Sit or lie down immediately to prevent falls
Stay hydrated and eat regularly
Avoid driving, operating machinery, and climbing until symptoms improve
Move slowly; change positions gradually (sit up slowly, stand slowly)
Keep your head still during severe episodes
Reduce triggers: limit alcohol, caffeine, nicotine, and salt if advised
Manage nausea if needed (follow label directions or clinician advice)
Try vestibular suppressants only short-term if prescribed (e.g., meclizine/dimenhydrinate)
If symptoms suggest BPPV, seek evaluation for canalith repositioning maneuvers (e.g., Epley)
If symptoms persist or recur, request a clinician-guided vestibular rehab program
Perform home vestibular exercises only if taught by a clinician and tailored to your diagnosis
Check and treat contributing factors: sleep, stress, migraines, blood pressure, anemia, dehydration
Review medications with a clinician if you recently started or changed doses
Seek urgent care immediately for any red flags: new weakness/numbness, trouble speaking, facial droop, severe headache, chest pain, fainting, double vision, inability to walk, head injury, or symptoms lasting with worsening severity
Contact a clinician promptly if vertigo lasts more than 24–48 hours, keeps recurring, or is accompanied by hearing loss, ringing, ear pain, fever, or persistent vomiting