r/VestibularDysfunction

Mirtapazine?

Hey guys! Just a little update, as I’m looking for any new information or people who have had similar experiences.

I was diagnosed with vestibular neuritis (VN) this summer. It was confirmed on July 22nd through caloric testing, which showed a 39% deficit in my right ear. Initially, in June, the doctors thought it was BPPV, but I continued to experience nausea and some dizziness, so I underwent further testing and was eventually diagnosed with VN.

My doctor prescribed Betaserc twice a day for two months and scheduled a follow-up appointment. Yesterday, I had another caloric test, and the deficit had decreased to just 8%, meaning there has been significant improvement in my vestibular function. My doctor said that the remaining nausea and dizziness shouldn’t be caused by the VN anymore.
Since I’m still experiencing symptoms, I was referred for a gastroscopy, but they couldn’t find anything wrong. After that, I was sent for an MRI of my brain and neck to check whether anything in the cervical spine could be contributing to my symptoms. I’ve had the MRI, and I’m waiting for the results next week.

In the meantime, we’ve also discussed a Plan C. If the MRI comes back clear, my doctor has prescribed mirtazapine, an antidepressant, to see if it helps with my symptoms. The plan is to start with half a tablet daily for the first month and then increase to one tablet daily for the second month, as prescribed by my doctor.

I’m wondering if anyone here has been through something similar, especially if you’ve experienced ongoing nausea and dizziness even after your vestibular function improved. Has anyone tried mirtazapine for these kinds of symptoms, and did it help?

I’d really appreciate hearing about your experiences. Thanks so much! ❤️

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u/OldPrize3926 — 5 days ago
▲ 16 r/VestibularDysfunction+3 crossposts

Constant off balance swaying feeling, and sometimes random sudden lightheaded/dizzy spells???

the past two to three weeks I’ve had a constant off balance/swaying sensation, also at random times when mostly standing I have a sudden lightheaded dizzy spell and have to quickly grab onto something or sit down.

I also have neck pain, lower back pain, and pain down my left leg.
it also feels bruised under my left kneecap but there’s no visible bruising, it just hurts to press it.

Sometimes the random lightheaded dizzy spell is triggered by looking or leaning left. but not everytime.
sometimes it comes on randomly.

I have an e-consult with the GP next week to see what’s going on.

I just can’t work out whether this is coming from my eyes, inner ear, neck/posture, nerves, blood pressure, or something else.

has anyone experienced this?

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u/Intotheabyss94 — 10 days ago
▲ 3 r/VestibularDysfunction+1 crossposts

Symptoms

Hello everyone,

I have been dealing with vertigo and dizziness for over 6 weeks. It actually stopped for 1 week but returned this week.

ENT diagnosed me with BPVV, Vestibular Migraine and TMJ. Neurologist said it was too soon to diagnose vestibular migraine specially because this is the first time I have the symptoms. He sent me to PT which I start tomorrow.

My symptoms are:

- Dizziness and vertigo
- pounding heart beat
- pain right above the opening/hole of the right ear
- feeling my ears pop and ringing
- feeling my ears are full every time I pass saliva.
- minor discomfort in the right temple
- Throat congestion and hoarse voice

All of this started a few days after I felt dizzy. No nausea, vomiting or headaches except two days ago when I drank one beer and I had a huge headache.

CT and MRI scans are all normal. One thing the causes the dizziness is when I tilt my head to right or up. Also, I went to the gym about two weeks ago and I jumped rope which made me very dizzy.

are your symptoms similar to mine? ENT said my hearing test was normal and that my throat, ear and nose look okay.

Thanks!

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u/Resident-War8004 — 14 days ago