Inclusion Criteria:  Adults 18 years of age or older Must meet all AAO-HNS 2020 criteria for definite Meniere's Disease Must have a skin test positive for allergy Is already a candidate for treatment with montelukast for allergic rhinitis/failed first line over-the-counter allergy treatments  Exclusion Criteria:  Had a previous surgical procedure for treatment of vertigo Currently receiving any allergy immunotherapy or taking montelukast or a beta-blocker Pregnant or recent pregnancy ((≤ 8 weeks postpartum), or lactation) Current hospitalization for any reason Any active, acute, or chronic pulmonary disorder other than asthma History of intubation for asthma