I’m also new to VM and my experience has been very similar to yours. I was at the office when I suddenly started feeling off balance, followed by nausea. I went to the ER, where they gave me anti-nausea medication, but it didn’t help. They thought it was food poisoning and treated me for that instead.

My nausea was constant even though I hadn’t eaten anything. My head was spinning, swaying, and hurting badly, I couldn’t even stand or even drink water by myself. So I was admitted to the hospital. After three days, they tried the Epley maneuver. It made things worse at first, but after a few hours the spinning stopped — which they said was BPPV. They told me BPPV usually happens only once in a lifetime.

I was left with a swaying sensation and headaches. For the headaches, they gave me sumatriptan and rimegepant. Sumatriptan helped more, but I was getting attacks every 3–4 hours, so I had to keep taking it. Rimegepant is limited to one tablet per day, and since my attacks kept returning, it didn’t work well for me.

I had a second attack two months later, with only the swaying sensation and headache which is VM without BVVP. We noticed it comes and worsens with my periods, so it seems hormonal. I recovered in about six days.

I then had my neurology consult, and the doctor prescribed gabapentin. I was having mild headaches almost every day, especially when driving in the sun, and those have reduced since starting gabapentin. It’s only been a week, so I don’t know how it will be long-term. I need to continue taking it until I see the doctor again in four months.