19th August 2024

A 50-year-old man presents to A&E because of feeling “dizzy”. He reports that he was at the garden centre

A 50-year-old man presents to A&E because of feeling “dizzy”. He reports that he was at the garden centre when he felt as though the world was spinning around him. He vomited and had to lie down. The episode lasted a number of hours and he also noticed a “roaring” in his left ear and that it felt “full”. Since the event, he reports that sounds appear distorted. He reports that over the last few years he has had several episodes of feeling dizzy and unsteady on his feet but he has not sought any medical attention as they each resolved within an hour. Neurological examination is unremarkable. What would be the best medication to prevent further attacks?

Select the SINGLE most appropriate option from the list below. Select ONE option only.