Betahistine – Benefits, dosage, side effects

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Betahistine is a drug used to treat Meniere’s disease, which generally causes symptoms of vertigo, hearing loss, and ringing in the ears (tinnitus). The work of this drug is not yet fully known, but betahistine is believed to be able to dilate blood vessels in the inner ear and reduce pressure in the inner ear, by affecting chemicals called histamine. This effect makes betahistine used as a treatment for vertigo.

Trademarks: Vesitab, Vertikaf, Vertigosan, Versyl, Versilon, Vercure, Vastigo, Rover, Vertigo, Meristin, Merislon, Kurtigo, Histigo, Betaserc, Betahistine, Mesylate, Lexigo

About Betahistine

H3 Antihistamine Group
Prescription Drug Category
Benefits Overcoming the symptoms of Meniere’s disease
Consumed by adults
Categories of pregnancy and breastfeeding Category N: Not yet categorized. Betahistine is not known to be absorbed into breast milk or not. If you are breastfeeding, do not use this medicine without telling the doctor.
Tablet form medicine


  • Before taking betahistine, tell your doctor if you have a history of asthma, stomach ulcers, porphyria, and pheochromocytoma.
  • Tell your doctor if you are taking other medicines, including supplements and herbal products.
  • If you are going to undergo surgery or dental treatment, tell your doctor that you are taking this medicine.
  • If an allergic reaction or overdose occurs after consuming betahistine, see a doctor immediately.

Betahistine dose

For betahistine HCl, the initial dose of use is 8-16 mg, 3 times a day. The next dose (maintenance dose) is 24-48 mg per day.

For betahistine mesylate, the dose used is 6-12 mg, 3 times a day.

Eating Betahistine Properly

Be sure to read the instructions on the drug package and follow the doctor’s recommendations for using betahistine. This medicine can be taken before or after meals.

Although betahistine does not affect the ability to drive or operate heavy equipment, people with Meniere’s disease should stop driving or do activities that require high concentration.

Do not stop treatment unless instructed by a doctor. The doctor will tell the patient if the dosage of betahistine can be reduced.

Take betahistine regularly at the same time every day. For patients who forget to take betahistine, it is advisable to do it immediately as soon as they remember, if the pause with the next consumption schedule is not too close. If it’s close, ignore it and don’t double the dose.

Betahistine which is consumed regularly cannot prevent the onset of vertigo or tinnitus attacks. However, this drug can reduce the severity of symptoms of vertigo and tinnitus.

Drug Interactions

The following are a number of interactions that might occur when consuming betahistine along with other medicines:

  • It can reduce the effects of betahistine if used with antihistamines.
  • Betahistine can reduce the effects of beta 2 agonist asthma drugs, such as salbutamol and salmeterol.

Side Effects of Betahistine

Side effects that may arise after consuming betahistine include:

  • Skin rash.
  • Itchy skin.
  • Swelling of the face, lips, tongue, and throat.
  • Shortness of breath and difficulty swallowing.
  • Headache.
  • Nausea and vomiting.
  • Stomach aches and bloating.

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