From the Guidelines
Over-the-counter treatments for Meniere's disease should focus on symptom management with antihistamines, motion sickness patches, and non-prescription diuretics, as these can help reduce vertigo, nausea, and fluid retention, ultimately improving quality of life. When considering treatment options, it's essential to prioritize those that have been shown to have a preponderance of benefit over harm, as noted in the clinical practice guideline for Meniere's disease 1. Some key over-the-counter options include:
- Antihistamines like dimenhydrinate (Dramamine) at 50-100mg every 4-6 hours or meclizine (Bonine) at 25-50mg every 4-6 hours to reduce vertigo and associated nausea
- Motion sickness patches containing scopolamine for relief from vertigo
- Non-prescription diuretics like pamabrom (Diurex) to reduce fluid retention, which contributes to inner ear pressure
- Ginger supplements (250mg capsules 2-4 times daily) to help with nausea These treatments work by either reducing inflammation in the inner ear, decreasing fluid retention, or affecting the brain's response to balance disturbances. It's also important to note that while vestibular rehabilitation/physical therapy can be beneficial for patients with chronic imbalance, as recommended by clinicians 1, over-the-counter treatments are primarily aimed at symptom management rather than addressing the underlying condition. A low-salt diet, limiting intake to 1,500-2,000mg of sodium daily, can complement these medications by reducing fluid retention. If symptoms are severe or persistent, consulting with a healthcare provider is recommended to discuss prescription medications or medical procedures that may be necessary.
From the FDA Drug Label
MECLIZINE The FDA drug label does not answer the question.
From the Research
Over-the-counter Treatments for Meniere's Disease
There are several over-the-counter (OTC) treatments that may be used to manage the symptoms of Meniere's disease, including:
- Antihistamines and anticholinergics to help alleviate vertigo symptoms 2
- Diuretics, such as hydrochlorothiazide, to reduce fluid buildup in the inner ear 3
- Betahistine, which is available OTC in some countries, to improve blood flow to the inner ear 2, 4
- Vestibular rehabilitation exercises, which can be done at home, to improve balance and reduce vertigo symptoms 2, 4
Dietary Modifications
In addition to OTC medications, dietary modifications may also be helpful in managing Meniere's disease symptoms, including:
- Reducing salt intake to decrease fluid buildup in the inner ear 4
- Restricting caffeine intake, which may exacerbate vertigo symptoms 4
- Increasing fluid intake to help regulate inner ear fluid pressure
Non-Drug Interventions
Non-drug interventions, such as:
- Psychological support to cope with the emotional impact of Meniere's disease 2, 4
- Vestibular rehabilitation therapy to improve balance and reduce vertigo symptoms 2, 4
- Intratympanic injections of medications, such as gentamicin or methylprednisolone, to reduce vertigo symptoms 5
Note: It is essential to consult a healthcare professional before starting any new treatments or making significant changes to your diet or lifestyle.