Drugs like furosemide (Lasix) and hydrochlorothiazide reduce fluid in the body, which can affect blood volume and pressure, sometimes causing dizziness, especially in older adults.
6. Antihistamines
Commonly used for allergies, nausea, or motion sickness, antihistamines such as diphenhydramine (Benadryl), meclizine, and promethazine can cause drowsiness and confusion, affecting coordination and balance.
7. Opioid Painkillers
Powerful pain medications like morphine, oxycodone, and hydrocodone can depress the central nervous system, leading to sedation, dizziness, and instability.
8. Sleep Medications
Drugs designed to aid sleep, including zolpidem (Ambien) and eszopiclone (Lunesta), can cause grogginess or disorientation the next day, impairing balance.
9. Anticonvulsants (Anti-Seizure Drugs)
Medications such as phenytoin, carbamazepine, and gabapentin, used for epilepsy and nerve pain, can interfere with motor coordination and inner ear function, increasing fall risk.
10. Chemotherapy Drugs
Some chemotherapy agents, like cisplatin and vincristine, are neurotoxic and can damage the nerves involved in balance and coordination, leading to dizziness or ataxia (unsteady walking).

Important Note:
If you are experiencing new or worsening balance issues, do not stop your medications without consulting your doctor. It may be possible to adjust the dosage, change medications, or manage side effects with safer alternatives.
Managing Medication-Induced Balance Problems
-
- Regular Medication Review: Periodically review all medications with your healthcare provider to assess their necessity and potential side effects.
-
- Monitor for Symptoms: Be vigilant for signs of dizziness, unsteadiness, or falls, and report them to your doctor promptly.
- Lifestyle Adjustments: Incorporate balance exercises, ensure proper hydration, and maintain a safe home environment to reduce fall risk.
- Use Assistive Devices: Canes or walkers can provide additional stability if needed.