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

### input:
i am a 30yr old female with bilatteral menieres disease, my dr has me taking effxor xr 250mg every morning,  and i started taking my ADD/ADHD meds recently too, we started off putting me on ritalin 20mg in the morning and 20mg @ noon, it wasnt helping so my dr switched me to adderall xr 30mg, and the 2nd day i took the adderall, i got hit with a severe vertigo attack and my tinnitius got very loud, then i started having them on a daily basis, so she reduced the mg to 20mg of the extended release adderall, and the vertigo got better, but then i was still having the attacks every other day, so then she switched me back to the ritalin 20mg, morning & noon, and 10mg @ 4pm...still having the sudden vertigo attacks...i have 3 small children and cannot function with these vertigo attacks happening.  frustrated, with not knowing exactly what is causing this...is it just my menieres acting up?..or is it the effxor?  could it be the effxor & ritalin interacting?  could the adderall xr 20mg, been too high of a dose? could the adderall & effxor been interacting?  please help me, i have been researching and have found nothing to give me any answers.  my dr is doing some research today too, and we will be meeting later this afternoon.  are there any other add/adhd meds that wont have this interaction if it is an interaction?  PLEASE HELP!!thank you!kellie

### output:

Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Betahistine is a good medicine for vertigo. There are other options as well, but your may try with betahistine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. 