Synonyms
Menièr’s disease
Definition
Meniere’s disease is a complex disease of the acoustic system of the human body, which consists of three different symptoms and can affect the patient in different ways. Every treatment of Menière’s disease begins with drug treatment. In an acute seizure, an attempt can first be made to treat symptoms.
This would involve the use of anti-nausea medication (antiemetics) such as Vomex® or MCP (Metoclopramid®). For the general treatment of the disease, drugs are then used which reduce the pressure in the inner ear. These include drugs used in drainage therapy for e.g. heart disease (torasemide, HCT, xipamide etc).
In addition, the drug therapy of M. Menière attempts to prevent any inflammatory reaction that takes place in the inner ear by using drugs containing cortisone. Preparations containing cortisone are applied to the ear through a small opening in the eardrum and can thus act directly at the site of the event without the classic systemic side effects. Labyrinthine anaesthesia attempts to calm down the metabolic processes in the organ of equilibrium by means of medication.
For this purpose anaesthetics such as Lidocaine® or Scandicain® are used. Side effects may include sudden attacks of dizziness, which disappears after the medication has been drained. Rather in the last instance of a treatment, when other drugs have not worked, a drug is used which has a side effect of damaging the inner ear: Gentamycin®.
When used regularly, it can damage both the organ of balance and hearing. The former is intended to reduce the permanent dizziness, the latter is then accepted. Here, too, a prolonged dizziness attack occurs immediately after damage to the inner ear, which must then be trained.
If this is successful, the patient has a good chance of being freed from M. Menière. Attempts to treat Menière’s disease with betahistine can be both symptomatic and preventive. The substance attacks the histamine receptor of the inner ear and thus leads to vasodilation.
Furthermore, the drug inhibits the excitation threshold of the vestibular organ, which can ultimately reduce dizziness. The drug cinnarizine is also used to treat the symptoms, which also causes vasodilation. In addition to the drainage medication and the anti-inflammatory drugs, betahistine has a firm place in the treatment of Menière’s disease. The numerous side effects of this drug, ranging from If these symptoms occur, the drug should be discontinued immediately.
- Heat sensation
- Nausea
- States of confusion and
- Deterioration of general condition
For further information on this topic, please visit Related topics that might be of interest: You will find all topics that have been published in the field of ENT under: Related Topics
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