Sit or lie down immediately to prevent falls
Move slowly; avoid sudden head movements
Keep your eyes on a stable object and breathe slowly
Stay hydrated and eat regularly
Avoid alcohol and recreational drugs
Avoid driving, operating machinery, and heights until symptoms stop
Try vestibular exercises (e.g., the Epley maneuver) if symptoms are triggered by head position
Use prescribed medications as directed for vertigo (e.g., meclizine or vestibular suppressants)
Consider antihistamines or anti-nausea medication if prescribed for nausea/vomiting
If symptoms suggest benign positional vertigo, consult a clinician for correct maneuvers and guidance
If migraines are suspected, follow a migraine plan and ask a clinician about preventive or acute treatments
Manage contributing conditions (e.g., blood pressure, blood sugar, anemia) with clinician guidance
Review medications with a clinician if vertigo started after a new drug
Get an urgent evaluation if you have any red flags:
New weakness, numbness, facial droop, trouble speaking, severe imbalance
Severe headache unlike usual
Chest pain, shortness of breath, fainting
Vision changes or double vision
Persistent vomiting or inability to keep fluids down
Vertigo after head injury
Fever with neck stiffness
Hearing loss in one ear or sudden hearing change
Seek prompt medical care if vertigo lasts more than 24–48 hours, keeps recurring, or you’re unsure of the cause