Vestibular Disorder

Nutritional Support for Vestibular Disorders

Tom Schnorr, RPh, CCN.

Dietary Manipulations :

          Low salt (low sodium) diet +/- (<1000mg per day)

          Water intake +++(1/2 body wt in ounces [eg.1/2 x 200lbs=100oz (~3 qts)])

          Caffeine restriction ++

          Chocolate restriction +

          Alcohol restriction +/-

          Avoid Ansaids +/- (ibuprofen,naprosyn,celebrex)

Diuretics (Water pills)

          Dyazide; Maxzide (HCTZ),  Diamox , (avoid Lasix, Bumex, Edecrin, Demedex)

Anti-emetic, Anti-nausea and Anti-vertigo drugs

          Meclizine , Phenergan,  Promethazine,  Dramamine, Compazine, Scopolamine patches and gels ,

Vistaril, Torecan, Ginger, Zofran, Reglan, Tigan, Kytril,

 Betahistine ( compounded medication) Betahistine is also reported to increase cochlear blood flow,

 ***(Special price for ALL members of the 360 Balance Support Group $65/#100, $45/#60caps)

Anti-anxiety drugs( Vestibular Sedatives) (GABA Blockers)

          Valium (diazepam) low dose topical compounded, Ativan (lorazepam), Thorazine (chlorpromazine)

Steroids (anti-inflamatory), and Immunosuppressant)

          Prednisone, Cortisone, Dexamethasone, Methotrexate, Enbrel,

Local Anesthetics

          Lidocaine nasal spray (compounded med)

Anti-histamines

          Claritin, Allegra, Zyrtec

Calcium channel blockers and Vasoactive drugs (some Sodium Channel blockers,(Dilantin)

          Lotrel , Norvasc, Caduet, nifedipine, Calan, Cardizem, Niacin

Osmotic Agents

          Glycerol, Urea, Isosorbide

Antiviral Drugs

          Acyclovir, Famvir, Valtrex.

**OTOTOXIC DRUGS  (See attached list)

          Gentamicin, Streptomycin, Tobramycin, Clindamycin, some diuretics, Hg, Environmental exposure, Antibiotics:amikacin (Amikin),streptomycin,neomycin, gentamicin (Garamycin), erythromycin (E-Mycin,), kanamycin (Kantrex), tobramycin (Nebcin), netilmycin (Netromycin), vancomycin (Vancocin), Anti-cancer drugs: cisplatin (Platinol AQ), bleomycin (Blenoxane), vincristine (Oncovin), Diuretics:acetazolamide (Diamox), furosemide (Lasix), bumetanide (Bumex),ethacrynic acid (Edecrine)

Nutritional supplements in the literature

          Ginkgo biloba (80mg 2-3 x day) Ginger (3 x day) Lipoflavinoids (+/-),

Anecdotal experiences:

          Vinpocetine (20-40mg/day but will usually stop working after 3-4weeks, give rest and return)

          D-Hist -1-2cap every 4-8 hrs)

          Vit B2 – 500mg  2 x day x 2-3 months

          Vit B6 – 500mg-1000mg 2 x day x 2-3 months

          NAC 600mg  2 x day x 1 month then daily

          Bromelain/ Quercetin

          Vit C  2000-4000mg /day

          Enzyme therapies, digestive and proteolytic.

          Cucurmin, Tumeric, Garlic,

          Adaptagenic Chinese mushrooms and herbs.

          VertigoHEEL, Homeopathetic 2-3 tabs daily.(Cocculus Compostium)

Finally ,a list of the Nutraceuticals that have  shown promise in promoting healing and supporting optimal health.