Some common treatments for benign paroxysmal positional vertigo are drugs called vestibular suppressants, such as antihistamines or sedatives, according to WebMD. Another very common treatment is performing a series of slow movements called canalith repositioning, states Mayo Clinic. In rare cases, surgery may be used as well.
Drugs such as the antihistamines meclizine and the sedative clonazepam are able to reduce the whirling sensations associated with vertigo, states WebMD. In some cases, antiemetics such as promethazine can help reduce nausea and vomiting associated with the disease.
Canalith repositioning is usually performed at the doctor's office by a qualified physician and is designed to help move tiny particles from the fluid-filled area of the patient's inner ear to the part of the ear called a vestibule, according to Mayo Clinic. The vestibule is a tiny sac-like area that holds one of the otolith organs. Moving the tiny particles into this part of the ear causes them to be reabsorbed faster, so they don't cause symptoms of vertigo. After one or two treatments, many patients find a sharp decrease of symptoms and are usually taught how to perform canalith repositioning at home.
In some cases, surgery is recommended, states Mayo Clinic. Typical surgery uses a bone plug to block the portion of the inner ear that is causing dizziness. The procedure is successful in more than 90 percent of patients.