What do you take for

Here in Europe, for severe vertigo, sometimes you get prescribed for a short term Tanganil 500mg in different dosage.

Example:
2x Tanganil 500mg 3 times per day. No longer then 1month(but there are cases where they take it for years at a lower dose).
It’s work for many, it’s will take 1-2 days or maybe a week(rare) to build up in your system but it’s help a lot. At hospital they can even do you an intravenous which is way more faster.

P.S: Why you can’t tolerate antihistamines? What’s your body reaction?

Hope this info will help you and I wish you will be cured soon to escape from this war with our bodies!
All the best from a stranger

 

I take Ativan as needed for things like medical appointments too. I find it works really well, but I don't want to risk having to take a higher dose if the .5 dose stops being enough. I take Valacyclivor daily as well. I also just started taking Sertraline ( I'm on day 2 because I was feeling pretty good and didn't want to take it when I first got the prescription in January). Since I just started it, I can't really say if it works, but there are some helpful people on the forum who use SSRIs and they have shared their experiences. I will let you know if it works! It's also a treatment for Persistent Postural-Perceptual Dizziness (PPPD).

 

Hi Verti,..I have been dealing with Menieres for several years now. When the attacks first started I thought I I would never be able to live a somewhat normal life, ever again. I saw several ENTs and read everything I could. I had dexamethasone injections in my ear, which helped grealty for the first year, but the vertigo came back. I then saw a specialists who prescribed "Betahistine". The prescitpion had to go to a Compound pharmacy, as Betahistine is not on the U.S. FDA approved list. Since the Betahistine, I have been having fewer attacks. But, important, is to also start a daily diary of what you eat, with particular emphasis on sodium intake. I have found that reducing my sodium intake to around 1,200mg per day make a big difference in my daily life. Additionally, I also met with a physical therapist that specialized in nerve disorders, and she helped to make sure my "Crystals" in my ears were in place, so as not to create additional issues for my menieres. In short, Betahistine ( you'll need to see a doctor ), reduced sodium, making sure my ear crystals are in place, and meeting with a physical therapist that is familiar with Meniere's patient to assist with a regimen of balancing exercises has helped me immensely. maybe it will help you. talk to your ENT about it. I hope this helps you. meclizine doesn't work for me either.

 

Hi! Just wondering if you’re better after taking the Sertraline?
I’m going to ask my ENT if it can help me with my PPPD that I have for months after a strong vertigo attack.
Thanks

 

Hi Arturo,
Yes! I definitely feel a difference. I've been taking Sertraline for 8 months. I started at 25mg for a few weeks and then went up to 50mg and then to 75mg. I went back down to 50mg because that seems to be the perfect dose for me. I no longer feel weird walking in grocery stores or in open spaces, and I don't feel like I'm walking on a ship. It has also helped tremendously with the overall anxiety that comes with MD. I just got back from having my teeth cleaned at the dentist and didn't take an Ativan because I was not anxious and worried about having an attack. I have stopped ruminating and hyper-focusing on that feeling of constantly worrying about vertigo.

I would recommend trying it - the side effects are only at the beginning and were pretty mild for me. Keep in mind that it takes time to work. Good luck!

 

Thank you very much for the information

 

For some reason I couldn't copy the link, but you can find this online.
Efficacy of Selective Serotonin Reuptake Inhibitors in Meniere’s Disease Treatment

• September 2025

DOI:10.4103/indianjotol.indianjotol_116_25

• License
• CC BY-NC-SA 4.0

Authors:Mohammed Radef Dawood

Abstract
Background Meniere’s disease (MD) is a inner ear disease, where its pathophysiology remains unclear, despite the availability of various treatment options, managing symptoms effectively remains a challenge, recently, selective serotonin reuptake inhibitors (SSRIs) had garnered attention. Objectives To assess the efficacy of SSRIs in managing the symptoms of MD. Patients and Methods Observational studies were conducted on 46 adults’ patients, where diagnosed with MD, which were assessed by oto-neurologic examination, audiological tests, and inner ear magnetic resonance imagining (MRI), patients were received SSRI (sertraline), then analyzed for their impact on vertigo, tinnitus, and hearing loss. Data were extracted and pooled to assess the therapeutic outcomes associated with SSRI, treatment in MD. Results Female (58.69%), male (41.31%), mean age was 38.451 ± 1.74 standard deviation (SD), duration of the disease 36.27 ± 1.68 SD months, (100%) was unilateral, overall improvement of average hearing threshold (89.13%) being; at a low frequency (91.30%), mean dizziness handicap inventory score before treatment 57.32 ± 10.48 SD, dropped to 13.47 ± 9.86 after treatment, the mean tinnitus handicap inventory score 69.79 ± 1.45 SD before treatment, then it became 29.57 ± 1.21 SD at 6 months after treatment, normal inner ear MRI (100%). Conclusions SSRIs significantly reduce frequency, and vertigo attacks, tinnitus, hearing loss, so, it a promising adjunctive in MD management.

 

I put the Ativan under my tongue when the room starts spinning; it shortens the attack significantly. My dr was very firm that I take it only after the attack starts.
I personally had great response to the valcyclovir program. I wish that it had been something offered to me early on before so much of my hearing was damaged; but since I finished the initial load dose (extended by 4 weeks with dr approval) I am on 1x/day. The ear pressure was the first to lift. At risk of jinxing myself, only 1 minor spin attack in the past couple of years!
I also go to an upper cervical chiro (Nucca/Blair/Upper Cervical, different names). I believe it has played a key role.
Good luck!