RT Journal Article SR Electronic T1 The pharmacological treatment of acquired nystagmus JF Practical Neurology JO Pract Neurol FD BMJ Publishing Group Ltd SP 147 OP 153 DO 10.1136/practneurol-2011-000181 VO 12 IS 3 A1 Mehta, Arpan R A1 Kennard, Christopher YR 2012 UL http://pn.bmj.com/content/12/3/147.abstract AB We review the latest literature on the neuropharmacological treatments for acquired nystagmus. Nystagmus may have a significantly impact on health, yet there is little scientific evidence on which to make firm recommendations for treatment. Acquired pendular nystagmus may respond to gabapentin or memantine; downbeat and upbeat nystagmus to aminopyridines; and periodic alternating nystagmus to baclofen. To improve treatment we need multi-centre, randomised controlled trials using standardised techniques in reporting objective outcomes, with good follow-up duration and careful reporting of side effects.