How is Meniere's disease treated?

Anti-vertigo medications, such as meclizine (Antivert®) may provide temporary relief. Anti-nausea medication is sometimes prescribed, such as prochlorperazine (Compazine®). Anti-anxiety drugs may also be used, such as alprazolam (Xanax®). Anti-vertigo, anti-nausea, and anti-anxiety medications may cause drowsiness. Alprazolam is in a class of drugs called benzodiazepines. These medications may cause physical and psychological addiction.

Injections with a steroid, such as dexamethasone (Decadron®), may also help control vertigo attacks in some individuals. Although dexamethasone injections may be slightly less effective than gentamicin, dexamethasone is less likely than gentamicin to cause further hearing loss.

Endolymphatic sac procedures: Endolymphatic sac procedures are surgical procedures that reduce the swelling caused by endolymph (an inner ear fluid) buildup. In endolymphatic sac decompression, some of the bone surrounding the inner ear is removed. In some cases, endolymphatic sac decompression is coupled with the placement of an endolymphatic shunt, a tube that drains excess fluid from the inner ear. Another surgical approach, called a sacculotomy, involves implanting a permanent, tack-like device that allows endolymph to drain out of the inner ear whenever pressure builds up.

Vestibular neurectomy: A vestibular neurectomy involves cutting the nerve that controls balance (vestibular nerve). When hearing loss is severe or Ménière's syndrome involves intense vertigo, a vestibular neurectomy may be done to surgically destroy the entire inner ear. The individual's other ear then takes over the balance function.

Rehabilitation: If the individual experiences problems with balance between attacks, they may benefit from vestibular rehabilitation therapy. The goal of this therapy, which may include exercises and activities performed during therapy sessions and at home, is to help the body and brain regain the ability to process information correctly.

You should read product labels, and discuss all therapies with a qualified healthcare provider. Natural Standard information does not constitute medical advice, diagnosis, or treatment.