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Suggest Medication For Constant Headache And Blurred Vision With Chronic Gastritis

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Posted on Wed, 23 Dec 2015
Question: I have been on 0.5 clonazepam for tinnitus in my deat right ear at bedtime for appox 4yrs and certazine for allagies 10 mg at bedtime and ranadine at bedtime for chronic gastritis. In march I was diagnosed with interacranial hypotension through two MRIs and had cistigram with no leakage found)which causes constant headaches and at times blurred vision, double vision and increased problems with balance(I have had problems w vertigo off n on for appox 15yrs) and at times I will have a real sharp stabbing like pain that just lasts a couple seconds. I am tired alot n don't drive, shop, or do many activities for any lengthy times do to a lightheaded XXXXXXX or numb feeling in my head. I drink plenty of fluids and this last month weaned off clonazepam by cutting it down to .025 for a month n then stopping n certizine(taking Claratin 24hr non Dorsey instead) this has helped my balance tremendously My question is my doctor suggested neuron tin for headaches n sharp stab pains but it has the same side effects of fatigue, balance problems n confusion. I am 68 and wonder if there is something out there that would help without these side effects. Any suggestions would be greatly appreciated
doctor
Answered by Dr. Neeraj Kumar (26 minutes later)
Brief Answer:
You can use cinnarine or betahistine with vertigo exercises

Detailed Answer:
Hello xxxxxxxxx,
I have gone through your question and understand your concerns.
Dizziness, tinnitus with hearing loss may be caused by pathology affecting peripheral VIII cranial nerve.
You can take CINNARIZINE with BETAHISTINE for vertigo and do Brandt-Daroff exercise for improvement.

Neurontin may be helpful but with sedation and fatigue as side effect (not in all cases ). Other medications may be continued.

Vertigo exercises are important and may reduce the need for medications.
Get a examination and consultation by an ENT specialist for any structural lesion of Vestibulo-Cochlear nerve.

Hope you found the answer helpful.

Do get back to me for further queries.

Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Neeraj Kumar (2 hours later)
What if anything can I do to help w the headaches n sharp stabs in my head other then taking neuron tin which has the side effects of fatigue confusion and balance problems because by stopping the clonazepam my balance has improved greatly. I have already seen my ENT for years n have been throug phy rehab for vertigo twice over the years which seems to get worse when on certain meds which is why I weaned off them. Hearing loss was due to radiation
doctor
Answered by Dr. Neeraj Kumar (7 hours later)
Brief Answer:
Take medication as advised

Detailed Answer:
Hello,

I will advise you to continue vertigo exercises. However I feel you need medications to treat the headaches. If neurontin is not preferred, in my patients, I prefer to give amitryptiline 10 mg night dose along with Flunarizine (Sibelium ) 10 mg once daily preferably evening or night.
This will help in headache as well as dizziness.

Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (8 hours later)
Thank you
doctor
Answered by Dr. Neeraj Kumar (6 minutes later)
Brief Answer:
Thanks, Wishing you good health

Detailed Answer:
Hello xxxxxxxxxx,
You are welcome on this forum to put all your medical queries.
You can also ask a direct premium question by putting my name before the question.
Wishing you good health.
Regards
Dr Neeraj Kumar
Neurologist
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Medication For Constant Headache And Blurred Vision With Chronic Gastritis

Brief Answer: You can use cinnarine or betahistine with vertigo exercises Detailed Answer: Hello xxxxxxxxx, I have gone through your question and understand your concerns. Dizziness, tinnitus with hearing loss may be caused by pathology affecting peripheral VIII cranial nerve. You can take CINNARIZINE with BETAHISTINE for vertigo and do Brandt-Daroff exercise for improvement. Neurontin may be helpful but with sedation and fatigue as side effect (not in all cases ). Other medications may be continued. Vertigo exercises are important and may reduce the need for medications. Get a examination and consultation by an ENT specialist for any structural lesion of Vestibulo-Cochlear nerve. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr Neeraj Kumar Neurologist