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Preventive management includes avoiding triggers and using migraine prophylactic medication, which can include 69 : Beta-blockers Tricyclic antidepressants Anti-seizure medications Serotonin-norepinephrine reuptake inhibitors (SNRIs), particularly when vestibular symptoms predominate (can worsen headaches) Verapamil, when vertigo manifests in the context of migraine aura For acute attacks of vertigo, the following vestibular suppressants can be considered 69 : Antihistamines Antiemetics Benzodiazepines Ménière Disease Initial therapy in Ménière disease should be dietary and lifestyle adjustments

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