Navigating Treatment Options for Meniere's Disease
Published: May 11, 2024
Managing Meniere's Disease involves a mix of lifestyle changes and medical treatments. Let's explore the options available for relief.
Contents
Initial Management Strategies
The first step in managing Meniere's Disease involves lifestyle adjustments like dietary changes. Patients are advised to limit salt, caffeine, and alcohol to help control symptoms. For those with persistent symptoms, vestibular rehabilitation therapy is suggested to enhance balance and reduce disequilibrium.
Pharmacological Interventions
For patients with severe symptoms, medications such as betahistine and diuretics are often used. Betahistine, in particular, is favored for its ability to improve blood flow in the inner ear without substantial side effects. When symptoms remain uncontrolled, glucocorticoids may be prescribed, either orally or via intratympanic injections, to reduce inflammation and provide symptom relief.

Advanced Treatment Options
In cases where symptoms persist despite standard treatments, more invasive options like intratympanic gentamicin or surgical procedures may be considered. These treatments aim to reduce the abnormal signals from the inner ear to the brain. However, they come with risks, such as potential hearing loss, and are generally reserved for severe cases.
Frequently Asked Questions
Start with lifestyle changes like reducing salt intake.
Common medications include betahistine and diuretics.
Yes, surgery is considered for severe, persistent cases.
Advanced treatments carry risks like potential hearing loss.
It improves blood flow in the inner ear.
Exploring Options
With a variety of treatments available, finding relief from Meniere's Disease is possible.
References
- James AL, Burton MJ. Betahistine for Menière's disease or syndrome. Cochrane Database Syst Rev 2001; :CD001873.
- Martinez DM. The effect of Serc (betahistine hydrochloride) on the circulation of the inner ear in experimental animals. Acta Otolaryngol Suppl 1972; 305:29.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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