posted on 2023-07-27, 10:22authored bySk Mamun Ur Rashid, Sheetal Sumaria, Nehzat Koohi, Qadeer Arshad, Diego Kaski
Vestibular migraine (VM) is a leading cause of episodic vertigo, affecting up to 1% of the general population. Despite established diagnostic criteria, there is currently no evidence-based approach for acute treatment of VM, with treatment recommendations generally extrapolated from studies on classical migraine headache. Several small-scale studies have identified flunarizine as a potentially effective prophylactic medication in VM. We conducted a single-centre observational service evaluation study exploring patient experiences of preventative medications over a 28-month period, including flunarizine, for control of VM symptoms. To compare patient experience of flunarizine with other medications, data from patients taking flunarizine were separately analysed. A total of 90% of VM patients taking flunarizine reported symptomatic improvement, compared to only 32% of patients on other medications. Whilst 50% of patients on flunarizine reported side effects. these were not deemed to outweigh the clinical benefits, with most patients deciding to continue treatment. Our data supports the use of flunarizine in VM.
Funding
This research received no external funding. D.K. is supported by the National Institute for Health Research University College London Hospitals Biomedical Research Centre.
History
Author affiliation
Department of Psychology, Neuroscience and Behaviour, University of Leicester