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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@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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Can you tell me where I can find the exercises you refer too??????
I would try them without a doubt. Thank you
Morninglory

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@morninglory

Can you tell me where I can find the exercises you refer too??????
I would try them without a doubt. Thank you
Morninglory

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Hello @morninglory ,

I'm sorry to hear that you also suffer from vertigo. Your doctor can probably prescribe Vestibular Therapy if you haven't had it so far. This is a type of physical therapy by a therapist who is certified in vestibular problems such as vertigo.

Here is a link to some vestibular exercises on YouTube which might describe these,
https://www.youtube.com/results?search_query=vestibular+exercises+university+of+michigan
Perhaps @estrada53, can add some more exercises. Have you had any vestibular training?

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@hopeful33250

Hello @morninglory ,

I'm sorry to hear that you also suffer from vertigo. Your doctor can probably prescribe Vestibular Therapy if you haven't had it so far. This is a type of physical therapy by a therapist who is certified in vestibular problems such as vertigo.

Here is a link to some vestibular exercises on YouTube which might describe these,
https://www.youtube.com/results?search_query=vestibular+exercises+university+of+michigan
Perhaps @estrada53, can add some more exercises. Have you had any vestibular training?

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Yes, I had vestibular exercises way back in 1992 when I was diagnosed and occasionally use them when I feel the need.
My main weakness was moving my head in a diagonal position - for example: from left to right and at the same time from gazing up to gazing down - if that makes sense. So I often practiced this when I felt fine to accustom my body to that physical experience without the vertigo.
I'll have to look for my my papers. I used to have it taped on the inside of one of my cabinet doors.
Hope this helps a bit. 🙂

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@morninglory

Can you tell me where I can find the exercises you refer too??????
I would try them without a doubt. Thank you
Morninglory

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Hi Morninglory!
I don't have my exercise page on hand - I'm away from my home right now - but I did find this website with some tried and true exercises.
I wish it were in diagram form, but they are easy enough to follow. And yes, you can do these by yourself. And check out the entire website as well. It's full of great learnings!
Let me know how it works for you!
https://dizziness-and-balance.com/treatment/rehab/cawthorne.html
Ellen

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@hopeful33250

Hello @morninglory ,

I'm sorry to hear that you also suffer from vertigo. Your doctor can probably prescribe Vestibular Therapy if you haven't had it so far. This is a type of physical therapy by a therapist who is certified in vestibular problems such as vertigo.

Here is a link to some vestibular exercises on YouTube which might describe these,
https://www.youtube.com/results?search_query=vestibular+exercises+university+of+michigan
Perhaps @estrada53, can add some more exercises. Have you had any vestibular training?

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This is where my neurologist sent me: https://www.fyzical.com/

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@kneetzy

This is where my neurologist sent me: https://www.fyzical.com/

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Hello @kneetzy and welcome to Connect. I see that you have posted about your journey with vertigo. If you would like to share more, it would be interesting to know how long you have dealt with vertigo. Also, how did the clinic you referenced in your post help you?

Do you still practice exercises for vertigo?

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I had several falls, so, my neurologist decided I may need physical therapy for balance. I had been having tinnitus and dizzy spells for a while. I went to Fyzical Therapy for six to eight weeks for balance. Unfortunately, I have a fused disc and two ruptured disc in my back. The therapy really works your core and in turn, hurt my back. The therapy is wonderful and I wish I could have continued. It makes you more cognizant of you balance when the dizziness starts. I still practice the exercise.

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I live in Europe, my doc prescribed Betahistine, hard for me to say whether is has worked or not. I have symptoms like fullness in ears, sometimes pain, occasionally slight off-balance and in the evenings when going to bed also tinnitus. I have not been diagnosed with MD or hydrops, however they will likely be some connection. Possibly also Eustachian Tube dysfunction. I wonder if any of MD patients experience ear fullness (unpleasantly clogged, pressured ears) and pain? Thanks!

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@december1011

My symptoms are pretty much always present but severity does fluctuate . I have vertigo, tinnitus, feeling of pressure and hearing loss..

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My symptoms are ear pressure, fullness and occasional tinnitus. Any tips on how to cope with ear pressure/clogged?

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@phillipflippo

Before I get to my ultimate 2 questions, I wanted to provide a little background on my current state. I have for 7 years been trying to discover what has been happening to me, I feel light headed, nausea, dizziness, vertigo, motion causing me problems, confusion, and ultimately, I feel as if I have a permanent concussion. Most days I spend the first half of my day laying in a dark room hoping my medicine will work today and I can just be calm. With ingesting lorazepam during the day and Seroquel at night, I can’t even begin to function. I cannot drive a car and cannot work since my condition worsened in early 2018, even simple tasks are almost unbearable to perform.

I have been on over 24 different medications, seen 6 flavors of specialists (14 total doctors/specialists), and spent years trying to pin down what is wrong with me and recently (3 months ago) I finally had someone who thought they might know what is happening with me. So, I have recently been given, by two separate ENTs a definitive diagnosis and definitive denial of the diagnosis of Menieres Disease. Basically, I had one local ENT Doctor review my records and within about 15 min of asking me a variety of health-related questions, was absolutely certain that I had Menieres Disease. He conducted a variety of balance, coordination, and reflex tests (all of which I did very well at) and then scheduled for me to have an ECOG ran the subsequent Saturday to “definitively identify” whether or not I had Menieres. Even my father arrived to check in with me (around halfway through my appointment) having the ENT Doctor repeat his certainty of having discovered what has been ailing me for all these years (Menieres). The ENT Doctor discussed with me that Menieres was very curable and that treatment would consist of first cleansing the body of sodium (low/no sodium diet) and potassium (and adding back the potassium, see medications below) for a period of 3-6 months, if no improvement is had then I would receive a series of steroid injections over the course of a month, if this did not help then I would receive a specialized surgery (Endolymphatic Shunt Surgery).

He then prescribed me the following being certain of my condition (I will not take either until I have reconvened with Dr. Boston):
a. Acetazolamide ER 500 MG
b. Potassium Chloride ER 10MEQ

After having this uplifting appointment I began to review his provided documentation and look harder into the disease to learn more about it. To my growing dismay it seemed somewhat evident, based on information from multiple sources (and the Mayo Clinic’s website more specifically), that I did not fit the profile for Menieres Disease. More specifically the Mayo clinic defines 2 sets of information that made me feel uncertain of my new, seemingly premature, diagnosis:
1. The Mayo clinic defines a set of criteria in order to be diagnosed with the disorder as follows (my responses underneath):

a. Two episodes of vertigo, each lasting 20 minutes or longer but not longer than 24 hours: I have had more that 2 episodes of vertigo (an at least weekly occurrence) but my condition does not ever “come-and-go” it is ever present.

b. Hearing loss verified by a hearing test: I have had a recent hearing test and my hearing registered as good.

c. Tinnitus or a feeling of fullness in your ear: I have much more frequent tinnitus than I ever used to in my life (3 times a day or so in both ears) but I absolutely do have a feeling of fullness in my ears at all times (can pop my ears repeatedly without end).

d. Exclusion of other known causes of these problems: I am not certain what this would entail so I cannot speak to this.

2. The Mayo clinic discusses the use of the ECOG in regard to identifying Menieres Disease as follows:
"Electrocochleography (ECoG): This test looks at the inner ear in response to sounds. It might help to determine if there is an abnormal buildup of fluid in the inner ear, but isn't specific for Meniere's disease."

I now, at this point, even have another specialist who is certain I am suffering long term issues related to a series of traumatic brain injuries and certainly not Menieres. So, my 2 questions are:

1. Is there anyone else who seems to have the symptoms of Menieres Disease, but the symptoms never come and go, they are around at all time (never better never worse)?

2. I am currently already scheduled to come to see a Mayo Clinic in AZ this coming January (ENT Department), but if the Doctors in that department clear me of the diagnosis of Menieres, will they work with me as a team to ensure I get the help I need from the right (different) department(s)? Basically, it terrifies me of the mere prospect of me going all the way to AZ, have ENT issues ruled out, and then not be able to have a group of medical professionals continue to work with me until we figure this issue out (no matter what specialties are needed).

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How did your situation turn out a few years later - Menieres or some different diagnosis?

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