Effects of Pressure on Meniere's Symptoms
3) Treatments used by the Patients

We asked the participants to list treatments that they had previouly received for their Meniere's symptoms, and which treatments they were presently using. The response to this section was simply astounding in terms of the variety of treatments listed, with at least 54 different therapies in use. We have listed the treatments ranked in order from the most commonly used to the least commonly used

Type of treatment	Treatment or drug name	chemical name or group	% patients reporting prior use	% patients reporting present use
Diuretic	All types combined		72	44
Low salt diet			27	32
Anti-nausea	meclizine, Antivert		36	23
Anti-anxiety	Valium, diazepam	benzodiazepine	31	22
Diuretic	Maxzide / Dyazide	triamterine and hydrochlorothiazide	26	23
Anti-nausea	Serc / betahistine	phenothiazine related	14	10
Diuretic	hctz / Esidrix	hydrochlorothiazide	12	7
Avoidance of caffeine			7	11
Steroid	prednisone		14	0
Anti-nausea	Phenergan / promethazine	phenothiazine	6	6
Diuretic	Lasix	furosemide	7	4
Antihistamines	All types combined		14	12
Vasodilator	Niacin		7	4
Surgical Procedure	Endolymphatic Shunt		11	n/a
Antibiotic ablation	gentamycin		9	1
Anti-nausea	Dramamine / Vomex	dimenhydrinate	4	2
Steroid	unspecified		2	4
Anti-nausea	Scopolamine	scopolamine hydrobromide	5	1
Anti-nausea	Stemetil / Compazine	phenothiazine-related	5	0
Anti-histamine	Hismanal	astemizole	2	2
Anti-histamine	Claritin	Loratadine	2	2
Diuretic	Diamox	acetazolamide	1	2
Anti-histamine	Allegra	fexofenadine hydrochloride	1	2
Anti-nausea	Gravol		2	1
Steroid	dexamethasone		4	0
Procedure	Acupuncture		1	2
Surgical procedure	Endolymphatic sac decompression		4	n/a
Supplement	Ginko biloba		0	4
Calcium channel blocker	Stugeron/ Cinnarzine		2	1
Anti-anxiety	Lorezipam, Ativan	benzodiazepine	1	2
Avoidance of chocolate			0	2
Vasoactive	Pavabid	paparevine hydrochloride	1	1
Anti-rheumatic	methotrexate		1	1
Avoidance of alcohol			1	1
Anti-spasmodic	Levsin	hyosycamine sulfate	1	1
Anti-anxiety	Xanax	alprazolam	1	1
Histamine		histamine phosphate	1	1
Procedure	Chiropractic manipulation		1	1
Vasodilator	cyclandelate		1	1
Antidepressant	Prozac	fluoxetine hydrochloride	1	1
Surgical Procedure	Tympanostomy tube		1	0
Surgical procedure	Vestibular nerve section		1	n/a
Steroid	cortisone		1	0
Steroid nasal spray	(unspecified)		1	0
Birth control pills			1	0
Anti-nausea	Vistaril	hydroxyzine pamoate	1	0
Anti-anxiety	Thorazine, chlorpromazine	phenothiazine	1	0
Narcotic analgesic	Nubain	nalbuphine hydrochloride	1	0
Hemorheologic agent	Trental	pentoxyphylline	1	0
Anti-nausea	Torecan	triethylperazine maleate	1	0
Anti-histamine	Zyrtec	cetirizine hydrochloride	0	1
Anti-inflammatory	ibuprofen		0	1
Anti-spasmodic	probanthene	Propantheline Bromide	0	2
Antibiotic	streptomycin		0	1
Anti-nausea	ginger		0	1
Supplement	lipoflavinoids		0	1

The responses reflect the widespread use of diuretics, low salt diet, anti-anxiety (eg. Valium), anti-nausea (e.g.Antivert) and steroids as available treatments. However, variations in treatments are widespread, indicating the absence of consensus in terms of the most effective treatments to use. This may be more apparent in our survey which includes treatments from many different countries, some of which are not in use in the USA.