علاج داء مينيير عندما لا تنجح التعديلات الغذائية ومثبطات الدهليز في السيطرة على النوبات

DOI: 10.1177/0194599820909438

• Clinicians may offer diuretics and/or betahistine for maintenance therapy to reduce symptoms or prevent Ménière's disease attacks.
• The most commonly prescribed diuretics are thiazides with or without potassium-sparing diuretics such as hydrochlorothiazide/triamterene or spironolactone as well as the carbonic anhydrase inhibitor acetazolamide (Diamox) as a second-line therapy.
• The interventions were placebo, low-dose betahistine (48 mg/d), and high-dose betahistine (144 mg/d).
• The goals of MD treatment are to prevent or at least reduce the severity and frequency of vertigo attacks.