Vestibular Suppression: quick facts and practical steps
Ever feel the room spin and wish your inner ear would just quiet down? That "turning down" of signals is vestibular suppression — a mix of your brain, eyes, and meds trying to reduce motion signals so you stop feeling dizzy. Knowing when suppression helps and when it slows recovery makes a big difference.
What vestibular suppression actually is
The vestibular system in the inner ear tells your brain about head movement. Vestibular suppression happens when other systems — especially vision and proprioception — block or dampen those signals. Medications like meclizine or benzodiazepines can blunt vestibular signals too. Short term, suppression cuts symptoms. Long term, it can prevent the brain from relearning balance.
When vestibular suppression helps — and when it hurts
If your dizziness is intense, sudden, or making you vomit, temporary suppression is useful. It buys time while a doctor figures out the cause. But if suppression is used for weeks without rehabilitation, compensation slows and dizziness can become chronic. The rule: use meds for symptom control, but start rehab early unless your doctor says otherwise.
Red flags that need immediate medical attention include sudden weakness on one side, slurred speech, severe headache unlike any before, or double vision. Those signs could mean a stroke, not a vestibular problem.
Simple at-home steps and exercises
Start with safety: sit or lie down when dizzy, avoid stairs, and ask someone to help you until symptoms ease. For longer-term recovery, try short, focused exercises that encourage the brain to adapt.
Gaze-stabilization: sit and focus on a small object. Move your head side to side while keeping your eyes on the object, 10–20 seconds at a time. Do 2–3 sets, three times a day. It retrains your eyes and vestibular system to work together.
Habituation: repeat the motion that triggers mild dizziness in short bursts. The goal is to reduce the response over days. Start small — if an action makes you very sick, stop and seek guidance.
Balance practice: stand tall near a chair, feet hip-width, try shifting weight slowly, then close your eyes for a few seconds. Progress to gentle head turns while standing. Always have a support nearby if you sway.
Medication tips: antihistamines (meclizine), benzodiazepines, and some anti-nausea drugs help symptoms. Use the lowest effective dose and only short term. Tell your clinician about sleepiness or memory issues — those are common side effects.
When to see a specialist: if dizziness lasts more than a few weeks, if it's getting worse, or if daily tasks are affected, ask for vestibular physiotherapy or an ENT/neuro check. A trained therapist will guide graded exercises and ensure you aren’t relying on suppression too long.
Small, steady steps usually win: control acute symptoms, start simple rehab, and keep safety first. With the right approach, most people get better and don’t need long-term suppression.