### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am on cipralex 10mg a day. three months ago i shifted to 2.5mg a day with some miising doses in between. i wasnot trying to stop but rather to lower the dose as i thought the drug have long t1/2 and i am already loaded to a therapeutic level. after 28 days i had a symptoms of n&v sweating dizziness , vertigo lasted about 2-3 hrs dr said it might be virus....etc . i was kind of down little for a week then the symptoms was there but very light for a month then i had anthor attack of sever n&v dizz, vertigo. n&v lsted for an hour but dizz, ver/ lasted till a week ago. during the second episode i visited ent doc and diagnosed it as Meniere s disease. actually i didnot tell him about the cipralex at all because i ve never thought of withdrawal symptoms might happen. but last week itook a 10mg of cipralex daily for three days because of thought of missing dose(s). i want to emphesize that i am good in taking my med . interestingly i felt fine and kind of normal and every thing seems to be back to normal no more s&s of n&v no ver no dizz no sppinning.. now my question was it s&s of cipralex withdrawal or Meniere s disease by the way i have tinnitus in my left ear for more than 7 yrs

### output:

Hi, The with Chat Doctor.  The discontinuation symptoms occur within a couple of days of dose change and do not last for just a couple of hours. In my opinion, your episodes of vertigo are not related to Circle but are a manifestation of inner ear disease. The vestibular system present in the inner ear is responsible for maintaining the balance of the body and any disturbance usually manifests as vertigo and dizziness. I think you should continue with your ENT doctors advice. Best wishes.