Thank you for keeping us updated on all things vestibular migraine, it is definitely the most common type of patient I see in our outpatient clinic and BPPV has now dropped to no 2.
Thank you for this podcast. I was diagnosed with VM, age late 60s, yet I do not have a history of migraine. So I was surprised with the diagnosis, yet most other symptoms seem to fit. Also, my mother had it.
Thanks for watching! We do see patients in a similar situation often. So glad that you are with trusted healthcare providers to help guide you on the best management so you can be supported.
What has Dr. Sharon seen in studies that actually does help with vestibular migraine besides CGRP which I’m actually doing now..Ajovy specifically. I’m also doing Botox.. what is his opinion on dropping the Botox and sticking to just ajovy? What does he recommend in his practice?
Here is the response we got: "Vestibular migraine (VM) management is simply migraine management. There are many medications and combinations of medications that can be helpful and what any individual patient ends up taking depends on symptom response and tolerance of medication side effects. With few exceptions there is no research evidence that a particular medication or medication strategy is most effective for vestibular migraine rather than migraine headache. Those exceptions are venlafaxine which works better for VM than for migraine pain and clonazepam which is uniquely effective at reducing central dizziness caused by VM."
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Thank you for keeping us updated on all things vestibular migraine, it is definitely the most common type of patient I see in our outpatient clinic and BPPV has now dropped to no 2.
Thank you for this podcast. I was diagnosed with VM, age late 60s, yet I do not have a history of migraine. So I was surprised with the diagnosis, yet most other symptoms seem to fit. Also, my mother had it.
Thanks for watching! We do see patients in a similar situation often. So glad that you are with trusted healthcare providers to help guide you on the best management so you can be supported.
What has Dr. Sharon seen in studies that actually does help with vestibular migraine besides CGRP which I’m actually doing now..Ajovy specifically. I’m also doing Botox.. what is his opinion on dropping the Botox and sticking to just ajovy? What does he recommend in his practice?
Here is the response we got: "Vestibular migraine (VM) management is simply migraine management. There are many medications and combinations of medications that can be helpful and what any individual patient ends up taking depends on symptom response and tolerance of medication side effects. With few exceptions there is no research evidence that a particular medication or medication strategy is most effective for vestibular migraine rather than migraine headache. Those exceptions are venlafaxine which works better for VM than for migraine pain and clonazepam which is uniquely effective at reducing central dizziness caused by VM."