Can Meloxicam Cause Vertigo? A Look at the Science

Meloxicam is a commonly prescribed medication, while vertigo describes a distinct sensation of spinning or imbalance. This article explores the nature of both and their potential relationship.

What Meloxicam Is

Meloxicam belongs to a class of medications known as nonsteroidal anti-inflammatory drugs (NSAIDs). These medications are widely used to alleviate various forms of pain and reduce inflammation. Meloxicam is prescribed to manage discomfort, swelling, and stiffness associated with conditions like osteoarthritis, rheumatoid arthritis, and juvenile rheumatoid arthritis.

The medication works by targeting specific pathways in the body that contribute to inflammation. It helps to lessen the body’s inflammatory response, thereby providing relief from joint pain and stiffness.

Meloxicam is available in several forms, including tablets and liquid suspensions, and is typically taken once daily.

Understanding Vertigo

Vertigo is a specific type of dizziness characterized by a sensation that you or your surroundings are spinning or moving. This feeling differs from general lightheadedness or unsteadiness. Individuals experiencing vertigo often report a false sense of motion, even when they are standing still.

The sensation can be accompanied by other symptoms such as nausea, vomiting, and problems with balance. Vertigo arises from issues within the inner ear or certain parts of the brain that are responsible for maintaining balance.

The Connection Between Meloxicam and Vertigo

Vertigo is not typically listed as a common or direct side effect of meloxicam. However, anti-inflammatory medicines can sometimes be associated with vertigo or dizziness, making the connection with meloxicam often indirect or less frequent.

Meloxicam can increase blood pressure. Fluctuations in blood pressure, whether high or low, can cause dizziness or a sensation of vertigo.

NSAIDs like meloxicam can also cause fluid retention (edema). This fluid buildup may affect inner ear balance mechanisms or contribute to systemic imbalance, leading to vertigo.

Other Reasons for Vertigo

Many conditions unrelated to medication can cause vertigo:
Benign Paroxysmal Positional Vertigo (BPPV): Occurs when tiny calcium crystals in the inner ear become dislodged, often triggered by head movements.
Meniere’s disease: Involves fluid buildup and changing pressure in the inner ear, causing sudden vertigo episodes, sometimes with hearing loss and ringing.
Inner ear infections: Such as labyrinthitis or vestibular neuritis, causing acute vertigo due to inflammation of balance nerves.
Migraines and certain neurological conditions: Like stroke or multiple sclerosis, can also result in vertigo.

What to Do If You Experience Vertigo

If you experience new or worsening vertigo, especially while taking meloxicam, consult a healthcare professional. A medical evaluation can determine the underlying cause, rule out serious conditions, and guide an appropriate management plan.

It is advisable not to discontinue meloxicam or any prescribed medication without first seeking medical advice.

If you experience a sudden onset of vertigo, sitting down immediately can help prevent falls and injury. Moving slowly and keeping your surroundings clear can also contribute to your safety during an episode.

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