Case scenario

Allan, 60, regularly visits your pharmacy with prescriptions for long-term irbesartan 150 mg daily for hypertension and atorvastatin 10 mg daily to lower his cholesterol. He presents today complaining of dizziness that is worse when he moves his head, particularly when lying in bed. He tells you that he takes a natural supplement for general health. He did experience some dizziness when his antihypertensive medicine was started, but it didn’t feel like this.

Considering the possible causes of his dizziness, what questions would you ask him?

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Describe vertigo and Ménière’s disease and their causes
  • Discuss management options for vertigo and Ménière’s disease
  • Describe the role of the pharmacist in supporting patients with vertigo and Ménière’s disease.

Competency standards (2016) addressed: 1.1, 1.3, 1.4, 2.1, 2.3, 2.4

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Introduction

The feeling of vertigo is often called dizziness, although the term ‘dizziness’ describes a range of symptoms including vertigo (spinning), disequilibrium (feeling of gait imbalance), lightheadedness (giddiness) and presynco

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