Acute Vestibular Neuronitis Treatment
Treatment for vestibular neuronitis may include bed rest, avoiding sudden changes in position, and medication to control vertigo. In some cases, medication may be required to control nausea and vomiting.
Specific treatment for vestibular neuronitis may include:
- Avoid exposure to bright light.
- Avoid sudden changes in position.
- Bed rest
- Support for poor balance:
- Corticosteroids (prednisone, methylprednisolone):
- May reduce swelling and inflammation in the vestibular nerve
- May help to reduce long-term loss of vestibular function
- May speed recovery
- Medications that reduce vertigo:
- Diazepam (Valium)
- Dimenhydrinate (Dramamine, Dimetabs, Dymenate)
- Diphenhydramine (Benadryl, Bydramine, Hyrexin)
- Lorazepam (Ativan)
- Meclizine (Antivert)
- Promethazine (Phenergan)
- Scopolamine (Scopace, Transderm Scop)
- Prednisone (Deltasone)
- Medications for nausea and vomiting:
Acute Vestibular Neuronitis Questions For Doctor
The following are some important questions to ask before and after the treatment of vestibular neuronitis.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- What else can I do to reduce my risk for having vestibular neuronitis again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Acute Vestibular Neuronitis Specialist
Physicians from the following specialties evaluate and treat vestibular neuronitis:
Continue to Acute Vestibular Neuronitis Home Care
- Gacek RR. The pathology of facial and vestibular neuronitis. Am J Otolaryngol. 1999 Jul-Aug;20(4):202-10. 
- Halmagyi GM, Aw ST, Karlberg M, Curthoys IS, Todd MJ. Inferior vestibular neuritis. Ann N Y Acad Sci. 2002 Apr;956:306-13. 
- Lemajic-Komazec S, Komazec Z. Initial evaluation of vertigo. Med Pregl. 2006 Nov-Dec;59(11-12):585-90. 
- Shupak A, Nachum Z, Stern Y, Tal D, Gil A, Gordon CR. Vestibular neuronitis in pilots: follow-up results and implications for flight safety. Laryngoscope. 2003 Feb;113(2):316-21. 
- Strupp M, Zingler VC, Arbusow V, Niklas D, Maag KP, Dieterich M, Bense S, Theil D, Jahn K, Brandt T. Methylprednisolone, valacyclovir, or the combination for vestibular neuritis. N Engl J Med. 2004 Jul 22;351(4):354-61.