Brief Answer: Need more information... Detailed Answer: Hi, Let me know your associated features along with mentioned. Do you have headache/ nausea/ blurring of vision/ weakness in limb? Do you have ear ache/ pus or liquid discharge from ears/ deafness? Do you have any associated urinary or abdominal symptoms? Vertigo could be due to ear disease/ brain parenchymal disease/ cerebellar disease and benign positional vertigo. Clinical examination is mandatory to know the cause of vertigo. You should consult with XXXXXXX medicine specialist/ neurologist and should go for thorough neurological check up. You should also go for complete hemogram, renal function test, serum electrolytes, and CT/MRI scan brain. If all relevant investigation are found to be normal then you should also consult with ENT specialist also. If I am your treating doctor then I would like to advise you to take divalproex, cinnarizine 25 mg thrice in a day along with promethazine. Short duration of steroids may also help in benign positional vertigo; but as it didn't help you, I would suggest you discuss about the aforementioned tests / treatment options with your treating doctor. Awaiting your reply to discuss further... Dr. Mayank Bhargava

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