Diazepam

Other names: Valium

Categories: Prescription Medication

Description:

Valium (diazepam) is sometimes used to help manage the severe vertigo and nausea that can occur during BPPV episodes. It works by calming the brain's vestibular system and reducing dizziness and anxiety related to vertigo. However, Valium does not treat the underlying cause (dislodged inner ear crystals) and is usually used short-term for symptom relief while repositioning maneuvers like the Epley maneuver are performed. Long-term use is discouraged because it can delay the brain's natural compensation and carries risks like sedation, dependence, and falls, especially in older adults.

Treatment For:

Benign Paroxysmal Positional Vertigo

AI generated Summary: Based on the single review provided, Diazepam appears to be an effective short-term treatment for severe cases of Benign Paroxysmal Positional Vertigo (BPPV) that do not respond to repositioning maneuvers and first-line medications. However, its use is limited due to potential side effects such as sedation, falls, and the risk of dependence with prolonged use.

Reviews

Average rating: 4/5

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Average rating: 4.00/5

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All Physician Healthcare provider (non-physician) Healthcare Consumer (Patients & Caregivers)

Dr. Curbside

May 25, 2025

4.0

Diazepam can be used for patients with severe BPPV symptoms who do not improve with repositioning maneuvers and first-line medications like meclizine. It helps control intense vertigo and anxiety by calming the vestibular system, providing short-term relief. However, it is generally reserved for difficult cases due to the risk of sedation, falls, and dependence with prolonged use.

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