Anyone with Meniere's Disease been prescribed Betahistine?

Posted by morninglory @morninglory, May 13, 2018

Has anyone with Meniere's Disease been prescribed the compound drug Betahistine?

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Profile picture for trishanna @trishanna

@karinzeigler Although I was diagnosed with Menieres, I've not had episode for many years. Now I have tinnitus, hearing loss, and a "feels like there's a bucket on my head" stuffy feeling. Finally got a name for it - occlusion - but can't find anything on it. I can't find anyone who seems to know how to solve the problem - I refuse to spend $6,000 for a hearing aid that, since it fits inside my ear, makes the problem worse. There was a link for Menieres to a blog, I think, but I've lost it.

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I've had MD for about 4 years now, only had vertigo episodes for the first year. Just dizzy every now and then. I did finally lose about all my hearing out of my right ear that was attacked. It was becoming harder to hear and function. So I did break down and get a hearing aid. It has helped so much. They put a rubber filter on it and I don't hear any ringing when it's on. It has also helped my balance and being able to stay in a room with lots of noise. The ear tech also told me that they are seeing a high number of people who don't fix their ear with a hearing aid have dementia later in life. It's due to you making your brain have one ear do all the work, it's too much for the brain to process over a long period of time. Don't let the cost get you. I got one and it was around $3,500. Cheap ones won't work. I find that a single Sudafed or Advil help on days of stuffiness. Most days I just let it run its course and it goes away. Much worse when I have a cold or allergies. Stay strong! MD sucks....lol

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Profile picture for morninglory @morninglory

Vertigo, nausea, unable to see correctly and severe ringing in the ears. When an episode occurs I must lay down as it's too difficult to walk. The reason I asked about the Betahistine is I had heard on NPR an interview with a Dr. David Kaylie MD FAC an associate Professor of surgery head and neck and Communication Sciences at Duke University speak of Betahistine as a med that they had had success with for patients with Meniere's. Also that it has been used for Meniere's in Europe for decades. My ENT dr. was not familiar with it nor was my family dr.. Am hoping someone that has taken it can pass on an opinion and also how to find a doctor that is aware of this medication.

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It's not approved in the US

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Profile picture for estrada53 @estrada53

Hi everyone. I've had Meniere's since 1992 when I was 39 years old. It caused years of episodes, vertigo and hours of regurgitation. I would literally crawl to the bathroom, because I couldn't walk. I was given diazepam to calm the vertigo, along with nausea medication and all to no avail. I had an episode while driving 60 miles an hour on Lake Shore Drive in Chicago. Nearly killed myself and other folks. Then I stopped using caffeine, lowered my sugar intake and went all low-sodium. I have not had an episode in over 12 years. I do have tinnitus - the ringing in my right ear, where I am now deaf. I wear bi-cross hearing aids. I have tried Lipo-Flavonoid - available at most pharmacies and at Target, etc and online. I did notice a decrease in the ringing. Rehab absolutely worked and I kept the pictures of the exercises on my inside cupboard doors for many years. Whenever I would begin to "feel" the onset of an episode I would begin the exercises. Retraining the brain. Hope this helps someone.

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I'm 52 yr old male, MD started about 4 years ago. The first year was rough, had multiple vertigo episodes. Ringing in my right ear was very loud for about 6 months. I used a cream called Promethazine that I rubbed on my wrist and it would stop the nausea and help me sleep. I too changed my diet and most of it went away. I went gluten free and that helped a lot. I also watch my sugar intake of "fake" sugars. You need calories so I use real sugar or natural additives. I tried the stay off salt thing and felt like dying because I was scared to eat anything. I lost 40 lbs in about 3 months because labels scared me. Then one day I said the heck with that and ate a whole pizza and nothing happened. So for me, salt is not an issue. Actually, your body has to have salt to survive. I use a product called Real Salt. Caffeine does make me feel more tight in my head sometimes because it constricts the blood vessels. Haven't had a vertigo attack in 4 yrs, thank God. I am dizzy at some point during the day, but nothing too bad to affect my everyday life. If I'm feeling real tight in my head, it's usually allergies and I take some Sudafed or Advil and that helps. I try to stay active and keep the blood going. Your mental attitude is 100% crucial to live a normal life. You have to move everyday and get going. Hot showers help get my head clear in the mornings. Try to eat small meals throughout the day. If find eating too much at one setting is not good. I eat mostly healthy foods, organic when I can. STRESS is a killer! You have to learn not to take life so seriously. Stress makes my head feel full. I'm a believer in God and that helps me to calm down and know he is in control. I also get a little loopy when I don't get enough sleep. I find that staying on a routine as much as possible helps a lot. I had ringing in my right ear and a little still today. I finally lost hearing in that ear. I have five children and a wife at home and it was getting harder to hear them. So I got a hearing aid and it's been a game changer for me. It was expensive, $3,500 for one. But, it has helped me hear so much better! I don't have balance issues any more and it muffles the ringing so I don't even hear it anymore unless its really quiet, even then it's minimal. It's also help my sanity when in noisy rooms to be able to know where the sound is coming from. The ear doctor told me that they are seeing patients more and more that don't fix their hearing with aids having dementia later in life because they had one ear doing all the work for years and the brain just can't handle that forever. Doctors are great to help you diagnose your issue, but from what i've experienced you have to find a lifestyle that works for you. So for me....cut out stress, find a support group in a church, family, work....eat as healthy as you can and use real salt, but have some tea or ice cream every once in awhile if you can tolerate it. Try going gluten free or dairy free....don't eat anything out of a box or processed can food....stay away from high fructose corn syrup.... get a routine going.....walk, run, play.....laugh! Everyone has some type of aliment in their life, we are not alone, we were just the lucky ones to have MD! Hope this encourages whoever reads this that it does get better and if you do have bad days, it's not the end of the world and you are not going to die! Be strong, life is a gift.

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Profile picture for eagleputton18 @eagleputton18

I've had MD for about 4 years now, only had vertigo episodes for the first year. Just dizzy every now and then. I did finally lose about all my hearing out of my right ear that was attacked. It was becoming harder to hear and function. So I did break down and get a hearing aid. It has helped so much. They put a rubber filter on it and I don't hear any ringing when it's on. It has also helped my balance and being able to stay in a room with lots of noise. The ear tech also told me that they are seeing a high number of people who don't fix their ear with a hearing aid have dementia later in life. It's due to you making your brain have one ear do all the work, it's too much for the brain to process over a long period of time. Don't let the cost get you. I got one and it was around $3,500. Cheap ones won't work. I find that a single Sudafed or Advil help on days of stuffiness. Most days I just let it run its course and it goes away. Much worse when I have a cold or allergies. Stay strong! MD sucks....lol

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I have a lot of experience with hearing aids. I find the best ones for me are the kind that sit behind your ear and use a skeleton ear mold. This keeps the ear canal mostly free so no more wet ears inside the ear canal, no more itiching, no more ear infections, no more hearing loud noises when you chew your food! I love them. It’s true that you will have to pay around $3,500 for a good quality one but the cheaper ones were no good for me.

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Profile picture for savanah10 @savanah10

I hope you are able to hang in there with the hearing aids. I was told the first week of use you will hear yourself speaking and it will sound odd; the next week your voice will sound more normal but other voices will sound odd and finally everything will sound more normal. The goal was to wear them for 2 weeks, 12 hours -14 hours a day. The audiologist was correct, after two weeks, I adjusted and liked them.

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Resound hearing aids are going back. The hearing in R ear is gone & aids don’t help. I don’t see how it helps my brain if it doesn’t even improve my hearing.
The hearing in L ‘good’ ear has hyperacusis so the aid makes noise too loud.
The aid can’t overcome the loudest days of tinnitus. The options / hearing aids are not helpful.
The only thing I like is I can stream music into my ears but still can’t hear it in R.
If anyone happens to read this and has any suggestions as to seeing a different Dr such as neurologist or has been helped by acupuncture please lmk. Thanks.

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Profile picture for eagleputton18 @eagleputton18

It's not approved in the US

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Someone on this forum had suggested a compounding pharmacy. I haven’t looked into this drug but I have had other drugs made for me at that place. The dr does have to write a script. Surely they can look it up. Good luck 🍀

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Yes, I have been on Betahistine now for approx. a year for bilateral Meniere's. I believe it has had some effectiveness, but as with everything we try for Meniere's, actual differences can be difficult to discern due to the fluctuating and episodic nature of Meniere's. But so far, so good.. I take a 16 mg capsule of Betahistine twice a day as prescribed for me by my ENT. I obtain it from a local compounding pharmacy. Given the drug's relatively benign side effect profile, I think it is worth a try. But as always, talk it over with your medical professionals. Good Luck!

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Have you talked with your ENT about Third window syndrome? I had the surgery in my left ear 2 years ago and it stopped the vertigo attacks but did not improve hearing loss. It is diagnosed with an MRI. This is a newly approved surgery and not all ENTs do it. My Dr specializes in Menieres and was excited that he could provide this for me when the MRI showed this condition.
I have had Menieres for 20 years right ear and 4 years left ear. I’m 77 and now my total hearing loss is severe. I just got new Phonak Lumity 7 hearing aids and I’m pleased so far.

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In reply to Passerby...
I feel your frustration with one sided deafness and hearing aids. When I had SSHL in my right ear, I kept searching for treatment and solutions for over a year praying every day that my hearing would either return in full or partially, all in vain. I did try the acupuncture for a few months, but it did not restore any of my hearing. Since I was paying for the sessions, I had them treat for both sciatica and hearing. The acupuncturist was very thorough and knowledgeable. The sciatica did improve drastically, but alas, not the hearing. Of course, that does not necessarily mean it would not work for you.
Initially I went through the MRIs and two rounds of steroid therapy and every test they had for the hearing loss. Sometimes there just aren't any answers.
Ultimately, I obtained a Cochlear Osia 2 processor. Although this did not restore my hearing as I knew it, it does assist in word differentiation and directional hearing which has been very helpful in my social interactions and day to day living. I wish you luck in your search for a solution. Just find a very good audiologist to assist you, preferably one associated with an ENT who is current on hearing solutions other than regular hearing aids.

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Profile picture for joyces @joyces

Reply to a post by december 1011 on the hearing discussion list:
First, Meniere's Disease (and most inner ear diseases) are extremely difficult to diagnose, beyond the training that ENTs get. As a result, 80% of those diagnosed with Meniere's actually have something else; and new diseases continue to be identified. I've had Meniere's most of my life, although it wasn't formally diagnosed until I was in my 40s (and stopped taking birth control pills, i.e., hormones). I was sent to an ENT who patted my hand and said, " Now, now, Dearie, just quit your silly job, take Valium, and stay in bed." Although at that time (36 years ago) allergies had been recognized as often contributing to the hell of Meniere's, he simply shrugged off my question about allergies with, "I don't believe in them." I often wished I could go back and punch him out. <g> Fortunately, my own primary doc, who often fished with my husband and me back then, said we had to find a decent answer. At that time, because the crises I was having had come on with increasing intensity within a day of the onset of a period, we had a very good clue about what triggered the worst days: low hormone levels. We spent four years floudering around before we found a safe combination of estrogen and progesterone; in less than a month after starting taking both daily, I quit having V&V (vertigo and vomiting) crises--I had been having them as often as 3X/week.

Because my primary doc assigned me the task of learning everything I could and bringing articles to him to review, I learned a great deal about Meniere's. I also found an online discussion group and was one of the moderators for decades, until FB pretty much replaced it. Since I'm a book designer/publisher by profession, I nagged VEDA into doing three books about inner ear disease back in the mid 90s;
"Meniere's Disease, What You Need to Know" was the first book published in the US about the disease. So, I ain't a doc, but I've learned a great deal, both from my own experiences and from moderating a group of so-called Menierians. Here are some basic facts:
1. If possible, see a neurotologist, esp. if you believe a diagnosis will fix things. (It won't, so it may not be worth that effort.)
2. Before taking that step, start a diary or calendar. Note the kind of day you've had AND even the slightest deviation from what's normal for you, especially in terms of diet, stress, rest, weather, exercise, travel, etc. Regardless of what actual disease you may have, you will learn that something or things trigger the really bad days. Once you find your personal trigger, you need to eliminate it or figure out a way to make it a less important part of your life.
3. If you do see a specialist, ask about these diseases that are commonly misdiagnosed as Meniere's: MAV (migraine associated vertigo), sticky platelets, and BPPV (benign paroxysmal positional vertigo). Note that many true Menierians also have BPPV, by the way.
4. Understand that your lifestyle/profession will lay a role in what you are most concerned about--hearing or balance (vertigo). I was an active amateur musician 40 years ago, so the hearing problems really bothered me--I had to quit playing entirely, as it was simply too painful and I didn't feel that I was able to hear well enough to be a part of an ensemble or orchestra. If I had been a tightrope walker, I would have been more concerned about balance issues. (Duh!)
5. True Meniere's involves both hearing and balance. It usually is unilateral (one-sided) when it begins and may well never affect the other ear by going bilateral. The percentage of true Menierians who eventually go bilateral is fairly small, so that's encouraging. (I note that, after 35 years of learning to live with an active unilateral case, I went bilateral, losing most hearing in my "good" ear in an instant. The balance issues came later.) Hearing is less not being able to hear than having both recruitment and distortion. Recruitment means that many sounds, especially sharp, loud ones or constant background noise (like the fans on our wall heaters or the dishwasher) are magnified to unbelievable degrees; a sudden sharp sound like my dog's bark, simply slices through my head like a knife. Distortion makes it impossible to understand what is being said even though you can hear that someone is speaking. Not only do hearing aids not help either of these problems, but it may be impossible to wear an aid if you have a great deal of both recruitment and distortion. The balance issue means that at some point you will have V&V episodes, often lasting for several hours each. Some docs rely on the ranges where you've lost the most hearing to diagnose Meniere's, but that is far from infallible. There is no test to prove conclusively that you do have Meniere's. You will probably have an MRI to rule out an acoustic neuroma, a tumor on the acoustic (hearing) nerve.
6. Years ago, the usual recommendation was a nerve section: cutting the vestibular nerve. This had a 20% chance that you'd never be able to walk again, so I rejected it. It also doesn't deal with balance issues. I also has an excellent chance of leaving that ear totally deaf. Nerve sections are almost never done today. There were also shunts, which drained away the excess fluid believed to be the culprit. One of the early astronauts saved his career by having a shunt. They were very popular 30 years ago, but often failed after a few years. Today, perhaps the best solution is a cochlear implant because it bypasses the part of your ear that makes it impossible to hear--but you still would need to deal with balance issues.
7. MOST IMPORTANTLY, find an expert VRT specialist (vestibular rehab) and DO THE EXERCISES EVERY DAY. Lots of people say that they have done VRT but it didn't help. In my experience, anyone who truly does the work will see will improvement. When your primary inner ear balance system fails, you automatically begin to rely on vision for balance: doing that leads to severe vertigo, because every time your move your head or drive around a corner, you lose your focal point. Your faulty inner ear is saying one thing, while your vision says something else, and you become the battlefield with V&V crises. You will need to do VRT EVERY DAY FOR THE REST OF YOUR LIFE--no cheating, no days off. Even though I'm now bilateral and am 79, I still do difficult instream fisheries data collection in a wild little river that lots of college students have found to be a real challenge. Due to my age, I move more slowly; due to Meniere's, I move more carefully, especially while wading; I no longer routinely do the most difficult instream surveys, leaving those for the younger, fitter folks, but I'm the only one who does all the work in the five miles of the lower river, which means a minimum of hiking/wading 3.5 miles each day that I spend on the river. I wouldn't be able to do this if I didn't do VRT every stinking day, spend some time walking in the dark, etc.
8. If you are having V&V crises, do NOT ever go to the ER. There's really nothing they can do, and all the bright lights, questions, requests to do this or that, only make matters far worse. Just the business of being moved to the ER will prolong the crisis. Let everyone around you know this, so that some helpful person doesn't try to pack you up and transport you to the ER.

Good luck!

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Joyces, what is VRT WHICH MUST BE DONE EVERY DAY?

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