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To assist with vertigo and balance problems, glycopyrrolate has been found to be a useful vestibular suppressant in patients with Ménière's disease. [ 21 ] Diuretics , such as the thiazide-like diuretic chlortalidone , are widely used to manage MD on the theory that it reduces fluid buildup (pressure) in the ear. [ 22 ]
Ménière's disease is characterized by episodes of vertigo, worsening hearing loss, and tinnitus. A comprehensive hearing and vestibular evaluation is essential for proper diagnosis of Ménière's.
Dizziness affects approximately 20–40% of people at some point in time, while about 7.5–10% have vertigo. [3] About 5% have vertigo in a given year. [10] It becomes more common with age and affects women two to three times more often than men. [10] Vertigo accounts for about 2–3% of emergency department visits in the developed world. [10]
The study found that the majority of patients with Meniere's disease (104 out of 163, or 63.80%) presented vertigo with their first symptoms, and only 59 out of 163 (36.19%) of patients presented with cochlear symptoms first, such as "tinnitus or deafness."
Each episode of vertigo typically lasts less than one minute. [3] Nausea is commonly associated. [7] BPPV is one of the most common causes of vertigo. [1] [2] [8] BPPV is a type of balance disorder along with labyrinthitis and Ménière's disease. [3] It can result from a head injury or simply occur among those who are older. [3]
Cinnarizine is predominantly used to treat nausea and vomiting associated with motion sickness, [6] vertigo, [8] Ménière's disease, [9] or Cogan's syndrome. [3] It is one of only a few drugs that has a beneficial effect in the chronic treatment of the vertigo and tinnitus associated with Ménière's disease.