Mayo Clinic Connect
Has anyone with Meniere’s Disease been prescribed the compound drug Betahistine?
Liked by annekat
Only you yourself have a "feeling" inside (perhaps) that something (food or contact) is just "not right". Myself, just prior to one of my three bad episodes, I had eaten a frozen food "meal" that I had bought at the Dollar Tree. In hindsight, I wonder WHY certain food items sporadically appear at such a low price at such a store. I personally never ever eat "reject" food items like that again! Also, many years before my Meniere's disease hearing loss and extended vomiting/lack of being able to function episodes, I had another type of serious reaction by my body to caffeine: Panic attacks. I could not even tolerate the small amount of caffeine in Excedrin. So for a long time I stopped caffeine and my body stopped the panic attacks. So it made sense to me to QUIT for good the caffeine in my life. For ME, caffeine has never done me a bit of good. And I used to drink a LOT of tea. I don't even drink herbal tea anymore. Not even decaffeinated coffee. NONE of it. I am prepared for another attack by keeping vomit bags and anti nausea medicine in my glove compartment and purse, but since stopping all caffiene and all sodas (diet or regular) (because I used to drink about 3 cans a day!) I have not had another recurrence. I agree with most others that the triggers are different for all of us. WE have to be our own detectives on this. Keep a detailed diary!
Liked by Lisa Lucier, Connect Moderator
@kimhal. This Menieres disease is so puzzling. A couple of rather dumb questions: does your husband have any kind of warning that an attack is coming? In my case, had noises in my ear – sounded like hamburgers frying. No one talks about antivert (meclizine). Is it no longer used or recommended for motion sickness and dizziness? Also, just in case this is allergy-related, have you considered keeping a food/medicine diary? My Menieres was diagnosed as caused by an unknown allergy, but of course there are many different causes. My sympathy to your husband – how well I remember how horrible those attacks were!!
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Meclizine and HCTZ saved me.
Hi, @raym – thanks for sharing what helped manage your Meniere's disease.
More information on the meclizine you mentioned is available on this Mayo Clinic page https://www.mayoclinic.org/drugs-supplements/meclizine-oral-route/description/drg-20075849. Information on the hydrochlorothiazide (HCTZ) is also available https://www.mayoclinic.org/drugs-supplements/hydrochlorothiazide-oral-route/description/drg-20071841.
Will you share what symptoms you were experiencing before you started on these medications, raym, and how they have helped? Have you experienced any side effects with them?
I haven't had a serious episode of vertigo, inability to stand or walk for a number of years. The last episode I had was after a breakfast in a restaurant that included salty bacon and had to have someone take me home. I watch my salt intake continuously and sometimes if I feel like a lightheadedness or nausea coming on, I will take a HCTZ and meclizine. When I first had episodes it would take a week or more to get completely over it. I very religiously minimize my salt intake.
Ray M's post highlights how differently Meniere's affects those of us "chosen" to have it! While low-salt diets have many benefits, only a small percentage of Menierians are sensitive to salt and see improvement by limiting salt intake. It depends upon individual triggers, and salt is only one of several. For me, since my trigger is abnormally low hormone levels, limiting my salt intake did zero for combatting Meniere's–you need to have adequate hormone levels in order for salt to affect your "ability" to retain water, which is why pregnant women with naturally high hormone levels retain water so easily. Again, the first thing all of us need to do is keep a diary showing the kind of day we experienced contrasted with anything (and I do mean anything) out of the ordinary. Over time, you'll find a pattern of activities, food, environmental effects, etc. that points to the thing or things that are triggers for your bad days. Some can be eliminated, while others, like weather or stress for example, require coping skills so that you can deal with them.
@raym . Meclizine(antivert) really helped me initially. I understand there are some negative side effects with this medication, but if it works, it should be considered. A low-salt diet ultimately reduced my episodes of dizziness/nausea, but the salt reduction is not a cure. It's simply an expedient way to reduce symptoms. I limited or eliminated three suspected causes: oats, corn and wheat and I believe that helped. Tracking one's diet, like-style, etc., is an excellent way to find your triggers. Hope some day, an answer will be found, for I am left with hearing loss, tinnitus, ear discomfort, etc., some of which most assuredly are the result of Menieres.
I think you are correct in that salt is not the only thing that can cause water retention.In my case I never did consume much salt, but I did consume a lot of caffiene and diet soda. And in the case of diet soda, I had through the years noted that it caused me to retain fluid; My breasts would feel very full – as they did when I nursed my four children. Strange. Now that I have eliminated caffeine and all soda, I have not had another episode of Meniere's and I do not get that full feeliing in my breasts. I agree that we each have to find our own trigger(s) and it is not necessarily always salt.
Hi @morninglory, thanks for starting this discussion specific to Meniere's Disease. I'm tagging @pedie @trishanna and @huoda to join the conversation.
MorningGlory, are you currently taking Betahistine? Is dizziness or vertigo the symptom you experience the most with Meniere's?
I have Meniere's Disease. No doctor has ever mentioned Betahistine to me. In my case a very low sodium diet has been the most effective. I also take a diuretic. It takes several weeks of following lo so to have it make a difference.
Again, although every Menierian is told to adopt a lo so diet, only some benefit from it. This is not to say that all of us would benefit from reducing our salt intake, as our food is formulated to provide far more sodium than we require, which can lead to high blood pressure and its deadly silent partner, kidney disease. Still, only some with Meniere's will see improvement with a lo so diet. Better to learn what your individual triggers are! As for excess fluid in our bodies, several years ago many of us tried exercise–i.e., working up a sweat, as a way to lose fluid. Whether we had an improved self image due to having done normal things in spite of Meniere's or whether sweating works wasn't determined, but all of us felt better afterwards.
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