What is the first-line treatment of Méniére's disease to reduce vertigo attacks and prevent hearing loss?
Méniére's disease is a chronic inner-ear disorder characterised by recurring episodes of vertigo, fluctuating hearing loss, tinnitus, and aural fullness. First-line management addresses both ongoing prevention of episodes and acute control when attacks occur.
Clinical Goals
Reduce or prevent the severity and frequency of vertigo attacks; relieve or prevent hearing loss, tinnitus, and aural fullness.
Treatment Approach
First-line care combines targeted dietary and lifestyle modifications to lower trigger burden with a limited course of vestibular suppressant therapy reserved for use during acute attacks — the specific options and full regimen are detailed in the structured protocol.