Which medications are used in the treatment of vestibular neuronitis?

Updated: Jul 16, 2018
  • Author: Keith A Marill, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Several types of medications have been used to treat vestibular neuronitis. Treatment generally has been based on responses of patients with motion sickness, a related condition. Few controlled studies exist; treatment is often empiric. The results from one trial suggest a 3-week course of methylprednisolone tapered from 100 mg down to 10 mg daily may reduce long-term loss of vestibular function. Despite the evidence of viral infection in at least some patients, valacyclovir was found not to be helpful alone or in combination with methylprednisolone in the same study. [12] Conversely, other small outpatient trials suggested possible enhancement of early recovery but no long-term benefit from a course of steroid therapy. [13, 14, 15, 16] A rigorous Cochrane review that included four trials found no significant difference in the symptomatic resolution of vertigo at 24 hours, and no clear benefit in long-term recovery, though the sparsity of high quality data was noted. [17]


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