.) Aspirin (anything with aspirin in it) Codeine (anything with codeine in it) Ibuprofen (Excedrin, Midol, Motrin, etc.) Naproxyn (Aleve) Darvocet

All Anti-Anxiety medications, (if allowed by prescribing physician) including: Valium/Diazepam Ativan/Lorazepam, Pamelor/Nortriptyline, Compazine, Xanax, Prozac, Zoloft

All Anti-Dizzy medications: Antivert/Meclizine, Valium, Phenergan, Dramamine, Scopolamine(Transderm Patch)

All Diuretics/Water Pills, including: Dyazide, Neptazane, Maxide, Lasix

All Sleep Medications, including: Ambien, Tylenol PM, Halcion

All Allergy Medications, including: Antihistamines, Decongestants

Anything prescribed for migraines

No Alcohol 48hrs prior, Caffeine or Tobacco 24hrs prior

Do not discontinue heart, blood pressure, diabetes, or seizure medications or any medication intended for life-supporting reasons

 

*While it is important that a patient stops taking these medications prior to testing, they should first seek approval from their prescribing physician before beginning to taper or stop them.

Quick Reference: Drugs that can cause dizziness*
Prescription Pain Medications:

Generic Name

Brand Name

Other Indications

Codeine +/-                            acetomenophen TyCo#3, TyCo#4  
Fentanyl Duragesic® patches  
Hydrocodone + acetaminophen Vicodin®, Norco®  
Hydromorphone Dilaudid®  
Methadone Dolophine®, Methadose® opiate withdrawl (heroin addiction)

Morphine, immediate release

Kadian®  
Morphine, long (sustained) acting MS Contin®  
Oxycodone + acetomenophen Percocet®, Endocet®  
Oxycodone,                                          immediate release Roxicodone®  
Oxycodone, long acting Oxycontin®  
Propoxyphene Darvon®  
Tramadol Ultram®  
Anxiety Meds, benzodiazepines:

Generic Name

Brand Name

Other Indications

Alprazolam Xanax®  
Clonazepam Klonopin®  
Diazepam Valium® seizures, alcohol withdrawl, insomnia
Lorazepam Ativan®  
(There are other benzodiazepines used to treat anxiety which are also associated w/symptoms of dizziness)
(There are many other meds used to treat anxiety and depression but these are less likely to cause acute
dizziness than benzodiazepines)
Prescription Sleeping Aids:

Generic Name

Brand Name

Other Indications

Eszoplicone Lunesta® None
Ramelteon Rozerem® None
Trazodone Desyrel® Depression
Zaleplon Sonata® None
Zolpidem Ambien® None
(See OTC section for OTC sleep aides)
Seizure Medications- Anticonvulsants
(Some of which are used to treat Neuropathic Pain):

Generic Name

Brand Name

Other Indications

Carbamazepine  Tegretol® Neuropathic pain, Bipolar Disorder
Divalproex/Valproic Acid Depakote® Bipolar Disorder
Gabapentin Neurontin® Neuropathic pain, Bipolar Disorder
Lamotrigine  Lamictal®  
Levetiracetam  Keppra®  
Phenytoin  Dilantin®  
Pregabalin  Lyrica® Neuropathic pain
Blood Pressure Meds:

Diuretics:

Generic Name

Brand Name

Other Indications

Furosemide Lasix®  
Hydrochlorothiazide (HCTZ) Esidrix®, Microzide®  
Spironolactone Aldactone®  
Triamterene Dyrenium®  

ACE-Inhibitors (ace=angiotensin-converting enzyme):

Generic Name

Brand Name

Other Indications

Benazepril Lotensin® Kidney protection for diabetics
Enalapril Vasotec®  
Fosinopril Monopril®  
Lisinopril Zestril®  

ARBs (arb=angiotensin receptor blocker):

Generic Name

Brand Name

Other Indications

Irbesartan Avapro®  
Losartan Cozaar®  
Olmesartan Benicar®  
Telmisartan Micardis®  
Valsartan Diovan®  

Beta Blockers:

Generic Name

Brand Name

Other Indications

Atenolol Tenormin® Migraines, social anxiety
Metoprolol Lopressor®  
Propranolol Inderal®  

Mixed Alpha/Beta Blockers:

Generic Name

Brand Name

Other Indications

Carvedilol Coreg®  
Labetolol Trandate®  

Alpha Blockers:

Generic Name

Brand Name

Other Indications

Doxazosin Cardura® BPH (benign prostate hypertrophy)
Prazosin Minipress®  
Terazosin Hytrin®  

Calcium Channel Blockers:

Generic Name

Brand Name

Other Indications

Amlodipine Norvasc®  
Diltiazem Cardizem®  
Felodipine Plendil®  
Verapamil Verelan®  

Diabetes Medications:

Generic Name

Brand Name

Other Indications

Glimepiride Amaryl®  
Glipizide Glucotrol®  
Glyburide Diabeta®, Micronase®  
Insulin Aspart®, Lispro®,Humalin®, Humalog®, Novolin®, Novolog®, NPH®, Lantus®, Glargine®  
Metformin usually does NOT cause dizziness Glucophage®  
Pioglitazone Actos®  
Rosiglitazone Avandia®  
OTCs (over-the-counter) Meds:

Allergy Medications (antihistamines)

Generic Name

Brand Name

Other Indications

Comnination Flu/Cold Med containing the antihistamin doxylamine Nyquil®, Tylenol PM®, other cold/flu combos  
Diphenhydramine Benadryl® Insomnia
Loratadine usually does NOT cause dizziness Claritin®  

Sleeping Aids

Generic Name

Brand Name

Other Indications

Diphenhydramine Nytol®, Sominex®, Sleepinal®, Compoz® Allergy meds
Doxylamine Unisom® Allergy meds
Valerian   None

*This is by no means a comprehensive
list of all medications that can cause dizziness