the Dietary Effects of Medication for Dizziness Management - Neurology

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The effects of drug consumption?


Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me.
However, I have many questions regarding the dietary implications of this medication.
Please clarify the following:
1.
This medication is a calcium ion separator, intended to lower calcium levels in the blood.
Does this mean that consuming excessive calcium could potentially cause dizziness?
2.
The doctor advised against consuming certain trigger foods, including milk.
Is this due to the presence of tyramine or calcium in milk? Can I consume milk after completing the medication treatment?
3.
I usually take calcium supplements.
Is it safe to continue taking them during the medication treatment period?
4.
How long is it recommended to use this medication before considering discontinuation?

Xiao Qian, 40~49 year old female. Ask Date: 2023/10/27

Dr. Peng Shiwei reply Neurology


Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects.
The physician advised you to reduce your intake of milk during the medication period, which may not necessarily be related to the medication itself; it could be that the doctor believes milk may trigger your dizziness or vertiginous migraines.
Regarding how long to use the medication and whether to pause calcium supplements while on the medication, please discuss these questions further with your attending physician, as it depends on your symptoms and the doctor's treatment plan.
Thank you for your inquiry.

Reply Date: 2023/10/27

More Info


When it comes to managing dizziness with medication, particularly with a drug like "舒腦" (which I assume is a calcium channel blocker or similar medication), there are several dietary considerations to keep in mind. Here’s a comprehensive overview addressing your questions and providing additional insights into the dietary effects of this medication.

1. Calcium Intake and Dizziness: The medication you mentioned is designed to lower calcium levels in the blood. High calcium levels (hypercalcemia) can indeed lead to various symptoms, including dizziness. However, it is not solely the intake of calcium that causes dizziness; rather, it is the imbalance in calcium levels that can affect nerve and muscle function. Therefore, while it is important to monitor calcium intake, dizziness can arise from a variety of factors, including dehydration, electrolyte imbalances, or other underlying health issues.

2. Milk and Dietary Restrictions: Your doctor advised against consuming milk, which is rich in calcium. This recommendation is likely due to the calcium content rather than tyramine, which is more commonly associated with certain medications, particularly monoamine oxidase inhibitors (MAOIs). Calcium can interfere with the absorption of certain medications, including some that are used to manage dizziness. It is advisable to avoid high-calcium foods, including dairy products, during the course of treatment to ensure optimal absorption of the medication.

3. Calcium Supplements: If you are currently taking calcium supplements, it is crucial to discuss this with your healthcare provider. Taking calcium supplements while on a medication that lowers blood calcium levels may counteract the medication's effects and could lead to complications. Your doctor may recommend adjusting your calcium intake or monitoring your blood calcium levels more closely during treatment.

4. Duration of Medication Use: The duration for which you should continue taking the medication depends on the underlying cause of your dizziness and how well you respond to treatment. It is essential to follow your doctor's advice regarding the length of treatment. Typically, medications for dizziness may be prescribed for a short duration, but this can vary based on individual circumstances. Regular follow-ups with your healthcare provider are important to assess your progress and make any necessary adjustments to your treatment plan.


Additional Dietary Considerations
- Hydration: Staying well-hydrated is crucial, especially if you are experiencing dizziness. Dehydration can exacerbate dizziness, so aim to drink plenty of fluids throughout the day.

- Balanced Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. This can help maintain overall health and support your body during treatment.

- Avoiding Triggers: Certain foods and beverages, such as caffeine and alcohol, can worsen dizziness for some individuals. It may be beneficial to keep a food diary to identify any potential triggers related to your dizziness.

- Monitoring Symptoms: Keep track of your symptoms and any dietary changes you make. This information can be valuable for your healthcare provider in managing your treatment effectively.

In conclusion, managing dizziness with medication involves careful consideration of dietary habits, particularly regarding calcium intake. Always consult with your healthcare provider before making any significant changes to your diet or medication regimen. They can provide personalized advice based on your specific health needs and treatment goals.

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