Vestibular suppressant only for worst symptoms and shortest duration
Activity
Slow position changes
No driving until vertigo controlled
Fall prevention at home
Vestibular exercises
Daily gaze stabilization and balance exercises as instructed
Follow up
Primary care within 2 to 7 days
Otolaryngology or vestibular therapy referral
Return to emergency criteria
New weakness or numbness
New trouble speaking or swallowing
New severe headache
Double vision
Fainting
Chest pain
Inability to walk
Persistent vomiting despite medications
New hearing loss
References
Guidelines and evidence sources
Clinical guidance sources
Stroke society guidelines for suspected posterior circulation ischemia and acute stroke treatment pathways
Class I recommendation framework for time critical stroke evaluation and reperfusion eligibility
Emergency medicine literature on acute vestibular syndrome and HINTS family bedside testing
Emphasis on central red flag identification
Otolaryngology references on vestibular neuritis management
Vestibular rehabilitation as core therapy
Key topics for updating local protocols
Local protocol anchors
MRI diffusion access and turnaround times
Escalation pathway when early MRI negative with persistent central suspicion
Vestibular therapy referral workflow
Early outpatient initiation pathway
Medication formulary alignment
Antiemetic and vestibular suppressant options with geriatric precautions
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.