{"id":13784,"date":"2025-07-04T12:17:31","date_gmt":"2025-07-04T10:17:31","guid":{"rendered":"https:\/\/staging.ivrt.de\/?p=13784"},"modified":"2026-04-29T09:57:24","modified_gmt":"2026-04-29T07:57:24","slug":"medicin-mod-svimmelheid-i-almen-praksis-hoje-udskrivningsrater-pa-trods-af-svag-evidens","status":"publish","type":"post","link":"https:\/\/staging.ivrt.de\/da\/studien-evidenz\/anti-vertigo-medikamente-in-der-hausarztpraxis-hohe-verordnungsraten-trotz-schwacher-evidenz\/","title":{"rendered":"Antivertigo-Medicin i almen praksis \u2013 h\u00f8je udskrivningsrater trods svag evidens"},"content":{"rendered":"<p><strong>For fagfolk:<\/strong><\/p>\n\n\n\n<p>Anti-vertigo-medicin (AVM) som betahistin er udbredt i almen praksis p\u00e5 trods af begr\u00e6nset dokumentation for effekten. S\u00e6rligt problematisk: En betydelig del af ordinationerne sker p\u00e5 lang sigt \u2013 selv uden en klar <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/diagnostiske-tests-for-balanceforstyrrelser\/\" data-type=\"post\" data-id=\"8955\">vestibul\u00e6r diagnose<\/a>. En ny unders\u00f8gelse fra Holland leverer nu for f\u00f8rste gang systematiske data om hyppighed og varighed af ordinationer i almen praksis.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40550632\/\"><strong>Original studie p\u00e5 PubMed<\/strong><\/a><\/p>\n\n\n\n<p><strong>Studiendesign:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Design<\/strong>Retrospektivt kohortestudie (routinedataanalyse)<\/li>\n\n\n\n<li><strong>datagrundlag<\/strong>: &gt;1,2 mio. patienter fra 269 almen praksis (NL, 2018\u20132021)<\/li>\n\n\n\n<li><strong>Inklusion<\/strong>Voksne med vestibul\u00e6re symptomer og\/oder AVM-ordinationer<\/li>\n\n\n\n<li><strong>Hovedm\u00e5l<\/strong>Hyppighed &amp; varighed af AVM-ordinationer, pr\u00e6diktorer for langtidsbehandling<\/li>\n<\/ul>\n\n\n\n<p><strong>Centrale resultater<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Af 73.650 patienter med vestib\u00fcl\u00e6re gener modtog 6.172 (<strong>9,2\u202f%<\/strong>en <strong>AVM-forordning<\/strong>.<\/li>\n\n\n\n<li>Af det var der <strong>32\u202f% p\u00e5 lang sigt<\/strong> ordineret.<\/li>\n\n\n\n<li>88\u202f% af de behandlede havde ingen <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/menieres-sygdom\/\" data-type=\"post\" data-id=\"7403\">Morbus Meni\u00e8re<\/a>, alligevel var <strong>Meni\u00e8re associeret med langtidsordination<\/strong>.<\/li>\n\n\n\n<li><strong>H\u00f8jer alder<\/strong> \u00f8gede sandsynligheden for en <strong>langsigtede AVM-behandling<\/strong>.<\/li>\n\n\n\n<li>Patienter med <strong><a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/benign-paroksysmal-positionel-svimmelhed-oeresten-3\/\" data-type=\"post\" data-id=\"5936\">godartet lejringssvindel<\/a> (BPLS) <\/strong>eller uspecifik svimmelhed modtog <strong>sj\u00e6ldne langtidsrecepter<\/strong>.<\/li>\n\n\n\n<li>Byerelaterede alment praktiserende l\u00e6ger udskriver sj\u00e6ldnere fast medicin.<\/li>\n<\/ul>\n\n\n\n<p><strong>Konklusion for klinisk praksis<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>AVM som betahistin vil <strong>ofte udskrevet off-label og uden en godkendt indikation<\/strong>.<\/li>\n\n\n\n<li>Der <strong>h\u00f8j andel af langtidsrecepter<\/strong> peger p\u00e5 en <strong>strukturel overbehandling<\/strong> \u2013 is\u00e6r ved uspecifik svimmelhed eller BPPV.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/diagnostiske-tests-for-balanceforstyrrelser\/\" data-type=\"post\" data-id=\"8955\">Vestibul\u00e6r diagnostik<\/a><\/strong> og <strong>m\u00e5lrettede <\/strong><a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\"><strong>vestibul\u00e6r rehabilitering<\/strong> <\/a>blevet brugt i almen praksis indtil nu <strong>knap brugt<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p><strong>\ud83d\udc49 Du interesserer dig for en grundformidlet efteruddannelse til <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\">vestibul\u00e6r rehabiliteringsterapi<\/a> og hvordan man anvender disse bedst muligt?<\/strong><br>Aktuelle efteruddannelsestilbud finder du i <strong><a href=\"https:\/\/staging.ivrt.de\/da\/for-sundhedsfagligt-personale\/efteruddannelsessogning\/\" data-type=\"link\" data-id=\"https:\/\/staging.ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT-Efteruddannelsess\u00f8gning<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Til patienter \u2013 forklaret p\u00e5 en enkel m\u00e5de<\/strong><\/p>\n\n\n\n<p><strong>Medicin mod svimmelhed p\u00e5 sigt?<\/strong> <strong>Hvorfor det ikke hj\u00e6lper \u2013 og hvad du kan g\u00f8re i stedet<\/strong><\/p>\n\n\n\n<p>Mange mennesker med svimmelhed f\u00e5r s\u00e5kaldt svimmelhedsd\u00e6mpende medicin af deres egen l\u00e6ge \u2013 f.eks. betahistin. Et nyt studie fra Holland har nu unders\u00f8gt, hvor hyppigt disse midler udskrives \u2013 og om de rent faktisk giver mening.<\/p>\n\n\n\n<p>\ud83d\udcc4 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40550632\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Til originalstudiet<\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hvad kom der ud af det?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Af over 73.000 patienter med svimmelhed fik omkring 6.000 en medicin mod svimmelhed.<\/li>\n\n\n\n<li><strong>En tredjedel af det<\/strong> tog det <strong>permanent <\/strong>en \u2013 ofte <strong>uden klar diagnose<\/strong> hvor<a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/menieres-sygdom\/\" data-type=\"post\" data-id=\"7403\" target=\"_blank\" rel=\"noreferrer noopener\"> Morbus Meni\u00e8re<\/a>.<\/li>\n\n\n\n<li>S\u00e6rlig <strong>\u00e6ldre mennesker<\/strong> fik <strong>hyppigere p\u00e5 lang sigt<\/strong> Medicin mod svimmelhed.<\/li>\n\n\n\n<li>Kun <strong>let eller <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/benign-paroksysmal-positionel-svimmelhed-oeresten-3\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">lepositionsbetinget svimmelhed<\/a><\/strong> hatte, fik <strong>sj\u00e6lden p\u00e5 lang sigt<\/strong> L\u00e6gemidler.<\/li>\n\n\n\n<li>I storbyerne blev der udskrevet med st\u00f8rre forsigtighed.<\/li>\n<\/ul>\n\n\n\n<p><strong>Derfor kan det v\u00e6re problematisk<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For mange af disse l\u00e6gemidler \u2013 som for eksempel betahistin \u2013 findes der <strong>intet entydigt bevis for effektivitet<\/strong>.<\/li>\n\n\n\n<li>Du kan <strong>Bivirkninger <\/strong>have og den <strong>den egentlige \u00e5rsag bliver ofte ikke erkendt<\/strong> eller behandlet.<\/li>\n\n\n\n<li>Is\u00e6r ved godartet koldsejlads eller balanceforstyrrelser er <strong>Befrielsesman\u00f8vre <\/strong>og m\u00e5lrettet bev\u00e6gelsesterapi (\u201e<strong><a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestibul\u00e6r rehabilitering<\/a><\/strong>\u201c) det foretrukne middel.<\/li>\n<\/ul>\n\n\n\n<p><strong>Hvad du kan g\u00f8re<\/strong><\/p>\n\n\n\n<p>Tager du regelm\u00e6ssigt medicin mod svimmelhed?<\/p>\n\n\n\n<p>Sp\u00f8rg din l\u00e6ge, om behandlingen stadig er n\u00f8dvendig.<\/p>\n\n\n\n<p>Lad <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/diagnostiske-tests-for-balanceforstyrrelser\/\" data-type=\"post\" data-id=\"8955\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Unders\u00f8g svimmelheid m\u00e5lrettet<\/strong><\/a> \u2013 muligvis foreligger en behandlesv\u00e6r \u00e5rsag som en <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/benign-paroksysmal-positionel-svimmelhed-oeresten-3\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">godartet koldysevindel<\/a> for.<\/p>\n\n\n\n<p>Der er specialuddannede terapeuter, som s\u00e5danne gener <strong>uden medicin<\/strong> behandle.<\/p>\n\n\n\n<p>Hvis du vil vide mere om <a href=\"https:\/\/staging.ivrt.de\/da\/patientuddannelse\/vestibulaer-rehabiliteringsterapi-og-balance-traening-2\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestibul\u00e6r rehabilitering<\/a> og \u00f8nsker at l\u00e6re mere om vestibul\u00e6re sygdomme, s\u00e5 tjek ogs\u00e5 vores <a href=\"https:\/\/staging.ivrt.de\/da\/for-patienter\/patientuddannelse\/\" data-type=\"page\" data-id=\"99\" target=\"_blank\" rel=\"noreferrer noopener\">Patientinformation <\/a>til det.<\/p>\n\n\n\n<p>Disse terapitiltag bliver af vores <strong>IVRT\u00ae svimmelheds- og vestibul\u00e6rterapeuter<\/strong> tilbudt.<\/p>\n\n\n\n<p><strong>Konklusion<\/strong><\/p>\n\n\n\n<p>Medicin mod svimmelheid er udbredt \u2013 <strong>men ofte ikke n\u00f8dvendigt<\/strong>. En n\u00f8jagtig diagnose og <strong>m\u00e5lrettet tr\u00e6ning giver i mange tilf\u00e6lde st\u00f8rre forbedring end medicin<\/strong>. S\u00f8g r\u00e5d hos specialiserede fagfolk \u2013 for en sikker og effektiv behandling.<\/p>\n\n\n\n<p>\ud83c\udfaf <strong>Alle specialuddannede IVRT\u00ae svimmelheds- og vestibul\u00e6rterapeuter<\/strong> finde os via vores <strong><a href=\"https:\/\/staging.ivrt.de\/da\/for-patienter\/find-terapeut\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">S\u00f8gning efter IVRT-terapeut<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Anti-Vertigo-Medikamente (AVM) wie Betahistin sind trotz begrenzter Wirksamkeitsnachweise in der Allgemeinmedizin weit verbreitet. Besonders problematisch: Ein erheblicher Teil der Verordnungen erfolgt langfristig \u2013 auch ohne klare vestibul\u00e4re Diagnose. Eine aktuelle Studie aus den Niederlanden liefert nun erstmals systematische Daten zur H\u00e4ufigkeit und Verordnungsdauer in der haus\u00e4rztlichen Versorgung. \ud83d\udd17 Originalstudie auf PubMed Studiendesign: Zentrale [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18006,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":301,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13784","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/comments?post=13784"}],"version-history":[{"count":1,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13784\/revisions"}],"predecessor-version":[{"id":17488,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/posts\/13784\/revisions\/17488"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/media\/18006"}],"wp:attachment":[{"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/media?parent=13784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/categories?post=13784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging.ivrt.de\/da\/wp-json\/wp\/v2\/tags?post=13784"}],"curies":[{"name":"godt spillet","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}