From the FDA Drug Label
Meclizine hydrochloride is indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults.
The treatment approach for vertigo caused by an infectious source is not directly addressed in the provided drug label. However, meclizine can be used to treat vertigo associated with diseases affecting the vestibular system, which may include infectious sources.
- The recommended dosage is 25 mg to 100 mg daily, in divided doses 1.
- It is essential to note that meclizine does not treat the underlying cause of vertigo, but rather alleviates its symptoms.
- If the vertigo is caused by an infectious source, the underlying infection should be treated accordingly.
From the Research
The treatment of vertigo caused by an infectious source should primarily focus on addressing the underlying infection while managing vertigo symptoms, with the most recent and highest quality study suggesting that vestibular suppressants and corticosteroids may be beneficial in reducing symptoms and promoting recovery 2. When considering the treatment approach for vertigo caused by an infectious source, it is essential to differentiate between bacterial and viral causes.
- For bacterial infections like otitis media or labyrinthitis, antibiotics are the mainstay of treatment, with options including amoxicillin, amoxicillin-clavulanate, or ciprofloxacin 3.
- For viral causes like vestibular neuritis, treatment is primarily supportive with vestibular suppressants for 3-5 days, while the infection resolves naturally, and corticosteroids such as prednisone may help reduce inflammation and speed recovery 2. Key points to consider in the treatment of vertigo caused by an infectious source include:
- Symptomatic relief of vertigo can be achieved with vestibular suppressants such as meclizine, diazepam, or promethazine 3.
- Vestibular rehabilitation exercises should be initiated once acute symptoms improve to promote central compensation and prevent chronic dizziness 4.
- Adequate hydration, rest, and gradual mobilization are important supportive measures in the treatment of vertigo caused by an infectious source 5. It is crucial to note that the treatment approach should be tailored to the specific cause of the vertigo and the individual patient's needs, with the goal of eliminating the infectious agent, reducing inflammation, and promoting central compensation to prevent chronic dizziness 2.