Meniere’s disease
Treatment of Meniere’s disease
Consider prescribing a short course of treatment (7 days). If symptoms deteriorate, or do not improve after 5-7 days, reassess.
Prochlorperazine
Prochlorperazine 5mg tablets
5mg 3 times daily, increased if necessary to 30mg daily in divided doses, dose to be increased gradually.
Prochlorperazine 3mg buccal tablets
One or two tablets twice a day.
Cinnarizine
Cinnarizine 15mg tablets
30mg 3 times daily.
Prescribing Notes:
- Betahistine and thiazide diuretics should be reserved for prophylaxis in patients with a proven diagnosis of Meniere’s disease.
- Long-term metoclopramide and prochlorperazine may cause tardive dyskinesia in the elderly.
- OLDER PATIENTS: Prochlorperazine should not be prescribed for “dizziness” in older patients due to the risk of drug-induced parkinsonism, postural hypotension and mental confusion.
History Notes
11/05/2023
Prochlorperazine 5mg/5ml oral solution removed as discontinued.
15/06/2022
East Region Formulary content agreed.