Medication Information
Medications patients should not take 48 hours prior to ENG testing
All Pain medications including: Acetaminophen (Tylenol, Tylenol PM, etc.) Aspirin (anything with aspirin in it) Codeine (anything with codeine in it) Ibuprofen (Excedrin, Midol, Motrin, etc.) Naproxyn (Aleve) Darvocet
All Anti-Anxiety medications, (if allowed by prescribing physician) including: Valium/Diazepam Ativan/Lorazepam, Pamelor/Nortriptyline, Compazine, Xanax, Prozac, Zoloft
All Anti-Dizzy medications: Antivert/Meclizine, Valium, Phenergan, Dramamine, Scopolamine(Transderm Patch)
All Diuretics/Water Pills, including: Dyazide, Neptazane, Maxide, Lasix
All Sleep Medications, including: Ambien, Tylenol PM, Halcion
All Allergy Medications, including: Antihistamines, Decongestants
Anything prescribed for migraines
No Alcohol 48hrs prior, Caffeine or Tobacco 24hrs prior
Do not discontinue heart, blood pressure, diabetes, or seizure medications or any medication intended for life-supporting reasons
*While it is important that a patient stops taking these medications prior to testing, they should first seek approval from their prescribing physician before beginning to taper or stop them.
Quick Reference: Drugs that can cause dizziness* |
||
| Prescription Pain Medications: | ||
Generic Name |
Brand Name |
Other Indications |
| Codeine +/- acetomenophen | TyCo#3, TyCo#4 | |
| Fentanyl | Duragesic® patches | |
| Hydrocodone + acetaminophen | Vicodin®, Norco® | |
| Hydromorphone | Dilaudid® | |
| Methadone | Dolophine®, Methadose® | opiate withdrawl (heroin addiction) |
Morphine, immediate release |
Kadian® | |
| Morphine, long (sustained) acting | MS Contin® | |
| Oxycodone + acetomenophen | Percocet®, Endocet® | |
| Oxycodone, immediate release | Roxicodone® | |
| Oxycodone, long acting | Oxycontin® | |
| Propoxyphene | Darvon® | |
| Tramadol | Ultram® | |
| Anxiety Meds, benzodiazepines: | ||
Generic Name |
Brand Name |
Other Indications |
| Alprazolam | Xanax® | |
| Clonazepam | Klonopin® | |
| Diazepam | Valium® | seizures, alcohol withdrawl, insomnia |
| Lorazepam | Ativan® | |
| (There are other benzodiazepines used to treat anxiety which are also associated w/symptoms of dizziness) | ||
| (There are many other meds used to treat anxiety and depression but these are less likely to cause acute | ||
| dizziness than benzodiazepines) | ||
| Prescription Sleeping Aids: | ||
Generic Name |
Brand Name |
Other Indications |
| Eszoplicone | Lunesta® | None |
| Ramelteon | Rozerem® | None |
| Trazodone | Desyrel® | Depression |
| Zaleplon | Sonata® | None |
| Zolpidem | Ambien® | None |
| (See OTC section for OTC sleep aides) | ||
| Seizure Medications- Anticonvulsants (Some of which are used to treat Neuropathic Pain): |
||
Generic Name |
Brand Name |
Other Indications |
| Carbamazepine | Tegretol® | Neuropathic pain, Bipolar Disorder |
| Divalproex/Valproic Acid | Depakote® | Bipolar Disorder |
| Gabapentin | Neurontin® | Neuropathic pain, Bipolar Disorder |
| Lamotrigine | Lamictal® | |
| Levetiracetam | Keppra® | |
| Phenytoin | Dilantin® | |
| Pregabalin | Lyrica® | Neuropathic pain |
| Blood Pressure Meds: | ||
Diuretics: |
||
Generic Name |
Brand Name |
Other Indications |
| Furosemide | Lasix® | |
| Hydrochlorothiazide (HCTZ) | Esidrix®, Microzide® | |
| Spironolactone | Aldactone® | |
| Triamterene | Dyrenium® | |
ACE-Inhibitors (ace=angiotensin-converting enzyme): |
||
Generic Name |
Brand Name |
Other Indications |
| Benazepril | Lotensin® | Kidney protection for diabetics |
| Enalapril | Vasotec® | |
| Fosinopril | Monopril® | |
| Lisinopril | Zestril® | |
ARBs (arb=angiotensin receptor blocker): |
||
Generic Name |
Brand Name |
Other Indications |
| Irbesartan | Avapro® | |
| Losartan | Cozaar® | |
| Olmesartan | Benicar® | |
| Telmisartan | Micardis® | |
| Valsartan | Diovan® | |
Beta Blockers: |
||
Generic Name |
Brand Name |
Other Indications |
| Atenolol | Tenormin® | Migraines, social anxiety |
| Metoprolol | Lopressor® | |
| Propranolol | Inderal® | |
Mixed Alpha/Beta Blockers: |
||
Generic Name |
Brand Name |
Other Indications |
| Carvedilol | Coreg® | |
| Labetolol | Trandate® | |
Alpha Blockers: |
||
Generic Name |
Brand Name |
Other Indications |
| Doxazosin | Cardura® | BPH (benign prostate hypertrophy) |
| Prazosin | Minipress® | |
| Terazosin | Hytrin® | |
Calcium Channel Blockers: |
||
Generic Name |
Brand Name |
Other Indications |
| Amlodipine | Norvasc® | |
| Diltiazem | Cardizem® | |
| Felodipine | Plendil® | |
| Verapamil | Verelan® | |
Diabetes Medications: |
||
Generic Name |
Brand Name |
Other Indications |
| Glimepiride | Amaryl® | |
| Glipizide | Glucotrol® | |
| Glyburide | Diabeta®, Micronase® | |
| Insulin | Aspart®, Lispro®,Humalin®, Humalog®, Novolin®, Novolog®, NPH®, Lantus®, Glargine® | |
| Metformin usually does NOT cause dizziness | Glucophage® | |
| Pioglitazone | Actos® | |
| Rosiglitazone | Avandia® | |
| OTCs (over-the-counter) Meds: | ||
Allergy Medications (antihistamines) |
||
Generic Name |
Brand Name |
Other Indications |
| Comnination Flu/Cold Med containing the antihistamin doxylamine | Nyquil®, Tylenol PM®, other cold/flu combos | |
| Diphenhydramine | Benadryl® | Insomnia |
| Loratadine usually does NOT cause dizziness | Claritin® | |
Sleeping Aids |
||
Generic Name |
Brand Name |
Other Indications |
| Diphenhydramine | Nytol®, Sominex®, Sleepinal®, Compoz® | Allergy meds |
| Doxylamine | Unisom® | Allergy meds |
| Valerian | None | |
*This is by no means a comprehensive |
||