Treatments for Ménière's disease
Treatments for Ménière's disease
The list of treatments mentioned in various sources
for Ménière's disease
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Drugs and Medications used to treat Ménière's disease:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Ménière's disease include:
Latest treatments for Ménière's disease:
The following are some of the latest treatments for Ménière's disease:
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Dizziness/Lightheadedness & Vertigo:
Treatment
(In a Page: Signs and Symptoms)
- Treat the underlying disorder of lightheadedness
–Rehydrate patient as necessary
–Compensate for heart failure with inotropic agents,
diuretics, and ACE inhibitors
–Surgical intervention for valvular incompetence
–Treat prodromal stroke (TIA) with aspirin or warfarin
–Carotid endarterectomy for significant carotid stenosis
–Acute migraine treatment with NSAIDs or triptans (e.g.,
sumatriptan); prophylaxis with valproate or tricyclic antidepressants;
–Phenytoin or carbamazepine for seizures and auras
- Vertigo
–Meclizine and/or reassurance and time are usually sufficient for benign positional vertigo
–Modified Epley and/or particle repositioning maneuvers
for positional symptoms
–Diuretics and/or surgery for Ménière's disease
–Central causes require disease-specific therapy
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Fever – Recurrent:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Repeated viral illnesses
–Reassurance of the parents
–Advice on antipyretics
–Encourage fluid intake
–Limit of sick exposure if possible
-
UTI
–Antibiotics based on bacteria and sensitivity
–Prophylactic antibiotics if underlying cause is present
-
-
-
Bacterial infections: Bacteria-specific antibiotic
-
JRA, Behçet, or IBD
–Prednisone or immunosuppressive medications
-
TRAPS
–Prednisone and etanercept
-
Familial cold urticaria and Muckle-Wells syndrome
–Prednisone may be used
–If amyloidosis is present, colchicine may be required
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Vertigo:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
If the vertigo is accompanied by nausea and vomiting, supportive care with fluid and electrolyte replacement
-
Migraine aura associated vertigo: Analgesics and vestibular suppressants such as sumatriptan, propranolol, amitriptyline, diazepam; avoid triggers
-
Acute viral labyrinthitis: Bedrest, antiemetics, IV fluids, diazepam, antihistamines
-
Control of hypertension, diabetes, cardiac arrhythmia
-
Cerebellopontine angle tumors: Surgical resection
-
BPPV/ Ménière disease: Positioning procedure; brief treatment with diazepam, meclizine, or dimenhydrinate
-
Perilymph fistula: Pneumatic otoscopy reproduces symptoms; often heals spontaneously
-
Vertebrobasilar stroke: Neurology consultation
-
Cerebellar hemorrhage: Emergent neurosurgical consult for question of posterior fossa decompression
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Ménière's disease:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment with atropine may stop an attack in 20 to 30 minutes. Epinephrine or diphenhydramine may be necessary in a severe attack; dimenhydrinate, meclizine, diphenhydramine, or diazepam may be effective in a milder attack.
Long-term management includes use of a diuretic or vasodilator and restricted sodium intake (less than 2 g/day). A typical diuretic regime is hydrochlorothiazide 500 to 100 mg daily. Prophylactic antihistamines or mild sedatives (phenobarbital, diazepam) may also be helpful. If Ménière’s disease persists after 2 years of treatment, produces incapacitating vertigo, or resists medical management, surgery may be necessary. Destruction of the affected labyrinth permanently relieves symptoms but results in irreversible hearing loss. Systemic streptomycin is reserved for the patient with bilateral disease for whom no other treatment can be considered. If a patient fails medical therapy and remains disabled by his vertigo, surgical decompression of the endolymphatic sac may bring relief.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Earache:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient or his parents how to instill eardrops if they’re prescribed for home use. Encourage the patient to complete the full course of antibiotics if prescribed. If the patient experiences vertigo, tell him to rise slowly from a sitting or lying position. Warn the patient not to insert anything into the ear to avoid trauma, infection, and ear pain.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vertigo:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient is experiencing vertigo, tell him not to get out of bed or walk without assistance. Instruct the patient not to make sudden position changes and to avoid tasks that can be dangerous such as driving.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Earache [Otalgia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Administer an analgesic.
▪ Apply heat to relieve discomfort.
▪ Instill eardrops if necessary.
Patient teaching
▪ Teach the patient or the parents how to instill drops if they're prescribed for home use.
▪ Explain the importance of taking prescribed antibiotics correctly.
▪ Explain ways to avoid vertigo.
▪ Instruct the patient and family about ways to avoid ear trauma.
▪ Explain the cause of the earache once a diagnosis has been established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vertigo:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Place the patient in a comfortable position.
▪ Monitor vital signs and LOC.
▪ Take measures to provide for the patient's safety.
▪ Darken the room and keep the patient calm.
▪ Administer drugs to control nausea and vomiting and decrease labyrinthine irritability.
▪ Prepare the patient for diagnostic tests, such as electronystagmography, EEG, and X-rays of the middle and inner ears.
Patient teaching
▪ Explain to the patient the underlying cause of vertigo and its treatment.
▪ Explain safety measures to the patient.
▪ Tell the patient to avoid sudden position changes and dangerous tasks.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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