
MENIERE'S DISEASE: TREATMENT OF THE ACUTE ATTACK
Anti-emetics
Vertigo is usually the most distressing feature of an acute attack of Meniere's disease. Nausea and vomiting may accompany this, depending on the severity of the attack.
Drugs that reduce nausea and suppress vomiting (anti-emetics) such as prochloperazine (cStemetil) and metaclopramide (cMaxolon) are extremely useful. They can be given by tablet form if the patient is able to keep them down. If not, intramuscular and intravenous injection forms and suppositories are available.
Vestibular sedatives
Drugs that suppress the neural output from the disturbed ear (vestibular suppressants) such as prochlorperazine and diazepam (cValium, cDucene) are often required as well. Antihistamines such as promethazine (cPhenergan, cAvomine) can have both an anti-emetic and vestibular suppressant action. The sedative effect of most of these drugs is often an advantage during the acute attack.
Dehydrating agents
Dehydrating agents such urea given as a powder, may help in quickly reducing the hydrops of the inner ear responsible for the attack.
Vasodilators
Agents used to acutely improve the blood supply of the inner ear (vasodilators) such as inhaled carbon dioxide and oxygen mixtures (cCarbogen) can be helpful for the treatment of an acute attack, especially when hearing loss is a major feature.
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GENERAL HEALTH
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