Optimizing the pharmacological component of integrated balance therapy

Revista Brasileira de Otorrinolaringologia

Silva, Maria Leonor Garcia da¹  Universidade Federal de São Paulo, Brasil¹  Ganança, Maurício Malavasi¹  UNIBAN¹  Ganança, Fernando Freitas¹  Munhoz, Mário Sérgio Lei¹  Serafini, Flavio¹  Universidade Bandeirante de São Paulo¹  UNIFESP¹  Caovilla, Heloisa Helena¹  Ganança, Cristina Freitas¹  Universidade Federal de São Paulo¹ 

关键词: meniereÂ’s disease/therapy;    labyrinth diseases;    dizziness;    vertigo.;   

DOI  :  10.1590/S0034-72992007000100003

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Drug treatment is an important option for the treatment of peripheral vestibular diseases. AIM: To identify the drug component associated with optimal integrated balance therapy (IBT) for MénièreÂ’s disease or other peripheral vestibular disorders. MATERIALS AND METHODS: Analysis of a series of patients with MénièreÂ’s disease patients or patients with other peripheral vestibular disorders that received IBT involving either no medication or betahistine, cinnarizine, clonazepam, flunarizine or Ginkgo biloba during 120 days. RESULTS: In MénièreÂ’s disease, significant differences were observed for all drug therapies (60 days) versus no medication; betahistine was significantly more effective than all other drugs at 60 and 120 days. For non-MénièreÂ’s disorders, significant differences were observed among betahistine, cinnarizine, clonazepam and flunarizine and no medication after 60 days; all drug therapies were significantly more effective than no medication after 120 days; betahistine, cinnarizine or clonazepam were equally effective and betahistine was more effective than flunarizine and EGb 761. All treatment options were well tolerated. CONCLUSIONS: Drug therapies were more effective than no medication in the IBT for patients with MénièreÂ’s disease or other peripheral vestibular disorders. Betahistine was the most effective medication for patients with MénièreÂ’s disease and was as effective as cinnarizine and clonazepam for other peripheral vestibular disorders.

【 授权许可】

Unknown