What is the best way to manage benign paroxysmal positional vertigo?
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A simple repositioning maneuver, such as the Epley maneuver, performed by an experienced clinician, can provide symptom relief from benign paroxysmal positional vertigo (BPPV) lasting at least 1 month (strength of recommendation [SOR]: A, systematic review of randomized controlled trials). Medical therapy with benzodiazepines for vestibular suppression provides no proven benefit for BPPV (SOR: B, 1 small randomized controlled trial). For undifferentiated dizziness, vestibular rehabilitation may provide symptomatic relief (SOR: B, 1 randomized controlled trial).
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