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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Headaches Be Caused By Betaserc?

Hello Doctor(s). I am 52 years old and was diagnosed last month by an ENT Sopecialist to have tinnitus. This wa sbecause i went to said ENT Specialist and had an audio tst in my right ear. For some time now, I have been experiencing a ringing in my right ear. My Blood pressure ranges from 110/80-120/80. My blood sugar is also normal. I went to the ENT because I wasnted my hearing checked after undergoing a bout of dizziness, headaches and vertigo. The ENT prescribed Betaserc 24 mgs/. I should take said Betaserc 24 milligrams twice a day! But mty oproblem is that I still encounter headaches the morning after i.e. I take 1 tablet at night after dinner and 1 in the morning after breakfast! Could the headaches be caused by the Betaserc i.e,. the headaches are a side effect? I want to stop taking the Betaserc which the ENT prescribed for me to take for 1 month, twice a day, to help in combatting the nerve damage in my ear! Appreciate your help! pls. e-mail me at YYYY@YYYY Thank you.
posted on Fri, 14 Mar 2014
Twitter Thu, 13 Nov 2025 Answered on
Twitter Wed, 19 Nov 2025 Last reviewed on
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General & Family Physician 's  Response
Hello,

I can see why you'd be confused: the tinnitus in itself is stressing, and when starting a new medication and the headaches continue, it is hard to know whether this is the medicine or the original problem.

I will try and give you as clear a picture as possible based on what I usually see with patients on Betaserc, or Betahistine.

Can Betaserc cause headaches? Yes, it can. Headache is, in fact, among the more common side effects of Betahistine. It doesn't happen in everyone, but in some, the vasodilation that the medicine causes can result in morning headaches. Therefore, the timing you mentioned — taking a dose at night, and then waking with a headache, it does fit quite well with a Betaserc-related side effect. However, your original dizziness and tinnitus can also cause headaches.

That is why it becomes tricky, as many patients with either inner ear issues or tinnitus go on to develop tension headaches, poor sleep, and anxiety around the noise in the ear, which itself can cause morning heaviness of the head. So, I wouldn't say for sure that this is due to Betaserc only, but it definitely could be one of the possibilities.

Should you stop Betaserc on your own? My frank medical opinion is that one should not stop it abruptly without consulting your ENT, particularly as he prescribed it on suspicion of inner ear nerve-related symptoms following vertigo and tinnitus. What I usually do for my patients is:
• Temporarily reduce the dose or
• Switch to once daily, and see if the headache eases (but that decision should come from the ENT who examined you)

I would suggest the following:
• Call or revisit your ENT and tell him exactly what you've told me
• Ask if you can reduce the dose or change the timing of intake

In the meantime, make sure you are always well hydrated as dehydration can worsen Betaserc-related headaches. It is good that your blood pressure and sugar readings are normal. That already rules out some of the common causes of morning headaches. My clear view is, Yes, headaches are one of the side effects of Betaserc. Your symptoms do correspond to the time course of an adverse effect. Although, before stopping the medicine, consult with your ENT specialist so that your tinnitus and vertigo treatment stays on course.

Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health.

Regards,
Dr. Usaid Yousuf
General and Family Physician
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Could Headaches Be Caused By Betaserc?

Hello, I can see why you d be confused: the tinnitus in itself is stressing, and when starting a new medication and the headaches continue, it is hard to know whether this is the medicine or the original problem. I will try and give you as clear a picture as possible based on what I usually see with patients on Betaserc, or Betahistine. Can Betaserc cause headaches? Yes, it can. Headache is, in fact, among the more common side effects of Betahistine. It doesn t happen in everyone, but in some, the vasodilation that the medicine causes can result in morning headaches. Therefore, the timing you mentioned — taking a dose at night, and then waking with a headache, it does fit quite well with a Betaserc-related side effect. However, your original dizziness and tinnitus can also cause headaches. That is why it becomes tricky, as many patients with either inner ear issues or tinnitus go on to develop tension headaches, poor sleep, and anxiety around the noise in the ear, which itself can cause morning heaviness of the head. So, I wouldn t say for sure that this is due to Betaserc only, but it definitely could be one of the possibilities. Should you stop Betaserc on your own? My frank medical opinion is that one should not stop it abruptly without consulting your ENT, particularly as he prescribed it on suspicion of inner ear nerve-related symptoms following vertigo and tinnitus. What I usually do for my patients is: • Temporarily reduce the dose or • Switch to once daily, and see if the headache eases (but that decision should come from the ENT who examined you) I would suggest the following: • Call or revisit your ENT and tell him exactly what you ve told me • Ask if you can reduce the dose or change the timing of intake In the meantime, make sure you are always well hydrated as dehydration can worsen Betaserc-related headaches. It is good that your blood pressure and sugar readings are normal. That already rules out some of the common causes of morning headaches. My clear view is, Yes, headaches are one of the side effects of Betaserc. Your symptoms do correspond to the time course of an adverse effect. Although, before stopping the medicine, consult with your ENT specialist so that your tinnitus and vertigo treatment stays on course. Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health. Regards, Dr. Usaid Yousuf General and Family Physician