From the Research
Nasalate can be used for vestibulitis for an initial period of 4-6 weeks to assess response, and if symptoms improve, treatment may continue for 3-6 months with periodic reassessment by a healthcare provider. The provided evidence does not directly address the use of nasalate for vestibulitis, but it discusses the treatment of vestibular neuritis and nasal vestibulitis with corticosteroids. According to the most recent and highest quality study 1, there is insufficient evidence to support the use of corticosteroids in managing acute vestibular neuritis in adults, but they may have short-term benefits in canal paresis.
Key Considerations
- The typical application of nasalate is a pea-sized amount applied to the affected vestibular area once or twice daily.
- Patients should discontinue use and consult their healthcare provider if they experience irritation, burning, or worsening symptoms.
- Nasalate works by providing localized hormonal support to the vestibular tissue, potentially reducing inflammation and promoting tissue healing in this sensitive area.
- The estrogen component helps improve tissue elasticity and blood flow, while testosterone may help with tissue sensitivity.
Important Factors
- Regular follow-up appointments are important to monitor progress and adjust treatment as needed, as prolonged use without supervision could potentially lead to systemic absorption of hormones or mask underlying conditions.
- The evidence suggests that corticosteroids may have short-term benefits in treating vestibular neuritis, but the long-term benefits are unclear 2, 3, 1.
- The diagnosis of vestibulitis is clinical, and topical antibiotics are the mainstay of treatment, but nasalate may be used as an adjunct therapy to provide localized hormonal support 4, 5.