It’s taking over my life
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My symptoms have been awful for over a year now. I was finally diagnosed with Ménière’s in January this year but have had it since 2011, with five years in remission until last year. I take Betahistine and Cinnarazine three times a day plus Buccastem for attacks.
My problem is that I’m getting to the point where I hardly dare go out alone. So far I’ve cancelled a concert I was going to and I was supposed to be going to my daughters next week but I’ve cancelled that too. We’ve got a holiday in New York booked for the end of October and are seriously thinking of cancelling that because I’m scared of what might happen if I have an attack on the plane or in the city. I’m annoyed with myself but equally don’t know if I can risk going.
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pat69697 june52650
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NeddyO june52650
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It seems that a common factor is the relatively low dose of betahistine many are taking. Also it needs at least a month to work.
My consultant, having confirmed the diagnosis, and noting that I was not fully controlled tripled my dose from 16mg to 48 mg three times daily, and told me if I remained attack free for 6 months I should then wean myself off. That strategy worked and I had a full remission period of 21 months.
His advice was also that if the warning signs of MD returning occurred (Ear fullness, unstable tinnitus, dizzy spells) to not wait for a full blown attack but go straight back on the high dose and increase it further if necessary. The reasoning for this is that each major attack is very likely to cause further hearing loss which is not reversible.
When I got the warning signs again I did as advised. The signs subsided over 2 or 3 days which was good but about 6 weeks later I had a sudden vertigo attack for a couple of minutes which left me feeling unsteady and unwell. I always carry buccastem and took one straight away – fortunately that worked OK. As a result I increased my betahistine dosage to 64mg tds . The consultant confirmed that I was correct and advised I could go to even higher dose if needed to get full control. I was able to again wean off after 6 months and the current remission period is now 2 years. However I maintain a stock of betahistine so that I can react quickly if trouble recurs and always carry Buccastem, Stemetil and Stugeron
This seems to be a very effective strategy.
Suggest you ask your consultant to review your dosage. Good luck.