Symptomatic treatment
- treatment should ideally aim at the cause (1):
- treatment options include:
- medical management
- vestibular rehabilitation exercises (2)
- for most cases the main requirement is for effective symptom control.
- for acute attacks, treatments include: -
- cinnarizine, 15-30 mg t.d.s. or
- prochloperazine tablets 5-10 mg or buccal 3mg t.d.s.
- prochloperazine injection 12.5 mg i.m. }if vomiting
- prochloperazine suppository 25mg p.r. }
- preventive measures for recurrent attacks include:
- restrict salt and fluid intake - stop smoking and restrict excess coffee or alcohol
- betahistine hydrochloride 16mg regularly t.d.s. seems most effective in Meniere's
- cinnarizine, 15-30 mg t.d.s. , or } for frequent
- prochlorperazine 5-10 mg t.d.s.} attacks
- for acute attacks, treatments include: -
NB warn patient where drugs may sedate.
References:
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