Side Effects:

Common Headache, Nausea, Dyspepsia.

Expert advice for Alvert Tablet
Alvert can only decrease the number and severity of attacks of vertigo (dizziness), hearing loss and tinnitus (noise in the ear), it will not completely stop them. You may need to take Alvert for 6-12 months to see if it helps to relieve your symptoms. If it helps, then you can continue to use it. Do not take Alvert if you have a history of hypersensitivity to betahistine or you have pheochromocytoma, a rare tumor of adrenal glands. Take special care and inform your doctor if you have


History of porphyria
Peptic ulcer 
Asthma
Low blood pressure
Hereditary problem of intolerance to some sugars
History of allergic reactions

Frequently Asked Questions

Q. Is Alvert useful for the treatment of a migraine associated vertigo?
Alvert is seen to be useful in the treatment of vertigo associated with a migraine in some clinical studies. However, this is not an approved use and it should be taken only when advised by a doctor. It is indicated for the treatment of vertigo, tinnitus and hearing loss associated with ménière's syndrome.

Q. Can I use Alvert for the treatment of benign Paroxysmal Positional Vertigo?
Use of Alvert is seen to provide long-term relief and good clinical outcomes in patients with paroxysmal positional vertigo when used along with physical maneuver. It is also seen to be beneficial in patients who are unfit or are unable to do the physical maneuvers.

Q. Can I take Alvert with paracetamol?
Alvert can be taken with paracetamol. There are no reported drug drug interactions or harmful effects when they are used together.

Q. Is Alvert addictive?
No, addictive potential has not been reported with Alvert. It shows no withdrawal symptoms when you stop using this medicine.

Q. Is Alvert good for dizziness?
Alvert is not indicated for the treatment of dizziness. It is caused by breathing too heavily (hyperventilation) or anxiety. Many a times patient confuse dizziness with vertigo (spinning sensation). It is only indicated for the relief of vertigo, tinnitus (ringing sensation in the ear) and hearing loss associated with Meniere's disease.

Q. Is it safe to take Alvert with propranolol?
Alvert and propranolol can be taken together. Alvert is given in patients with a migraine for the relief of vertigo and propranolol is indicated for preventing the attacks of a migraine. No harmful side effects or any other clinical interactions have been seen when the two drugs are used together.

Q. Does Alvert make you sleepy?
Alvert does not make you sleepy. Common side effects seen with its use are a headache, nausea, and dyspepsia.

Q. Is Alvert available over the counter?
No, Alvert is not an over the counter medicine. It is available with doctor's prescription only.

Q. Can I take Alvert with prochlorperazine?
Alvert and prochlorperazine can be taken together. No harmful side effects or any other clinical interactions have been seen when the two drugs are taken together.

Q. Can Alvert cause an increase in blood pressure?
Alvert has not shown to cause an increase in blood pressure. Rather, it can cause a small fall in blood pressure due to its property to dilate blood vessels. Common side effects seen with its use are a headache, nausea, and dyspepsia.

Q. Why is the use of Alvert contraindicated in patients with pheochromocytoma?
Pheochromocytoma is an adrenal gland tumor and it causes excessive release of hormones like epinephrine and norepinephrine that control heart rate, metabolism, and blood pressure. Alvert may provoke the release of hormones like epinephrine and norepinephrine from the site of this tumor and cause a hypertensive crisis which can be life threatening.

Q. When should I stop taking Alvert?
Do not stop taking Alvert until you are asked by your doctor to do so. Keep taking it for as long as your doctor has asked you to. You may need to take Alvert up to 6 months or more for the right effect to come.

Q. Can I use Alvert for motion sickness?
No, Alvert is not indicated for the treatment of motion sickness as the present clinical data has not proven its efficacy. Motion sickness is a feeling of nausea and lightheadedness when you travel by train, car or by plane. Alvert is used for decreasing the episodes of recurrent vertigo (spinning sensation) associated with Ménière’s disease (an ear disease).

Q. Is Alvert useful in the treatment of anxiety?
No, Alvert is not indicated for the treatment of anxiety. It is a histamine analog indicated for decreasing the episodes of recurrent vertigo (spinning sensation) associated with Ménière’s disease (an ear disease).

Q. Would Alvert be useful for treating an ear infection?
No, Alvert is not indicated for the treatment of ear infection as it has no antibiotic action. It is a histamine analog indicated for decreasing the episodes of recurrent vertigo (spinning sensation) associated with Ménière’s disease (an ear disease).

Q. Can I take Alvert with antibiotics?
Alvert and antibiotics can be taken together. No harmful side effects or any other clinical interactions have been seen when Alvert is taken with antibiotics. However, interactions may exist as there is a large number of Flunarizine with different actions and they can have different effects. So, talk to your doctor before using them together.

Q. Is Alvert an antihistamine?
No, Alvert is not an antihistamine. It has a histamine-like action which helps in improving blood flow in the inner ear and decreasing vertigo, tinnitus, hearing loss, and nausea.

Q. Can I take Alvert with antihistamine medicines?
Alvert should not be taken with antihistamine medicines like dimenhydrinate as Alvert has histamine like action. Using the two medicines together which have opposite actions may actually lower the efficacy of both the medicines.

Q. Can I take Alvert with ibuprofen?
Alvert can be taken with ibuprofen. There are no reported drug-drug interactions or harmful effects when they are used together.

Q. Does Alvert cause weight gain?
Use of Alvert has not shown to cause weight gain. Common side effects seen with its use are a headache, nausea, and dyspepsia.

Q. Is Alvert safe?
Alvert is safe if used for a prescribed duration in doses as prescribed by your doctor. However, there are some very common side effects that you can experience at effective doses with its use like headache, nausea, and dyspepsia.

Q. Can I take Alvert with vitamin D?
Alvert and vitamin D can be taken together. No harmful side effects or any other clinical interactions have been seen when the two drugs are taken together.

Q. Can I take Alvert with cetirizine?
Alvert should not be taken with cetirizine as it has antihistamine action and Alvert has histamine like action and using the two medicines together may lower the efficacy of either of them.

Q. Can I use Alvert for nausea?
Alvert is useful in the treatment of nausea and vertigo associated with an underlying ear disease like Meniere's disease. It is also seen to be useful in vertigo associated with a migraine.

Q. Would Alvert be useful for treating labyrinthitis?
Alvert does not treat labyrinthitis, however, it is useful in relieving the symptoms associated with labyrinthitis which includes dizziness, loss of balance, nausea, vomiting, tinnitus, and vertigo.

Q. When does Alvert start working?
The maximum level of Alvert is achieved within one hour of oral intake. However, you would start to feel relief in your symptoms in less time.

Q. Can use of Alvert make you lose weight?
Alvert has not shown to cause any weight loss. Common side effects seen with its use are a headache, nausea, and dyspepsia. In case you experience any abnormal weight loss while taking Alvert, consult your doctor as it may be due to an underlying condition that needs attention.

Q. Does Alvert cause headache?
Yes, headache is a commonly reported side effect of Alvert. You can take a painkiller like paracetamol or ibuprofen for the relief of your headache. However, if it is very severe and is not controlled by a painkiller, consult your doctor as Alvert may need a dose adjustment.

Q. Can I take Alvert with warfarin?
Alvert and warfarin can be taken together. No harmful side effects or any other clinical interactions have been seen when the two drugs are taken together.

Q. Is Alvert a steroid?
No, Alvert is not a steroid. It is a histamine analog used to treat vertigo, tinnitus and hearing loss associated with Ménière's syndrome

Q. Can I take Alvert with amitriptyline?
Alvert has not been clinically studied when used along with amitriptyline. So there are no reports of any drug-drug interactions or harmful effects when these are used together.

Q. Does Alvert cause drowsiness?
Alvert has not been reported to cause drowsiness. Common side effects seen with its use are a headache, nausea, and dyspepsia.

Q. Is Alvert a beta blocker?
No, Alvert is not a beta blocker. It is a histamine analog used to treat vertigo, tinnitus and hearing loss associated with Ménière's syndrome. It can cause a small fall in blood pressure due to its property to dilate blood vessels.

Q. Is Alvert a diuretic?
No, Alvert is not a diuretic. It is a histamine analog used to treat vertigo, tinnitus and hearing loss associated with Ménière's syndrome. A diuretic is a medicine, which removes excess water and electrolytes from the body through urine.

Q. Is Alvert a blood thinner?
No, Alvert is not a blood thinner. It is a histamine analog used to treat vertigo, tinnitus and hearing loss associated with Ménière's syndrome.

Q. Can I take Alvert with propranolol?
Alvert and propranolol can be taken together. No harmful side effects or any other clinical interactions have been seen when the two drugs are taken together.