Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia? - Neurology

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Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation?


I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness.
I have also undergone a cervical ultrasound examination and found that the left vertebral artery is congenitally underdeveloped, with a flow rate of only 5-9, while the right side has a normal flow rate.
I would like to ask the doctor, assuming we do not discuss the dizziness symptoms caused by cervical spondylosis, whether taking Cilostazol could help improve blood circulation to the head and alleviate dizziness due to the underdevelopment of the vertebral artery.
Additionally, can Cilostazol or similar medications be prescribed by a physician during a hospital visit, or can they only be purchased over the counter at a pharmacy?

Hao Yun, 40~49 year old female. Ask Date: 2022/01/27

Dr. Cai Zongzhang reply Neurology


Hello: There are many factors that can affect cerebral circulation.
It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician.
Please do not self-medicate.

Reply Date: 2022/01/27

More Info


Dizziness can be a complex symptom with various underlying causes, and in your case, it appears to be associated with vertebral artery dysplasia. This condition, characterized by an underdeveloped vertebral artery, can lead to insufficient blood flow to the brain, potentially resulting in symptoms such as dizziness.
Circulating medications, particularly those aimed at improving cerebral blood flow, may offer some relief for symptoms related to vertebral artery dysplasia. One such medication is Cilostazol, which is often used to improve blood flow in patients with peripheral vascular disease. It works by inhibiting platelet aggregation and causing vasodilation, which can enhance blood flow to the affected areas. However, the effectiveness of Cilostazol or similar medications in treating dizziness specifically related to vertebral artery dysplasia is not well-established in clinical literature.
In your situation, it is essential to consult with a healthcare provider, preferably a neurologist or a vascular specialist, who can evaluate your condition comprehensively. They can assess whether your dizziness is primarily due to the vertebral artery dysplasia or if other factors, such as cervical spondylosis (as you mentioned with the involvement of cervical vertebrae 3, 4, and 5), are contributing to your symptoms.
Regarding the prescription of medications like Cilostazol, it is typically necessary to have a healthcare provider evaluate your condition and determine the appropriateness of such treatment. Physicians can prescribe medications based on their clinical judgment and your specific health needs. Therefore, it is advisable to visit a healthcare facility where a doctor can assess your symptoms and medical history, perform any necessary examinations, and discuss potential treatment options, including the use of Cilostazol or other medications.

If a physician determines that a medication like Cilostazol is appropriate for your condition, they can provide you with a prescription. This is generally preferred over self-purchasing medications, as a prescription ensures that you receive the correct dosage and that the medication is suitable for your specific health situation. Additionally, a healthcare provider can monitor your response to the medication and make adjustments as needed, which is crucial for managing any potential side effects or interactions with other treatments you may be receiving.

In summary, while circulating medications may have the potential to improve blood flow and alleviate dizziness, it is crucial to have a thorough evaluation by a healthcare professional. They can provide personalized recommendations based on your unique medical history and current symptoms, ensuring that you receive the most effective and safe treatment for your condition.

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