Unclear whether medications effective for attacks of vestibular migraine

This review included two studies, both of which compared the use of triptans (either rizatriptan or zolmitriptan) with placebo for the treatment of acute attacks of vestibular migraine. Triptans may make little or no difference to the proportion of people who experience an improvement in their vertigo symptoms at up to 2 hours, or between 12 and 72 hours, but the evidence was very uncertain.

When considering headache symptoms, the evidence was also very uncertain. However, fewer people reported an improvement in headache at up to 2 hours after taking triptans than after taking a placebo. At 12 to 72 hours, there was little or no difference between the two groups. There was also little or no difference in other migraine-related symptoms (including nausea and vomiting, photophobia and phonophobia) at up to 2 hours, and at 12 to 72 hours, but the evidence was all very uncertain.