
		Vestibular • Balance • Parkinson's • Geriatrics • Laser / Light Therapy

Medication
Information

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

Medication Information

*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*

Generic Name

Brand Name

Other Indications

Generic Name

Brand Name

Other Indications

Generic Name

Brand Name

Other Indications

Generic Name

Brand Name

Other Indications

Diuretics:

Generic Name

Brand Name

Other Indications

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

Generic Name

Brand Name

Other Indications

ARBs (arb=angiotensin receptor blocker):

Generic Name

Brand Name

Other Indications

Beta Blockers:

Generic Name

Brand Name

Other Indications

Mixed Alpha/Beta Blockers:

Generic Name

Brand Name

Other Indications

Alpha Blockers:

Generic Name

Brand Name

Other Indications

Calcium Channel Blockers:

Generic Name

Brand Name

Other Indications

Diabetes Medications:

Generic Name

Brand Name

Other Indications

Allergy Medications (antihistamines)

Generic Name

Brand Name

Other Indications

Sleeping Aids

Generic Name

Brand Name

Other Indications

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

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