@migraineswithmina: New 2025 insights on vestibular migraine prevention! A network meta-analysis in BMC Neurology compared key drugs and found all significantly cut monthly vertigo attacks vs. control. Top rankings: 🧠 Propranolol: ~7.04 fewer attacks/month (highest raw effect, but indirect evidence) 🧠 Depakote (valproic acid): ~5.95 fewer 🧠 Effexor (venlafaxine): ~5.94 fewer 🧠 Emgality (galcanezumab): ~5.80 fewer (moderate evidence + ZERO discontinuations—best tolerability balance!) 
Propranolol edged out numerically, but Emgality shines for real-world promise. Always chat with your doc—treatments are personal! #migraine #brainhealth #neurology #headache #vestibular

Mary :

Would vestubular migraines make u feel off balance lighthraded everyday

Ashlee :

Amytriptyline has helped my dizziness, almost zero dizziness now! It didn’t help my other symptoms but I’m so happy the dizziness is almost nonexistent

Jamealcar :

Propranalol made me so dizzy 24/7 I could barely even stand. I stuck it out for 8 months hoping I'd get used to it. Now I'm still dizzy AND have crazy anxiety worrying about dizziness because of how traumatizing that was!

Karaez1 :

QuLipta has been amazing for me

Mmperin :

What about to treat PPPD that comes along with VM? One that doesn’t cause weight gain.

Srcby_99899 :

Verapamil took away my everyday dizziness in 7 months, I get now like 3 attacks a month. My mom also has VM and has been taking it since 2018, gets an attack every 2 years. Soooo glad there are so much meds out there to treat migraine.

Kala Alexandra's :

What about Nurtec? Does that work well for vestibular migraine?

meow :

Thank you. I get daily vestibular migraines and it’s pretty debilitating. I noticed Rizitriptan helps me so much as a rescue medication!

ashleysipes95 :

How does a beta blocker decrease dizziness if the dizziness isn’t coming from a high heart rate?

brwa abas :

Danica :

Will it ever go into remission??

andiroo :

Propranolol worked so well for me, but after losing 100 lbs it made my BP so low (even at the lowest dose), I had to stop. My BP was never high to begin with. Now nothing is working as well. 😭

AditusMaximus :

Is there much of a connection betweeen pots and vestibular migraine ? Propranolol helped with my pots dizziness a lot and my migraine is still bad but less vestibular

samiam867867 :

Do you feel the same applies for intertictal symptoms? Wondering if Effexor is still worth a conversation with neuro, but 6 attacks when symptoms are multiple times daily isn’t as exciting as 6 attacks is with episodic migraine.

Lex :

What about Qulipta and Ubrelvy?

mani ♡ brown girl bestie ♡ MUA :

Thank you!!

Smocha077 :

This is interesting. I’m on propranolol for my pots but now that I think of it I guess I have had less vertigo with my migraines since I started it in March

شجرة الورد🌹 :

شعرك كثيف جدا يا دكتورة أعطينا السر رجاءا 😁💜💜✨

emilywalden6 :

I was put on Cymbalta. It helped the first 6 months but not anymore 😩

peke.like :

How’s the hypertension data (or what you’ve observed) between Emgality and AIMOVIG?

Ashley G. Giddens :

Is the propranolol benefit dose dependent?

Sabrina :

I just got prescribed nurtec. I hope it works ☹️

Jodie :

Is it normal to have a black dot or shadows in vision with headaches and migraines?

HollyW :

Effexor did nothing for me except a horrible headache, amitriptyline raised my liver function but helped. Emgality has been amazing