Introduction

Betahistine is a medication used primarily to treat vertigo, especially when caused by Ménière’s disease. This condition leads to episodes of dizziness or spinning sensations. However, there has recently been a shortage of Betahistine, leading to confusion among patients who rely on it for relief. In this blog post, we’ll explore what Betahistine is, how it works, why there’s a shortage, and what alternatives are available.

What is Betahistine?

Betahistine belongs to a class of drugs known as histamine analogs. It works by improving blood flow to the inner ear, which helps reduce the symptoms of vertigo and dizziness. Doctors often prescribe Betahistine to treat Ménière’s disease, a condition that affects the inner ear and causes balance problems. Betahistine is available in various dosages, including 8 mg, 16 mg, and 24 mg tablets.

Betahistine Mechanism of Action

Betahistine works by stimulating histamine receptors in the brain and improving circulation in the inner ear. This helps reduce the buildup of pressure in the ear, which can lead to dizziness. By improving blood flow, Betahistine reduces the frequency and severity of vertigo attacks. It also targets the vestibular system, which controls balance.

Betahistine Dosage and Tablet Uses

Betahistine tablets are usually prescribed in doses ranging from 8 mg to 24 mg, depending on the severity of the condition and the patient’s response. The most common dose is 24 mg per day, taken in two or three divided doses. It is important to follow your doctor’s instructions regarding dosage and never exceed the prescribed amount. Taking Betahistine with food can help reduce stomach discomfort, such as nausea.

Betahistine Side Effects

Most people tolerate Betahistine well, but it can cause side effects in some cases. Common side effects include:

  • Bloating
  • Headache
  • Heartburn
  • Nausea or vomiting

In rare cases, more serious side effects such as itching, rash, or stomach pain can occur. If you experience any of these symptoms, contact your healthcare provider for advice.

Why is There a Shortage of Betahistine?

The shortage of Betahistine can be attributed to several factors. One key reason is manufacturing disruptions, which have caused delays in production and distribution. In addition, certain batches of Betahistine, including TEVA-Betahistine tablets, were recently recalled in Canada. This was due to the discovery of a harmful impurity known as N-nitroso-betahistine, which exceeded acceptable safety limits. As a result, these affected batches were removed from the market, further contributing to the shortage.

Why Was Betahistine Recalled in Canada?

Betahistine was recalled in Canada after it was found that some lots contained N-nitroso-betahistine, a potentially harmful substance. This impurity was present in amounts that exceeded safety limits set by health authorities. To protect public health, Health Canada took immediate action and ordered the recall of these affected batches. If you are currently taking Betahistine, it’s crucial to check the batch number on your medication and consult your doctor if you have concerns about its safety.

What Can I Take Instead of Betahistine?

If you are unable to access Betahistine due to the shortage, there are several alternatives that can be used to manage vertigo and dizziness:

Flunarizine

Flunarizine is a calcium channel blocker that has shown effectiveness in treating vertigo, particularly in patients with Ménière’s disease. Clinical trials have demonstrated that Flunarizine reduces the frequency and severity of vertigo attacks. It works by improving blood circulation in the inner ear and affecting the vestibular system.

Meclizine

Meclizine is an antihistamine commonly used to treat motion sickness and vertigo. It reduces nausea and dizziness, making it a popular choice for short-term relief from vertigo symptoms.

Promethazine

Promethazine is another antihistamine that can help manage nausea and vomiting associated with vertigo. Like Meclizine, it can be an alternative to Betahistine for controlling vertigo symptoms.

Where is Betahistine Available Now?

Despite the shortage, Betahistine is still available at some pharmacies. If you are looking for Betahistine, CityMed Pharmacies in White Rock and Surrey may still have it in stock. We offer reliable prescription delivery services and are committed to helping you get the medications you need.

You can visit our locations at:

  • White Rock Location: 4-1493 Foster St, White Rock, BC V4B 0C4
  • Surrey Location: #107 14818 60 Ave, Surrey, BC V3S 0B5

For more information, contact CityMed Pharmacies at:

  • White Rock: +1 (604) 385-1490
  • Surrey: +1 (604) 593-8866

Betahistine Class and Price

Betahistine belongs to the histamine analog class of medications. It is available in 8 mg, 16 mg, and 24 mg dosages. Prices may vary depending on the pharmacy and location, but Betahistine is generally affordable. If you are looking for a reliable pharmacy that offers affordable medications and prescription delivery services, CityMed Pharmacies provides competitive pricing and convenient options.

Physiotherapy and Vertigo Management

In addition to medication, physiotherapy can be an important part of managing vertigo symptoms. Vestibular Rehabilitation Therapy (VRT) is a specialized type of therapy designed to improve balance and reduce dizziness. VRT involves exercises that focus on balance and eye movement control, helping patients regain their stability and reduce vertigo episodes.

Balance and Gaze Stabilization Exercises

Balance exercises and gaze stabilization exercises are key components of VRT. These exercises help patients improve their coordination and regain control of their eye movements, leading to better balance and reduced dizziness.

Conclusion

The shortage of Betahistine has certainly posed challenges for patients who rely on it for vertigo management. However, there are several alternative medications available, including Flunarizine and Meclizine, that can help manage vertigo symptoms. Additionally, physiotherapy can be an important tool in reducing dizziness and improving balance.

If you are in need of Betahistine or other medications, visit CityMed Pharmacies in White Rock or Surrey for fast and reliable prescription delivery services. Our pharmacies offer a range of services designed to meet your needs and improve your health.


FAQs

  1. Why is there a shortage of Betahistine?
    The shortage is mainly due to manufacturing disruptions and a recall of certain lots containing harmful impurities.

  2. Why was Betahistine recalled in Canada?
    Certain batches contained a harmful impurity called N-nitroso-betahistine, which exceeded safety limits.

  3. What can I take instead of Betahistine?
    Alternatives include Flunarizine, Meclizine, and Promethazine, depending on your doctor’s recommendation.

  4. Why was Betahistine banned?
    Betahistine has not been banned, but some lots were recalled due to safety concerns.

  5. Where is Betahistine available now?
    Betahistine is available at CityMed Pharmacies in White Rock and Surrey. Please contact us for availability.

  6. What is an alternative to Betahistine?
    Flunarizine is an effective alternative that can help reduce the severity and frequency of vertigo attacks.

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