From the FDA Drug Label
MECLIZINE HYDROCHLORIDE tablets, for oral use Initial U. S. Approval: 1957 INDICATIONS AND USAGE Meclizine hydrochloride tablets are indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults (1).
The treatment for Vestibular Neuritis may include meclizine, as it is indicated for the treatment of vertigo associated with diseases affecting the vestibular system in adults.
- The recommended dosage is 25 mg to 100 mg daily, in divided doses 1.
- Meclizine should be used with caution due to potential side effects, such as drowsiness and anticholinergic action.
From the Research
Treatment for vestibular neuritis typically involves a combination of medications and rehabilitation exercises, with corticosteroids like prednisone and vestibular rehabilitation therapy being equally effective in clinical, caloric, and otolith recovery, as shown in the most recent study 2. The goal of treatment is to manage symptoms, promote recovery, and improve quality of life.
- Initially, vestibular suppressant medications like meclizine, diazepam, or promethazine can help control severe vertigo symptoms during the first 1-3 days, as noted in 3.
- Anti-nausea medications such as ondansetron may be prescribed to manage associated nausea and vomiting.
- Corticosteroids like prednisone might be recommended within the first 3 days of symptom onset to reduce inflammation of the vestibular nerve, as suggested in 4 and 5.
- Vestibular rehabilitation therapy is crucial for long-term recovery and should begin as soon as the severe vertigo subsides, typically within a week of onset, as emphasized in 6 and 2. Some key points to consider:
- Prolonged use of vestibular suppressants can delay the brain's natural compensation process, as warned in 3.
- Early resumption of normal activity should be encouraged to promote compensation, as recommended in 3.
- Directed vestibular rehabilitation therapy can further promote the process of central vestibular compensation, as noted in 3 and 6. It's essential to stay hydrated, avoid alcohol, and gradually increase physical activity as symptoms improve, as part of a comprehensive treatment plan, as mentioned in the example answers. The condition is caused by inflammation of the vestibular nerve, usually from a viral infection, which disrupts normal balance signals to the brain, as explained in 2.