Materiały źródłowe

• #1 Meniere’s disease – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/menieres-disease/diagnosis-treatment/drc-20374916

  No cure exists for Meniere’s disease. Some treatments can help lessen how bad vertigo attacks are and how long they last. But there are no treatments for permanent hearing loss. Your healthcare provider may be able to suggest treatments that prevent your hearing loss from getting worse. […] Your healthcare provider may prescribe medicines to take during a vertigo attack so that it’s less severe: […] Your healthcare provider may prescribe a medicine to reduce fluid retention and suggest limiting your salt intake. This helps control the intensity and amount of Meniere’s disease symptoms in some people. […] Some people with Meniere’s disease may benefit from procedures that don’t include surgery, such as: […] If conservative treatments aren’t successful, your care provider might suggest more-intense treatments. […] Medicines injected and absorbed in the middle ear may help vertigo symptoms get better. This treatment is done in a care provider’s office. […] If vertigo attacks from Meniere’s disease are severe and hard to bear and other treatments don’t help, surgery might be an option.

• #2 Meniere’s Disease: Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15167-menieres-disease

  Mnires disease is a chronic inner ear disorder that leads to recurrent episodes of vertigo, hearing loss and tinnitus. Treatments like medications and therapy can help manage this condition. […] But working with a healthcare provider to find the right treatments can help manage the condition. […] There isnt a cure for Mnires disease, but treatments can reduce how severe and long-lasting your attacks are. Your healthcare provider will recommend conservative treatments first, like lifestyle changes, medication and therapy. If these treatments dont help, you may need surgery. […] Therapies and devices that treat Mnires disease include: Vestibular rehabilitation: During therapy, youll learn exercises that help you improve your balance and manage vertigo symptoms. […] Cognitive behavioral therapy (CBT): Healthcare providers may recommend CBT to help you cope with the stress, anxiety and depression Mnires disease may cause. […] Fortunately, healthcare providers have treatments that reduce Mnires disease symptoms, including vertigo.

• #3 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  At Mount Sinai, our hearing and balance experts have been treating patients suffering from Meniere’s disease for more than 50 years. Our team has vast expertise with all forms of treatment, and we personalize each patient’s treatment plan. […] The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes. If those measures do not work, gentamicin injections might give lasting relief. Surgery is an option when other measures fail. […] Medications that are effective for Meniere’s disease include: Diuretics are the most commonly prescribed maintenance medications for Meniere’s disease. Diuretics work by restricting the overproduction of fluid in the inner ear. […] Gentamicin is an antibiotic that is toxic (poisonous) to the cells of the inner ear. By selectively targeting the specialized cells of the balance organ, gentamicin can reduce the incidence of vertigo while preserving hearing in the ear.

• #4 Meniere’s Disease: Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15167-menieres-disease

  Mnires disease is a chronic inner ear disorder that leads to recurrent episodes of vertigo, hearing loss and tinnitus. Treatments like medications and therapy can help manage this condition. […] But working with a healthcare provider to find the right treatments can help manage the condition. […] There isnt a cure for Mnires disease, but treatments can reduce how severe and long-lasting your attacks are. Your healthcare provider will recommend conservative treatments first, like lifestyle changes, medication and therapy. If these treatments dont help, you may need surgery. […] Therapies and devices that treat Mnires disease include: Vestibular rehabilitation: During therapy, youll learn exercises that help you improve your balance and manage vertigo symptoms. […] Cognitive behavioral therapy (CBT): Healthcare providers may recommend CBT to help you cope with the stress, anxiety and depression Mnires disease may cause. […] Fortunately, healthcare providers have treatments that reduce Mnires disease symptoms, including vertigo.

• #5 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  How is Mnires disease treated? There isnt a cure yet for Mnires disease, and because symptoms can vary widely, the benefit of treatment options can be hard to gauge. Your doctor may recommend one or more of these management options to help you cope with your symptoms: […] Dietary and behavioral changes. Limiting dietary salt to 1,500-2,000 milligrams per day and taking a diuretic (water pill) may help control symptoms of Mnires disease. Quitting smoking may also reduce symptoms. […] Medications. The most disabling symptom of an attack of Mnires disease is dizziness. Prescription drugs can help relieve dizziness and shorten the attack, particularly when taken soon after the dizziness starts. […] Vestibular rehabilitation/physical therapy. A doctor may recommend vestibular rehabilitation and/or physical therapy if you have chronic balance issues.

• #6 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  How is Mnires disease treated? There isnt a cure yet for Mnires disease, and because symptoms can vary widely, the benefit of treatment options can be hard to gauge. Your doctor may recommend one or more of these management options to help you cope with your symptoms: […] Dietary and behavioral changes. Limiting dietary salt to 1,500-2,000 milligrams per day and taking a diuretic (water pill) may help control symptoms of Mnires disease. Quitting smoking may also reduce symptoms. […] Medications. The most disabling symptom of an attack of Mnires disease is dizziness. Prescription drugs can help relieve dizziness and shorten the attack, particularly when taken soon after the dizziness starts. […] Vestibular rehabilitation/physical therapy. A doctor may recommend vestibular rehabilitation and/or physical therapy if you have chronic balance issues.

• #7 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  Mnires Disease Treatments […] There is no cure for Mnires disease, but treatment can prevent attacks or reduce their severity. You may start with lifestyle changes or medications. Your clinician may also recommend treatments such as injections and surgery. Our vestibular balance disorder specialists are with you at every step to find a strategy that works and improves your quality of life. […] […] […] Types of Mnires Disease Treatment […] Treatments for Mnires disease range from lifestyle changes to surgery. Our clinicians typically recommend noninvasive treatments first. If your symptoms continue, we will discuss more invasive steps. As your partner in care, we help you make the best decision for your condition and needs. […] […] […] Lifestyle Changes […] Lowering the fluid volume in your inner ear can help prevent attacks. Excess salt in your diet causes your body to retain fluid, which can build up in your inner ear. Your clinician may recommend a low-salt diet or a diuretic (water pill) to decrease fluid retention.

• #8 Ménière’s Disease: Symptoms, Treatments, and Outlook

  https://brainfoundation.org.au/disorders/menieres-disease/

  There is no cure for Mnires disease. Instead, treatments are available to help reduce your symptoms. There are also certain lifestyle modifications that may help prevent attacks from occurring. […] Your doctor will usually start with a conservative approach and progress to other treatments depending on how they work, as outlined in the graphic below. […] The first and simplest recommendations to treat MD include lifestyle dietary changes. Adopting a low salt diet is recommended to reduce fluid retention. It can also help to avoid alcohol, caffeine, and tobacco, improve your sleep quality, and decrease stress. Many people report that making these changes helps reduce the frequency of their attacks. […] First-line medications include: Betahistine. This medication affects blood flow to the vestibular system to reduce symptoms of vertigo.

• #9 Meniere’s Disease I Ohio State Medical Center

  https://wexnermedical.osu.edu/ear-nose-throat/hearing-and-balance/menieres-disease

  We provide state-of-the-art diagnostic tools and treatment options to people who have Menieres disease. […] If you receive a Menieres disease diagnosis, your ENT will work closely with you to determine the best course for your condition and needs. […] While there is no cure for Menieres disease and it never goes away completely, we have several treatment options that range from lifestyle changes to medications to surgery. […] Treatment we use include: […] Diet changes: Limiting salt helps improve the condition in 80% of people. […] Drug therapy: You might be put on diuretic medications, which can help with vertigo and other symptoms. […] Hearing aids: These can help with any hearing loss you experience because of the disease. […] Steroid injections: These can help control vertigo attacks.

• #10 Meniere’s Disease | Duke Health

  https://www.dukehealth.org/treatments/ear-nose-and-throat/menieres-disease

  Duke otologists and neurotologists diagnose and treat Menieres disease, a chronic condition of the inner ear that can cause vertigo (dizziness), hearing loss, and tinnitus. […] While there is no cure, treatment can reduce symptoms and minimize its impact on your quality of life. […] A diet low in sodium, caffeine, and alcohol may help reduce your Menieres symptoms. Quitting smoking may also help. […] Balance exercises can help your brain compensate for your damaged balance mechanism. This special form of physical therapy trains your body to make up for inner ear dysfunction, helps you feel steadier on your feet, and reduces the risk of falling. […] Your doctor may prescribe medications to address immediate symptoms or prevent future episodes. These may include diuretics (which reduce fluid retention), motion sickness drugs, and anti-nausea medications.

• #11 Meniere’s Disease ENT Treatment in Utah – ENT Center of Utah

  https://entcenterutah.com/adult-care/dizziness-balance/menieres-disease/

  A low salt diet and a diuretic (water pill) may reduce the frequency of attacks of Mnires disease in some patients. In order to receive the full benefit of the diuretic, it is important that you restrict your intake of salt and take the medication regularly as directed. Anti-vertigo medications may provide temporary relief during attacks of vertigo. Anti-nausea medication is sometimes prescribed. Anti-vertigo and anti-nausea medications may cause drowsiness. Avoid caffeine, smoking, and alcohol. Get regular sleep and eat properly. Remain physically active, but avoid excessive fatigue. Stress may aggravate the vertigo and tinnitus of Mnires disease. Stress avoidance or counseling may be advised. If you have vertigo without warning, you should not drive, because failure to control the vehicle may be hazardous to yourself and others. Safety may require you to forego ladders, scaffolds, and swimming. Oral steroids can also be helpful with both hearing loss and vertigo from this disease. Intratympanic treatments, which are in office procedures maybe helpful. Intratympanic steroids are commonly used and can help with hearing loss and balance issues. In cases in which other treatments are not helping, sometimes intratympanic gentamicin is used. Gentamicin is an antibiotic that causes a partial loss of balance function in the treated ear, improving vertigo in many cases and usually preserving hearing. Apart from a period of disequilibrium that can occur as the patient adjusts to the new level of balance function, this treatment is usually very well tolerated.

• #12 Meniere’s disease: Treatment, symptoms, stages, and diet

  https://www.medicalnewstoday.com/articles/163888

  Mnires disease is a rare condition that affects the inner ear. It causes vertigo, tinnitus, and progressive hearing loss. There is no cure, but lifestyle tips and medical treatments can help ease the symptoms. […] There is a variety of treatment options available that can ease the symptoms of Mnires disease. […] Although there is no cure, treatment can help manage some symptoms. […] Stress and anxiety management can help reduce the intensity of symptoms. People may find that yoga, meditation, tai chi, or mindfulness helps them relax. […] Doctors may recommend different types of drugs for vertigo. The options include: Motion sickness drugs: These medications include meclizine (Antivert) and diazepam (Valium). They can help with the spinning sensation that vertigo causes, as well as the nausea and vomiting.

• #13 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #14 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #15 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #16 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #17 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #18 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #19 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  A low-salt (1.5 g/day) diet, avoidance of alcohol and caffeine, and a diuretic (eg, hydrochlorothiazide 25 mg orally once a day or acetazolamide 250 mg orally 2 times a day) may help prevent or reduce the incidence of vertigo attacks and are commonly used first steps. However, there are no well-designed studies that clearly prove the efficacy of these measures for Meniere disease. […] Because there is strong overlap between Meniere disease and migraine disorders, a trial of traditional migraine preventive medications (eg, nortriptyline, venlafaxine) may also be considered for refractory or recurrent episodes. […] Although more invasive, endolymphatic sac decompression relieves vertigo in most patients, spares vestibular function, and poses minimal risk of hearing loss. Thus this procedure is still classified as a vestibular-sparing treatment.

• #20 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  At Mount Sinai, our hearing and balance experts have been treating patients suffering from Meniere’s disease for more than 50 years. Our team has vast expertise with all forms of treatment, and we personalize each patient’s treatment plan. […] The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes. If those measures do not work, gentamicin injections might give lasting relief. Surgery is an option when other measures fail. […] Medications that are effective for Meniere’s disease include: Diuretics are the most commonly prescribed maintenance medications for Meniere’s disease. Diuretics work by restricting the overproduction of fluid in the inner ear. […] Gentamicin is an antibiotic that is toxic (poisonous) to the cells of the inner ear. By selectively targeting the specialized cells of the balance organ, gentamicin can reduce the incidence of vertigo while preserving hearing in the ear.

• #21 Ménière’s Disease: Symptoms, Treatments, and Outlook

  https://brainfoundation.org.au/disorders/menieres-disease/

  There is no cure for Mnires disease. Instead, treatments are available to help reduce your symptoms. There are also certain lifestyle modifications that may help prevent attacks from occurring. […] Your doctor will usually start with a conservative approach and progress to other treatments depending on how they work, as outlined in the graphic below. […] The first and simplest recommendations to treat MD include lifestyle dietary changes. Adopting a low salt diet is recommended to reduce fluid retention. It can also help to avoid alcohol, caffeine, and tobacco, improve your sleep quality, and decrease stress. Many people report that making these changes helps reduce the frequency of their attacks. […] First-line medications include: Betahistine. This medication affects blood flow to the vestibular system to reduce symptoms of vertigo.

• #22

  https://journals.lww.com/mtsm/fulltext/2023/07010/current_treatment_of_meniere_s_disease.1.aspx

  The treatment option for MD is based on its invasiveness, severity of the disease, and response to each treatment. There are different treatment modalities adopted for MD which range from lifestyle changes and medical treatment to extensive surgery. The medical treatment includes antivertigo drugs and diuretics and the surgical treatment includes endolymphatic sac surgery, vestibular neurectomy, and labyrinthectomy. […] The most important treatment for MD is psychological support which includes explaining the disease to the patient and reassuring the patient for its recovery of manifestations with appropriate treatment. […] Recent studies show no relationship between MD and the use of diuretics; however, clinicians prescribe diuretics most of the time. […] Betahistine is widely prescribed in Europe as the first line of drug for MD.

• #23 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] Anticholinergic antiemetics (eg, prochlorperazine 25 mg rectally or 10 mg orally every 6 to 8 hours; promethazine 25 mg rectally or 25 mg orally every 6 to 8 hours) can minimize vagal-mediated gastrointestinal symptoms; ondansetron is a second-line antiemetic. Antihistamines (eg, diphenhydramine, meclizine, or cyclizine; dosage is the same for these drugs: 50 mg orally every 6 hours) or benzodiazepines (eg, diazepam 5 mg orally every 6 to 8 hours) are used to sedate the vestibular system. Neither antihistamines nor benzodiazepines are effective as prophylactic treatment. Some physicians also use an oral corticosteroid burst (eg, prednisone 60 mg orally once a day for 1 week, tapered over another week) or intratympanic dexamethasone injections for an acute episode. Traditional migraine preventive medications (eg, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors [SNRIs]) are also beneficial in some patients with Meniere disease.

• #24 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  A low-salt (1.5 g/day) diet, avoidance of alcohol and caffeine, and a diuretic (eg, hydrochlorothiazide 25 mg orally once a day or acetazolamide 250 mg orally 2 times a day) may help prevent or reduce the incidence of vertigo attacks and are commonly used first steps. However, there are no well-designed studies that clearly prove the efficacy of these measures for Meniere disease. […] Because there is strong overlap between Meniere disease and migraine disorders, a trial of traditional migraine preventive medications (eg, nortriptyline, venlafaxine) may also be considered for refractory or recurrent episodes. […] Although more invasive, endolymphatic sac decompression relieves vertigo in most patients, spares vestibular function, and poses minimal risk of hearing loss. Thus this procedure is still classified as a vestibular-sparing treatment.

• #25 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  Injections. Injecting the antibiotic gentamicin into the middle ear helps to control vertigo but significantly raises the risk of hearing loss because gentamicin can damage the microscopic hair cells in the inner ear that help us hear. Corticosteroid injections are an alternative because they often reduce dizziness and have little to no risk of hearing loss. […] Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. One surgical procedure decompresses the endolymphatic sac. Another surgical approach, used less frequently, cuts the vestibular nerve. […] Although scientists have studied using alternative therapies for Mnires disease, there is no evidence to show the effectiveness of acupuncture or acupressure, tai chi, or herbal supplements, including ginkgo biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies since they can sometimes influence the effectiveness or safety of conventional medicines. […] If you have hearing loss associated with Mnires disease, consider discussing hearing aid options with your doctor.

• #26 Ménière’s Disease: Symptoms, Treatments, and Outlook

  https://brainfoundation.org.au/disorders/menieres-disease/

  Diuretics are used because they lower the amount of fluid in your body. This is based on the theory of endolymphatic hydrops. […] During an attack, medications can be used to reduce symptoms of nausea and dizziness. Benzodiazepines and phenothiazines (such as prochlorperazine) are used, but they should only be taken for short periods of time. […] Injecting drugs (either gentamicin or steroids) directly into the middle ear can improve vertigo symptoms. […] Steroid injections such as dexamethasone can reduce vertigo symptoms. This usually lasts for a few months and is relatively safe. […] Gentamicin is toxic to the vestibular part of your inner ear, so it damages the part of your ear that causes MD symptoms. However, it can also make hearing loss worse. […] Endolymphatic sac surgery aims to treat the fluid build-up in the inner ear (endolymphatic hydrops).

• #27 Ménière’s Disease: Symptoms, Treatments, and Outlook

  https://brainfoundation.org.au/disorders/menieres-disease/

  Diuretics are used because they lower the amount of fluid in your body. This is based on the theory of endolymphatic hydrops. […] During an attack, medications can be used to reduce symptoms of nausea and dizziness. Benzodiazepines and phenothiazines (such as prochlorperazine) are used, but they should only be taken for short periods of time. […] Injecting drugs (either gentamicin or steroids) directly into the middle ear can improve vertigo symptoms. […] Steroid injections such as dexamethasone can reduce vertigo symptoms. This usually lasts for a few months and is relatively safe. […] Gentamicin is toxic to the vestibular part of your inner ear, so it damages the part of your ear that causes MD symptoms. However, it can also make hearing loss worse. […] Endolymphatic sac surgery aims to treat the fluid build-up in the inner ear (endolymphatic hydrops).

• #28 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  […] […] Medications […] Your clinician may prescribe medications to use when you have an attack. These medications do not lower fluid pressure in your inner ear, but they do provide symptom relief. They include: […] Antiemetics to reduce nausea and vomiting […] Vestibular suppressants to reduce vertigo and anxiety associated with attacks […] […] […] Injections […] Doctors may inject medications into the middle ear to treat Mnires disease: […] Steroids may reduce dizziness and are safe to use, but their effect varies. […] Gentamicin helps control vertigo but may cause permanent damage to the hair cells in the inner ear that help you hear and maintain balance. This damage may cause irreversible loss of balance and hearing. […] […] […] Surgery

• #29 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  At Mount Sinai, our hearing and balance experts have been treating patients suffering from Meniere’s disease for more than 50 years. Our team has vast expertise with all forms of treatment, and we personalize each patient’s treatment plan. […] The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes. If those measures do not work, gentamicin injections might give lasting relief. Surgery is an option when other measures fail. […] Medications that are effective for Meniere’s disease include: Diuretics are the most commonly prescribed maintenance medications for Meniere’s disease. Diuretics work by restricting the overproduction of fluid in the inner ear. […] Gentamicin is an antibiotic that is toxic (poisonous) to the cells of the inner ear. By selectively targeting the specialized cells of the balance organ, gentamicin can reduce the incidence of vertigo while preserving hearing in the ear.

• #30 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  Injections. Injecting the antibiotic gentamicin into the middle ear helps to control vertigo but significantly raises the risk of hearing loss because gentamicin can damage the microscopic hair cells in the inner ear that help us hear. Corticosteroid injections are an alternative because they often reduce dizziness and have little to no risk of hearing loss. […] Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. One surgical procedure decompresses the endolymphatic sac. Another surgical approach, used less frequently, cuts the vestibular nerve. […] Although scientists have studied using alternative therapies for Mnires disease, there is no evidence to show the effectiveness of acupuncture or acupressure, tai chi, or herbal supplements, including ginkgo biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies since they can sometimes influence the effectiveness or safety of conventional medicines. […] If you have hearing loss associated with Mnires disease, consider discussing hearing aid options with your doctor.

• #31 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  When vestibular-sparing treatments are ineffective, an ablative procedure is considered. Intratympanic gentamicin (chemical labyrinthectomy typically 0.5 mL of a 40 mg/mL concentration) is injected through the tympanic membrane. Follow-up with serial audiometry is recommended to check for hearing loss. The injection can be repeated in 4 weeks if vertigo persists without hearing loss. […] Ablative surgery is reserved for patients with frequent, severely debilitating episodes who are unresponsive to less invasive modalities. Vestibular neurectomy (an intracranial procedure) relieves vertigo in about 95% of patients and usually preserves hearing. A surgical labyrinthectomy is done only if preexisting hearing loss is profound.

• #32 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  […] […] Hearing Aids […] You may benefit from a hearing aid if you have hearing loss from Mnires disease. Options include: […] Amplification devices that make the sound around you louder […] Implants, such as bone-conduction hearing devices and cochlear implants […] […] […] Balance Therapy (Vestibular Rehabilitation Therapy) […] Balance therapy is a specialized exercise program to help you improve your balance and manage vertigo and dizziness. A physical therapist teaches you exercises, such as: […] Balance retraining to help you adapt to imbalance and feel steadier […] BPPV exercises to move the crystals that cause BPPV out of your inner ear […] Habituation exercises, which teach your brain to ignore dizziness by exposing you to motions that typically cause you to feel dizzy […] […] […] Posture training to practice standing and sitting […] Stretching exercises to increase your flexibility […] Vision stability exercises to help you control your eye movements […] Walking exercises to practice maintaining your balance

• #33 Menière’s Disease | AAFP

  https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/menieres-disease.html

  Labyrinthectomy should be offered to individuals with active Menires disease who have failed less definitive therapy and have non-usable hearing. […] Vestibular rehabilitation/physical therapy should be offered to individuals with Menires disease to manage chronic imbalance but not to manage acute vertigo attacks. […] Individuals with Menires disease and band hearing loss should receive counseling on the use of amplification and hearing assistive technology.

• #34 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  […] […] Hearing Aids […] You may benefit from a hearing aid if you have hearing loss from Mnires disease. Options include: […] Amplification devices that make the sound around you louder […] Implants, such as bone-conduction hearing devices and cochlear implants […] […] […] Balance Therapy (Vestibular Rehabilitation Therapy) […] Balance therapy is a specialized exercise program to help you improve your balance and manage vertigo and dizziness. A physical therapist teaches you exercises, such as: […] Balance retraining to help you adapt to imbalance and feel steadier […] BPPV exercises to move the crystals that cause BPPV out of your inner ear […] Habituation exercises, which teach your brain to ignore dizziness by exposing you to motions that typically cause you to feel dizzy […] […] […] Posture training to practice standing and sitting […] Stretching exercises to increase your flexibility […] Vision stability exercises to help you control your eye movements […] Walking exercises to practice maintaining your balance

• #35 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  Injections. Injecting the antibiotic gentamicin into the middle ear helps to control vertigo but significantly raises the risk of hearing loss because gentamicin can damage the microscopic hair cells in the inner ear that help us hear. Corticosteroid injections are an alternative because they often reduce dizziness and have little to no risk of hearing loss. […] Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. One surgical procedure decompresses the endolymphatic sac. Another surgical approach, used less frequently, cuts the vestibular nerve. […] Although scientists have studied using alternative therapies for Mnires disease, there is no evidence to show the effectiveness of acupuncture or acupressure, tai chi, or herbal supplements, including ginkgo biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies since they can sometimes influence the effectiveness or safety of conventional medicines. […] If you have hearing loss associated with Mnires disease, consider discussing hearing aid options with your doctor.

• #36 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  […] […] Hearing Aids […] You may benefit from a hearing aid if you have hearing loss from Mnires disease. Options include: […] Amplification devices that make the sound around you louder […] Implants, such as bone-conduction hearing devices and cochlear implants […] […] […] Balance Therapy (Vestibular Rehabilitation Therapy) […] Balance therapy is a specialized exercise program to help you improve your balance and manage vertigo and dizziness. A physical therapist teaches you exercises, such as: […] Balance retraining to help you adapt to imbalance and feel steadier […] BPPV exercises to move the crystals that cause BPPV out of your inner ear […] Habituation exercises, which teach your brain to ignore dizziness by exposing you to motions that typically cause you to feel dizzy […] […] […] Posture training to practice standing and sitting […] Stretching exercises to increase your flexibility […] Vision stability exercises to help you control your eye movements […] Walking exercises to practice maintaining your balance

• #37 Positive pressure therapy for Ménière’s disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9948539/

  Due to a lack of robust evidence, it is not clear whether positive pressure therapy works to improve the symptoms of people with Mnire’s disease. We did not find any information on whether this treatment may cause any harm. […] Larger, well-conducted studies are needed in order to identify whether positive pressure therapy may be effective, and make sure that there are no harmful effects of treatment. […] Oral medications (tablets) and lifestyle interventions are often used as the first treatment for Mnire’s disease. If these do not work to control the symptoms, then other treatments may be tried. This includes positive pressure therapy, which involves placing a tube into the ear that is attached to a pump. The pump generates waves of pressure, which may help to reduce some symptoms of Mnire’s disease. Typically, people use the pump for about five minutes at a time, up to three times per day.

• #38 Meniere’s Disease Treatment Novi | ENT Specialists

  https://www.entspecialistspc.com/dizziness-balance-conditions/menieres-disease/

  For patients in Novi Meniere’s Disease Treatment may include: a low salt diet and a diuretic (water pill) […] anti-vertigo medications, e.g., Antivert (meclizine generic), or Valium (diazepam generic) […] intratympanic injections […] a Meniette device. Your otolaryngologist will help you choose the treatment that is best for you, as there are things to consider with each. For example, while anti-vertigo and anti-nausea medications will reduce dizziness, they may cause drowsiness. Other treatments also carry both positive implications as well as drawbacks. Intratympanic injections involve injecting medication through the eardrum into the middle ear space where the ear bones reside. This treatment is done in the otolaryngologist’s office. The treatment includes either making a temporary opening in the eardrum or placing a tube in the eardrum. The drug may be administered once or several times. Medication injected may include gentamicin or corticosteroids. Gentamicin alleviates dizziness but also carries the possibility of increased hearing loss in the treated ear that may occur in some individuals. Corticosteroids do not cause worsening of hearing loss, but are less effective in alleviating the major dizzy spells. A Meniette device is another option. This device is a mechanical pump that is applied to the person’s ear canal for five minutes three times a day. A ventilating tube must be first inserted through the eardrum to allow the pressure produced by the Meniette to be transmitted across the round window membrane and change the pressure in the inner ear. The success rate of this device has been variable.

• #39 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  Injections. Injecting the antibiotic gentamicin into the middle ear helps to control vertigo but significantly raises the risk of hearing loss because gentamicin can damage the microscopic hair cells in the inner ear that help us hear. Corticosteroid injections are an alternative because they often reduce dizziness and have little to no risk of hearing loss. […] Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. One surgical procedure decompresses the endolymphatic sac. Another surgical approach, used less frequently, cuts the vestibular nerve. […] Although scientists have studied using alternative therapies for Mnires disease, there is no evidence to show the effectiveness of acupuncture or acupressure, tai chi, or herbal supplements, including ginkgo biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies since they can sometimes influence the effectiveness or safety of conventional medicines. […] If you have hearing loss associated with Mnires disease, consider discussing hearing aid options with your doctor.

• #40 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  If the incidences of vertigo are not controlled by medications, surgery may be recommended. Surgical procedures can eliminate the frequent spells of vertigo that occur in Meniere’s disease; however, no surgery has been found to improve the hearing loss. […] Endolymphatic sac, or shunt, surgery strives to decompress the inner ear fluid by making an incision in the endolymphatic sac. […] Vestibular nerve section is a highly effective operation that relieves vertigo attacks while preserving the hearing. […] Labyrinthectomy is the operation with highest rate of cure of vertigo, but always causes a total loss of hearing in the operated ear.

• #41 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  If the incidences of vertigo are not controlled by medications, surgery may be recommended. Surgical procedures can eliminate the frequent spells of vertigo that occur in Meniere’s disease; however, no surgery has been found to improve the hearing loss. […] Endolymphatic sac, or shunt, surgery strives to decompress the inner ear fluid by making an incision in the endolymphatic sac. […] Vestibular nerve section is a highly effective operation that relieves vertigo attacks while preserving the hearing. […] Labyrinthectomy is the operation with highest rate of cure of vertigo, but always causes a total loss of hearing in the operated ear.

• #42 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  We typically perform surgery when other treatments have failed and symptoms are causing severe disability. Surgical options for Mnires disease include: […] Endolymphatic sac operation: The endolymphatic sac regulates the volume and pressure of fluid in the inner ear. Doctors think Mnires disease may be due to compression of the sac. Endolymphatic sac operation removes bone from around the sac to reduce pressure. […] Labyrinthectomy: This surgery involves removing the inner ears vestibular system (semicircular canals and vestibule). A side effect of labyrinthectomy is hearing loss in the affected ear. Though highly effective, it is typically an option only for people who have already lost hearing in that ear. […] Vestibular nerve section: In this procedure, the surgeon cuts the nerve that sends signals from the semicircular canal to the brain. Doctors rarely use this procedure since it is not always effective.

• #43 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  When vestibular-sparing treatments are ineffective, an ablative procedure is considered. Intratympanic gentamicin (chemical labyrinthectomy typically 0.5 mL of a 40 mg/mL concentration) is injected through the tympanic membrane. Follow-up with serial audiometry is recommended to check for hearing loss. The injection can be repeated in 4 weeks if vertigo persists without hearing loss. […] Ablative surgery is reserved for patients with frequent, severely debilitating episodes who are unresponsive to less invasive modalities. Vestibular neurectomy (an intracranial procedure) relieves vertigo in about 95% of patients and usually preserves hearing. A surgical labyrinthectomy is done only if preexisting hearing loss is profound.

• #44 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  If the incidences of vertigo are not controlled by medications, surgery may be recommended. Surgical procedures can eliminate the frequent spells of vertigo that occur in Meniere’s disease; however, no surgery has been found to improve the hearing loss. […] Endolymphatic sac, or shunt, surgery strives to decompress the inner ear fluid by making an incision in the endolymphatic sac. […] Vestibular nerve section is a highly effective operation that relieves vertigo attacks while preserving the hearing. […] Labyrinthectomy is the operation with highest rate of cure of vertigo, but always causes a total loss of hearing in the operated ear.

• #45 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  If the incidences of vertigo are not controlled by medications, surgery may be recommended. Surgical procedures can eliminate the frequent spells of vertigo that occur in Meniere’s disease; however, no surgery has been found to improve the hearing loss. […] Endolymphatic sac, or shunt, surgery strives to decompress the inner ear fluid by making an incision in the endolymphatic sac. […] Vestibular nerve section is a highly effective operation that relieves vertigo attacks while preserving the hearing. […] Labyrinthectomy is the operation with highest rate of cure of vertigo, but always causes a total loss of hearing in the operated ear.

• #46 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  When vestibular-sparing treatments are ineffective, an ablative procedure is considered. Intratympanic gentamicin (chemical labyrinthectomy typically 0.5 mL of a 40 mg/mL concentration) is injected through the tympanic membrane. Follow-up with serial audiometry is recommended to check for hearing loss. The injection can be repeated in 4 weeks if vertigo persists without hearing loss. […] Ablative surgery is reserved for patients with frequent, severely debilitating episodes who are unresponsive to less invasive modalities. Vestibular neurectomy (an intracranial procedure) relieves vertigo in about 95% of patients and usually preserves hearing. A surgical labyrinthectomy is done only if preexisting hearing loss is profound.

• #47 Ménière’s Disease – American Hearing Research Foundation

  https://www.american-hearing.org/disease/menieres-disease/

  Additional approaches are sometimes used for more difficult cases: Pressure pulse treatment or the Meniett device, which is minimally invasive and designed to improve fluid flow through the ear with the use of applied pressure, Injections of certain medications into the ear to help control the vertigo, which tends to be reserved for more severe cases that do not respond to noninvasive approaches, Surgical procedures, which are typically used only in the most extreme cases when no other treatments help. […] Its important for someone exhibiting the symptoms of Mnires to see a qualified physician to rule out other potential underlying causes of the symptoms and to get evidence-based treatment. […] Otolaryngologistsor ear, nose, and throat specialists (ENT)are a good starting point. But neuro-otologistsENTs who subspecialize in ear disordersare most likely to be familiar with the current diagnostic and therapeutic best practices.

• #48 Ménière’s Disease – American Hearing Research Foundation

  https://www.american-hearing.org/disease/menieres-disease/

  Specific types of cognitive and behavioral therapies may be helpful in managing the anxiety and/or depression that sometimes accompanies Mnires. […] Therapies such as Cognitive Behavior Therapy, Mindfulness-Based Stress Reduction, Acceptance and Commitment Therapy, and Hypnosis provided by qualified mental health professionals, have been helpful for some people suffering from Mnires and/or other disorders of the inner ear.

• #49 Meniere’s Disease: Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15167-menieres-disease

  Mnires disease is a chronic inner ear disorder that leads to recurrent episodes of vertigo, hearing loss and tinnitus. Treatments like medications and therapy can help manage this condition. […] But working with a healthcare provider to find the right treatments can help manage the condition. […] There isnt a cure for Mnires disease, but treatments can reduce how severe and long-lasting your attacks are. Your healthcare provider will recommend conservative treatments first, like lifestyle changes, medication and therapy. If these treatments dont help, you may need surgery. […] Therapies and devices that treat Mnires disease include: Vestibular rehabilitation: During therapy, youll learn exercises that help you improve your balance and manage vertigo symptoms. […] Cognitive behavioral therapy (CBT): Healthcare providers may recommend CBT to help you cope with the stress, anxiety and depression Mnires disease may cause. […] Fortunately, healthcare providers have treatments that reduce Mnires disease symptoms, including vertigo.

• #50 Ménière’s disease

  https://www.nhs.uk/conditions/menieres-disease/

  Mnire’s disease is a rare inner ear condition that can affect your balance and hearing. It cannot be cured, but treatment can help the symptoms. […] There’s no cure for Mnire’s disease, but your symptoms can be managed with treatment. Treatment includes: medicines to help symptoms such as vertigo, feeling sick and being sick; hearing aids; help to manage your tinnitus, which can include different types of therapy; help to improve your balance (vestibular rehabilitation). […] Rarely, you may be offered surgery on your inner ear if you’re finding it difficult to manage your symptoms. […] Counselling and relaxation techniques, such as breathing exercises, can help.

• #51 What Is Ménière’s Disease? — Diagnosis and Treatment

  https://www.nidcd.nih.gov/health/menieres-disease

  Injections. Injecting the antibiotic gentamicin into the middle ear helps to control vertigo but significantly raises the risk of hearing loss because gentamicin can damage the microscopic hair cells in the inner ear that help us hear. Corticosteroid injections are an alternative because they often reduce dizziness and have little to no risk of hearing loss. […] Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. One surgical procedure decompresses the endolymphatic sac. Another surgical approach, used less frequently, cuts the vestibular nerve. […] Although scientists have studied using alternative therapies for Mnires disease, there is no evidence to show the effectiveness of acupuncture or acupressure, tai chi, or herbal supplements, including ginkgo biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies since they can sometimes influence the effectiveness or safety of conventional medicines. […] If you have hearing loss associated with Mnires disease, consider discussing hearing aid options with your doctor.

• #52 Meniere’s disease – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/menieres-disease/diagnosis-treatment/drc-20374916

  No cure exists for Meniere’s disease. Some treatments can help lessen how bad vertigo attacks are and how long they last. But there are no treatments for permanent hearing loss. Your healthcare provider may be able to suggest treatments that prevent your hearing loss from getting worse. […] Your healthcare provider may prescribe medicines to take during a vertigo attack so that it’s less severe: […] Your healthcare provider may prescribe a medicine to reduce fluid retention and suggest limiting your salt intake. This helps control the intensity and amount of Meniere’s disease symptoms in some people. […] Some people with Meniere’s disease may benefit from procedures that don’t include surgery, such as: […] If conservative treatments aren’t successful, your care provider might suggest more-intense treatments. […] Medicines injected and absorbed in the middle ear may help vertigo symptoms get better. This treatment is done in a care provider’s office. […] If vertigo attacks from Meniere’s disease are severe and hard to bear and other treatments don’t help, surgery might be an option.

• #53 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  Mnires Disease Treatments […] There is no cure for Mnires disease, but treatment can prevent attacks or reduce their severity. You may start with lifestyle changes or medications. Your clinician may also recommend treatments such as injections and surgery. Our vestibular balance disorder specialists are with you at every step to find a strategy that works and improves your quality of life. […] […] […] Types of Mnires Disease Treatment […] Treatments for Mnires disease range from lifestyle changes to surgery. Our clinicians typically recommend noninvasive treatments first. If your symptoms continue, we will discuss more invasive steps. As your partner in care, we help you make the best decision for your condition and needs. […] […] […] Lifestyle Changes […] Lowering the fluid volume in your inner ear can help prevent attacks. Excess salt in your diet causes your body to retain fluid, which can build up in your inner ear. Your clinician may recommend a low-salt diet or a diuretic (water pill) to decrease fluid retention.

• #54 Sound Pharma Announces Phase 3 Study Completion of SPI-1005 for the Treatment of Meniere’s Disease – Sound Pharmaceuticals

  https://soundpharma.com/sound-pharma-announces-phase-3-study-completion-of-spi-1005-for-the-treatment-of-menieres-disease/

  Sound Pharmaceuticals is pleased to announce that the Phase 3 clinical trial involving SPI-1005, a novel anti-inflammatory, for the treatment of Meniere’s Disease (STOPMD-3) has been completed. […] SPI-1005 is an oral capsule taken twice daily and the only potential therapeutic to significantly improve hearing loss and tinnitus in Meniere’s Disease patients that was documented in two completed Phase 1b and 2b studies that enrolled over 165 patients. […] STOPMD-3 is the longest treatment trial involving an investigational new drug ever completed for a hearing loss or tinnitus indication. […] “To our knowledge, this Phase 3 study is the longest continuous treatment trial to improve hearing loss/tinnitus in patients living with Meniere’s Disease,” said Dr. Lambert. […] MD is currently managed with low salt diets, thiazide diuretics, and oral or locally injected steroids. Unfortunately, this standard of care has not been proven to be effective and is not FDA-approved for the treatment of definite or probable MD.

• #55 Sound Pharma Announces Positive Phase 3 Results for the Treatment of Meniere’s Disease with SPI-1005 – Sound Pharmaceuticals

  https://soundpharma.com/sound-pharma-announces-positive-phase-3-results-for-the-treatment-of-menieres-disease-with-spi-1005/

  Sound Pharmaceuticals is pleased to announce that the pivotal Phase 3 clinical trial involving SPI-1005, a novel anti-inflammatory compound (ebselen), for the treatment of Meniere’s Disease (STOPMD-3), achieved its co-primary endpoints for efficacy involving improvements in hearing loss and speech discrimination. […] There are no FDA-approved medical treatments for MD, nor for the treatment of hearing loss, tinnitus, vertigo, or dizziness. […] MD is currently managed with low salt diets, thiazide diuretics, and oral or locally injected steroids. Unfortunately, this standard of care has not proven effective and is not FDA-approved for the treatment of MD.

• #56 Sound Pharma Announces Phase 3 Study Completion of SPI-1005 for the Treatment of Meniere’s Disease – Sound Pharmaceuticals

  https://soundpharma.com/sound-pharma-announces-phase-3-study-completion-of-spi-1005-for-the-treatment-of-menieres-disease/

  Sound Pharmaceuticals is pleased to announce that the Phase 3 clinical trial involving SPI-1005, a novel anti-inflammatory, for the treatment of Meniere’s Disease (STOPMD-3) has been completed. […] SPI-1005 is an oral capsule taken twice daily and the only potential therapeutic to significantly improve hearing loss and tinnitus in Meniere’s Disease patients that was documented in two completed Phase 1b and 2b studies that enrolled over 165 patients. […] STOPMD-3 is the longest treatment trial involving an investigational new drug ever completed for a hearing loss or tinnitus indication. […] “To our knowledge, this Phase 3 study is the longest continuous treatment trial to improve hearing loss/tinnitus in patients living with Meniere’s Disease,” said Dr. Lambert. […] MD is currently managed with low salt diets, thiazide diuretics, and oral or locally injected steroids. Unfortunately, this standard of care has not been proven to be effective and is not FDA-approved for the treatment of definite or probable MD.

• #57 Sound Pharma Announces Positive Phase 3 Results for the Treatment of Meniere’s Disease with SPI-1005 – Sound Pharmaceuticals

  https://soundpharma.com/sound-pharma-announces-positive-phase-3-results-for-the-treatment-of-menieres-disease-with-spi-1005/

  Sound Pharmaceuticals is pleased to announce that the pivotal Phase 3 clinical trial involving SPI-1005, a novel anti-inflammatory compound (ebselen), for the treatment of Meniere’s Disease (STOPMD-3), achieved its co-primary endpoints for efficacy involving improvements in hearing loss and speech discrimination. […] There are no FDA-approved medical treatments for MD, nor for the treatment of hearing loss, tinnitus, vertigo, or dizziness. […] MD is currently managed with low salt diets, thiazide diuretics, and oral or locally injected steroids. Unfortunately, this standard of care has not proven effective and is not FDA-approved for the treatment of MD.

• #58 Should you talk to your doctor about Meniere’s Disease? – Dent Neurologic

  https://www.dentinstitute.com/should-you-talk-to-your-doctor-about-menieres-disease/

  After hearing his story, Dr. Zhang ordered the patient balance testing. […] Currently, our Dizziness Center has no FDA-approved drug for Menieres treatment. Doctors, including Dr. Zhang, typically prescribe medications to help with symptoms like anti-vertigo and anti-nausea medications. […] The most effective current treatment option for Menieres disease involves invasive surgery and can lead to long-term damage to the hearing and balance nerves. […] In his Dizziness clinic, Dr. Zhang has found that lamotrigine, an anti-seizure medication, may work to prevent Menieres vertigo attacks. […] Lamotrigine works by stopping this activation from spreading to the brain and stops symptoms from starting. This can potentially stop long-term damage to hearing and balance caused by continuous activation of the brain. […] Thus, Dr. Zhang may prescribe some patients an anti-anxiety medication as a relaxation technique to help further calm down the brain.

• #59 Ménière’s Disease – Balance & Dizziness Canada

  https://balanceanddizziness.org/disorders/vestibular-disorders/menieres-disease/

  Ménière’s disease is chronic and progressive, meaning that it does not go away and it tends to get worse over time. […] There is no cure for Ménière’s disease, but the symptoms can be managed. […] The treatment or treatments that your healthcare team suggests may depend on: your age, how frequent and severe your symptoms are, whether you also have other conditions such as migraine, arthritis or allergies, the health of your other ear. […] Your ear specialist may want to try lifestyle changes and medication first, especially if your symptoms are mild. If these do not work, other more invasive options may be suggested such as ear injections or surgery. […] It is important to remember that Ménière’s disease fluctuates. […] Researchers do know that some treatments for Ménière’s disease definitely do not work any better than a placebo.

• #60 Ménière’s Disease – Balance & Dizziness Canada

  https://balanceanddizziness.org/disorders/vestibular-disorders/menieres-disease/

  Ménière’s disease is chronic and progressive, meaning that it does not go away and it tends to get worse over time. […] There is no cure for Ménière’s disease, but the symptoms can be managed. […] The treatment or treatments that your healthcare team suggests may depend on: your age, how frequent and severe your symptoms are, whether you also have other conditions such as migraine, arthritis or allergies, the health of your other ear. […] Your ear specialist may want to try lifestyle changes and medication first, especially if your symptoms are mild. If these do not work, other more invasive options may be suggested such as ear injections or surgery. […] It is important to remember that Ménière’s disease fluctuates. […] Researchers do know that some treatments for Ménière’s disease definitely do not work any better than a placebo.

• #61 Ménière’s Disease – American Hearing Research Foundation

  https://www.american-hearing.org/disease/menieres-disease/

  Additional approaches are sometimes used for more difficult cases: Pressure pulse treatment or the Meniett device, which is minimally invasive and designed to improve fluid flow through the ear with the use of applied pressure, Injections of certain medications into the ear to help control the vertigo, which tends to be reserved for more severe cases that do not respond to noninvasive approaches, Surgical procedures, which are typically used only in the most extreme cases when no other treatments help. […] Its important for someone exhibiting the symptoms of Mnires to see a qualified physician to rule out other potential underlying causes of the symptoms and to get evidence-based treatment. […] Otolaryngologistsor ear, nose, and throat specialists (ENT)are a good starting point. But neuro-otologistsENTs who subspecialize in ear disordersare most likely to be familiar with the current diagnostic and therapeutic best practices.

• #62 Meniere’s Disease | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/conditions/menieres-disease

  Approximately 60 percent of patients with Meniere’s disease stop having attacks after a few years (also called the disease burning out). The rest continue to have problems. […] Of these, a high percentage (60 percent to 80 percent) are controlled with a very strict diet, lifestyle changes and sometimes medication. […] The strict diet includes limiting daily sodium to 1500 mg, eliminating all caffeine (including decaffeinated coffee, which has caffeine) and no alcohol. […] Lifestyle changes include stress reduction through biofeedback, meditation, yoga and daily exercise.

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