Vertigo

Labyrinthine vertigo
Cinnarizine
Cinnarizine 15mg tablets

30mg 3 times daily.

Prochlorperazine
Prochlorperazine 5mg tablets

5mg 3 times daily, increased if necessary to 30mg daily in divided doses, dose to be increased gradually, then reduced to 5-10mg daily, dose is reduced after several weeks.

Prochlorperazine 3mg buccal tablets

One or two tablets twice a day.

Prescribing Notes:

  • These products are only effective for labyrinthine vertigo.
  • Prochlorperazine buccal tablets may be a suitable alternative for patients who are vomiting.
  • Long-term metoclopramide and prochlorperazine may cause tardive dyskinesia in the elderly.
  • OLDER PATIENTS: Prochlorperazine should not be prescribed for “dizziness” in older patients due to the risk of drug-induced parkinsonism, postural hypotension and mental confusion.

History Notes

11/05/2023

Prochlorperazine 5mg/5ml oral solution removed as discontinued.

15/06/2022

East Region Formulary content agreed.