Just got back from my doctor visit and after some discussion, he said that my MM does not seem to be well "controlled." (no kidding?) I could have told him that without the 1 hour drive and office visit fee. However, I did want to talk to him about anti-virals anyway. He initially suggests two possible courses of action: 1. Increase the Beta-Histine from 8mg 2 times a day to 24mg two times a day. 2. A Laby (explains the procedure, removal of everything, loss of hearing, etc.) I respond with a question, "What do you think about anti-virals?" He says he has no problem with trying them, if that's what I want to do, even though research is "unclear." I'm thinking to myself, "is anything about MM NOT unclear?" (laughs) I told him I've been talking to a number of people on a MM forum and that AV's have helped some, others not so much, but I want to try ANYTHING that may possibly reduce/eliminate symptoms before I go under the knife again (I had an Endolymphatic Sac Decompression in Sept, 2017 that didn't do anything.) Anyway, we decide together to increase the Beta-Histine and try the AVs for a few months and see where we are then. All in all a good visit for me.
I'll make a phone call to the Doctors office. I have an issue with the script anyway, it calls for 2 per day and is 30 pills, but its a 1 month script? You'd think a surgeon could do simple math? THANKS!
Here is a post I made years ago (which Vicki reposted) with a collection of research papers giving a scientific basis for antiviral meds treating MM. http://menieres.org/talk/index.php?topic=14.msg36#msg36 Here is another paper with a scientific basis for antifungal meds treating MM. http://www.papadisc.com/MM_Nystatin.pdf
My understanding with Betahistine/Serc is that it is far more effective when spread over the day. His idea of 24mg twice a day would be more effective as 16mg three times a day. This coincidentally is the standard dosage in the UK. Across Continental Europe much higher doses are known, but again spread out and not concentrated. Serc is believed to help blood flow in the inner ear. A function mimicked within the JOH regimen by vinpocetine I believe. AVs can help if your own particular brand of Meniere’s is the result of inflammation from a viral insult.