Ménière's Disease is a complex disease of the human body's acoustic system, consisting of three distinct symptoms that may affect the patient in varying degrees.
At the beginning of each treatment of Menière's disease is the drug treatment. In an acute attack, you can first try to treat symptomatically. This would be drugs for nausea ( antiemetics ), such as Vomex® or MCP (Metoclopramid ® ) are used.
For the general treatment of the disease then drugs are used, which result in a pressure reduction of the inner ear. These include drugs that are used in drainage therapy in, for example, heart disease ( torasemide, HCT, xipamide, etc.). Furthermore, the medication therapy of M. Menière tries to prevent any inflammatory reaction taking place in the inner ear by cortisone-containing medications. Cortisone-containing preparations are applied through a small opening of the eardrum into the ear and can thus act directly on the scene without the classic systemic side effects.
In labyrinth anesthesia, medication is used to calm the metabolic processes in the organ of balance. Narcotics such as Lidocain® or Scandicain® are used. Side effects can be a sudden onset of dizziness, but disappears after draining the drug again.
Rather, in the last resort of a treatment, when other drugs have not taken hold, a drug is used as an adverse effect hae harmful to the ear: Gentamycin® . With regular use, it can damage both the organ of balance and the hearing.
The first one wants to reach, in order to reduce the permanent turning vertigo, the latter one takes then approvingly into purchase. Here, too, directly after damage to the inner ear, there is a prolonged dizziness attack, which then has to be abrained. If this succeeds, the patient has good chances of being freed by M. Menière.
Both symptomatically and preventively, a treatment trial with Betahistine can be undertaken in Menièr's disease. The substance attacks the histamine receptor of the inner ear and thus leads to a vasodilation. Furthermore, the drug inhibits the excitation threshold of the organ of equilibrium, which can ultimately reduce dizziness. Also for the treatment of the symptoms, the drug cinnarizine is used, which also provides for vasodilation.
In addition to dehydration and anti-inflammatory drugs, Betahistine is well established in the treatment of Meniere's disease. Of note, however, are the numerous side effects of this drug, that of
pass. When these symptoms occur, the drug should be discontinued immediately.