HI, My dad 49 years old has vertigo since years but he used to take a medicine named nialip 375 mg Dr. Reddy's (nicotinic acid controlled release tablet) and his vertigo and tinnitus used to disappear with that medicine but since 2016 that medicine is stopped and no more available. Now he is not getting fine with medicines like vertin, cinnarizine or meclizine. Can anyone suggest me what to do?

Dr. Sajeev KumarGeneral Physician34yrs exp

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Nialip-750 is a brand name. The name of the medicine is nicotinic acid slow/controlled release. It is a drug that is indicated in high triglyceride levels not so much in high cholesterol levels. In cases of high cholesterol we generally give one of the statins (e.g. Atorvastatin sold under the brand name of atorva by zydus cadila and liporest by centaur lovastatin sold under the brand name of pro-hdl by wockhardt). Nicotinic acid is more appropriate in cases of high triglycerides; even here fibrates are the first choice. While nicotinic acid can theoretically produce several side effects,  

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