Menieres Disease Treatment Pathway

[shaikha]

What is the general management plan for patients with MD in the UK?

Is there any evidence around the management plans, or is it based around local policies?

Thank You.

[Bugaluggz]

As far as I am aware it is mainly based on local policy and the preferred treatment of the consultant. Most cases I am aware of are generally treated with dietary restrictions to begin with before medical interventions (drugs/gentomycin injections) are considered. I think this is because it's still a very grey area as far as true diagnosis is concerned.

[Guy]

For starters, how about http://www.cks.nhs.uk/menieres_disea...idence#-288505
and
http://www.cks.nhs.uk/menieres_disease#-288405

Like you I am waiting for more posts - particularly for evidence on the effect on MD of salt, fluids, caffeine, wine, chocolate etc. I suspect the latter few are red herrings and may have their origins in the inability of clinicians to distinguish MD from vestibular migraine. Having said that, I believe a recent systematic review on migraine dismissed the usual suspects as not significant.

[shaikha]

[QUOTE=Guy;5257]For starters, how about http://www.cks.nhs.uk/menieres_disea...idence#-288505
and
http://www.cks.nhs.uk/menieres_disease#-288405

QUOTE]

Thank you