Vestibular forms of nystagmus
| |
Peripheral imbalance | Diphenhydramine, promethazine, prochlorperazine, ondansetron for relief of attendant vertigo and nausea; resume activities as soon as able |
Central imbalance | |
| Clonazepam, baclofen, trihexyphenidyl; acetazolamide (for nystagmus associated with episodic ataxia type II) |
| Baclofen |
Central instability | |
| Baclofen |
| |
Nystagmus associated with visual system disorder
| |
| Baclofen, clonazepam, alcohol, gabapentin |
| |
Nystagmus from disorders of the gaze holding mechanism
| |
| In association with disease of central myelin: gabapentin, memantine, clonazepam, trihexyphenidyl, scopolamine; cannabis, alcohol |
| As part of the syndrome of oculopalatal tremor (“myoclonus”): gabapentin, valproate trihexyphenidyl |
| |
Saccadic intrusions and oscillations
| |
| Methylphenidate |
| Clonazepam, popranolol, gabapentin, corticosteroids, intravenous immunoglobulin, plasma exchange |
| |
Miscellaneous abnormal movements
| |
| Gabapentin, carbamazepine, popranolol |
| Carbamazepine |