Side Effects:

Common Headache, Nausea, Dyspepsia.

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

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

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

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

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

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

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

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

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

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

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

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

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