Diuretics are the most commonly prescribed maintenance medications for Meniere's disease. Diuretics work by restricting the overproduction of fluid in the inner ear. Diuretics are long-term medications. They help reduce the number of vertigo attacks, and in some cases, they help stabilize hearing.
During an attack of Ménière's disease, you may be prescribed medication to treat the symptoms of vertigo, nausea and vomiting. This is usually prochlorperazine or an antihistamine. If these work, you may be given a supply to keep, so you can take them quickly during an attack.
Low Salt Diet Low salt diet is very commonly used as the first line treatment for Meniere's disease. It's thought to lower the pressure in the inner ear.
SPI-1005 is given orally and is the only drug demonstrated to improve both hearing loss and tinnitus in Meniere's Disease (MD) patients following 3 to 4 weeks of treatment in two prior randomized double-blind placebo-controlled trials (RCT) involving over 165 patients.
Meniere's disease is typically diagnosed by an otolaryngologist. During a clinic visit, your doctor will take your medical history and conduct a physical exam.
Vestibular evoked myogenic potentials (VEMP) testing.
This test uses sound to make parts of the inner ear active. It records how well muscles react to that sound. It may show common changes in the affected ears of people with Meniere's disease.
Commonly used diuretics are Diamox (acetazolamide) and Dyazide (triamterene/HCTZ). Meclizine (Antivert or Bonine) is the most commonly prescribed medication for the control of vertigo. Dramamine, available over-the-counter, is milder but might also be effective.
The prevalence and incidence of Ménière's disease in Australia is unknown but it is estimated that about 40,000 Australians are affected. Symptoms most commonly begin when people are in their 30s and it is rare for symptoms to begin after the age of 60.
Intratympanic steroid injection is used to treat cochleovestibular symptoms of inner ear disease, such as Meniere's disease or idiopathic sudden sensorineural hearing loss. This procedure involves using a syringe needle to penetrate the tympanic membrane to inject the steroid into the middle ear.
Betahistine is a histamine analog and is a prescription only medication. It is also known by the brand name Serc. Betahistine is one of the most commonly prescribed drugs used to treat vertigo, tinnitus and hearing loss associated with Ménière's disease in the UK.
Avoid things like coffee, tea, soda, energy drinks, chocolate, and diet pills. Caffeine will stimulate the nervous system and make migraines and tinnitus worse. Eat a low sodium diet. Sodium causes fluid retention and can make your symptoms worse in your inner ear.
Certain stresses and emotional disturbances can trigger episodes of Ménière's symptoms, including working for too long, underlying health conditions, and tiredness. Salt in the diet is another trigger.
There is no cure but treatment can help to ease and prevent symptoms. If you are a driver, you must stop driving if Ménière's disease is diagnosed.
The goal of treatment is to make the vertigo less severe until the attack ends. Some people can prevent attacks by eating a diet low in sodium and by doing exercises to improve balance. Medicines may also help. Surgery is an option for some people.
Check if you have Ménière's disease
Symptoms include: feeling like you or everything around you is spinning (vertigo) losing your balance. ringing or buzzing sounds in 1 or both ears (tinnitus)
The MRI scan will not confirm a diagnosis of Ménière's disease, nor will it show which ear is affected or how severe the condition is. During initial investigation it is important to exclude many serious conditions which can cause vertigo or unilateral hearing loss and tinnitus.
Ménière's disease is most often diagnosed and treated by an otolaryngologist (commonly called an ear, nose, and throat doctor, or ENT). However, there is no definitive test or single symptom that a doctor can use to make the diagnosis.
Prognosis for Meniere Disease
There is no proven way to stop hearing loss due to Meniere disease. Most people have moderate to severe hearing loss in the affected ear within 10 to 15 years.