Side Effects:

Common Headache, Nausea, Dyspepsia.

Expert advice for Spinil Tablet
Spinil 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 Spinil 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 Spinil 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 Spinil useful for the treatment of a migraine associated vertigo?
Spinil 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 Spinil for the treatment of benign Paroxysmal Positional Vertigo?
Use of Spinil 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 Spinil with paracetamol?
Spinil can be taken with paracetamol. There are no reported drug drug interactions or harmful effects when they are used together.

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

Q. Is Spinil good for dizziness?
Spinil 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 Spinil with propranolol?
Spinil and propranolol can be taken together. Spinil 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 Spinil make you sleepy?
Spinil does not make you sleepy. Common side effects seen with its use are a headache, nausea, and dyspepsia.

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

Q. Can I take Spinil with prochlorperazine?
Spinil 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 Spinil cause an increase in blood pressure?
Spinil 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 Spinil 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. Spinil 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 Spinil?
Do not stop taking Spinil 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 Spinil up to 6 months or more for the right effect to come.

Q. Can I use Spinil for motion sickness?
No, Spinil 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. Spinil is used for decreasing the episodes of recurrent vertigo (spinning sensation) associated with Ménière’s disease (an ear disease).

Q. Is Spinil useful in the treatment of anxiety?
No, Spinil 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 Spinil be useful for treating an ear infection?
No, Spinil 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 Spinil with antibiotics?
Spinil and antibiotics can be taken together. No harmful side effects or any other clinical interactions have been seen when Spinil 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 Spinil an antihistamine?
No, Spinil 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 Spinil with antihistamine medicines?
Spinil should not be taken with antihistamine medicines like dimenhydrinate as Spinil 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 Spinil with ibuprofen?
Spinil can be taken with ibuprofen. There are no reported drug-drug interactions or harmful effects when they are used together.

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

Q. Is Spinil safe?
Spinil 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 Spinil with vitamin D?
Spinil 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 Spinil with cetirizine?
Spinil should not be taken with cetirizine as it has antihistamine action and Spinil has histamine like action and using the two medicines together may lower the efficacy of either of them.

Q. Can I use Spinil for nausea?
Spinil 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 Spinil be useful for treating labyrinthitis?
Spinil 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 Spinil start working?
The maximum level of Spinil 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 Spinil make you lose weight?
Spinil 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 Spinil, consult your doctor as it may be due to an underlying condition that needs attention.

Q. Does Spinil cause headache?
Yes, headache is a commonly reported side effect of Spinil. 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 Spinil may need a dose adjustment.

Q. Can I take Spinil with warfarin?
Spinil 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 Spinil a steroid?
No, Spinil 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 Spinil with amitriptyline?
Spinil 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 Spinil cause drowsiness?
Spinil has not been reported to cause drowsiness. Common side effects seen with its use are a headache, nausea, and dyspepsia.

Q. Is Spinil a beta blocker?
No, Spinil 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 Spinil a diuretic?
No, Spinil 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 Spinil a blood thinner?
No, Spinil 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 Spinil with propranolol?
Spinil 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.