Managing Dizziness: Is Long-Term Use of Shunao Safe? - Otolaryngology

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Dizziness can be treated with Shunao?


I have been experiencing dizziness for a long time, and in the past year, my doctor prescribed "Shunao," which has been effective.
However, I recently came across information online from other doctors stating that Shunao should not be taken long-term due to the risk of extrapyramidal side effects (similar to Parkinson's symptoms).
Given this situation, if my dizziness persists, is it appropriate to continue taking Shunao?

Chloe, 40~49 year old female. Ask Date: 2022/06/21

Dr. Ji Zhaoyun reply Otolaryngology


If you have persistent dizziness, it is advisable to consult an otolaryngologist and a neurologist to determine the exact cause.

Reply Date: 2022/06/21

More Info


Managing dizziness can be a complex issue, especially when considering long-term medication use. In your case, you mentioned that your doctor prescribed "Shunao" (舒腦), which is a medication often used to treat dizziness and related symptoms. While it may have provided relief, concerns about long-term use are valid and should be addressed.

Firstly, it’s important to understand what "Shunao" is and how it works. This medication is typically used to improve blood circulation in the brain and alleviate symptoms of dizziness. However, like many medications, it can have side effects, particularly when used over an extended period. One of the concerns you raised is the potential for extrapyramidal symptoms, which can resemble Parkinson's disease symptoms. These side effects can include tremors, rigidity, and bradykinesia (slowness of movement), which can significantly impact quality of life.

The risk of developing these side effects increases with the duration of use and the dosage of the medication. Therefore, if you have been taking "Shunao" for an extended period, it is crucial to have a discussion with your healthcare provider about the risks versus benefits of continuing the medication. Your doctor may suggest alternative treatments or therapies that could help manage your dizziness without the associated risks of long-term medication use.

In addition to medication, there are other strategies that can help manage dizziness. These include lifestyle modifications such as staying hydrated, avoiding sudden movements, and incorporating balance exercises or physical therapy. Vestibular rehabilitation therapy, for instance, is a specialized form of therapy that can help improve balance and reduce dizziness through targeted exercises.

If your dizziness persists despite these measures, it may be worthwhile to explore further diagnostic evaluations. Dizziness can stem from various underlying conditions, including vestibular disorders, cardiovascular issues, or even neurological conditions. A thorough assessment by a specialist, such as a neurologist or an ear, nose, and throat (ENT) doctor, may provide additional insights into the cause of your symptoms and guide appropriate treatment options.

In summary, while "Shunao" may have been effective in managing your dizziness, the potential for long-term side effects warrants careful consideration. It is essential to have an open dialogue with your healthcare provider about your ongoing symptoms, the risks of continued medication use, and alternative treatment options. By taking a comprehensive approach to your dizziness management, you can work towards finding a solution that minimizes risks while effectively addressing your symptoms. Always prioritize your health and well-being, and don’t hesitate to seek a second opinion if you feel uncertain about your treatment plan.

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