II. Background
- Medications are responsible for 23% of persistent Dizziness in elderly patients
- Polypharmacy with more than 5 medications increases the Dizziness risk
III. Causes: Cardiovascular Agents
- Class Ia Antiarrhythmics (Quinidine, Imipramine, Amiodarone, Disopyramide)
- Antihypertensives (esp. Beta Blockers)
- Diuretics (e.g. Lasix)
- Digoxin
- Nitroglycerin
IV. Causes: Endocrine Agents
- Antithyroid Drug
- Oral Hypoglycemic Agents (esp. SGLT2 Inhibitors such as Invokana)
V. Causes: Hematologic Agents
- Salicylates or Aspirin (Ototoxicity)
- Dipyridamole (e.g. Aggrenox)
VI. Causes: Infectious Disease Agents
- Amantadine
- Aminoglycosides (Ototoxicity)
- Quinolones (e.g. Ciprofloxacin)
VII. Causes: Neurologic Agents
- Antidementia agents (e.g. Namenda)
- Antiparkinsonism Medications (e.g. Sinemet, Mirapex, Cogentin, Amantadine)
- Anticonvulsants (typically at toxic levels)
