Later disease often is associated with a flat sensorineural loss. The caloric test, which involves stimulation of fluid movement within the semicircular canals using warm or cold water, is most reliable in determining the involved ear. Vestibular testing may be normal in early stages of disease. Later, a significant caloric reduction is seen in many patients. Treatment No proven cure for Meniere's.
Most therapy is directed at preventing attacks.
Acute Attacks Reassure that the attack is self-limited. Vestibular suppressant medications are the only medications that have been shown to relieve acute attacks of vertigo. Hydrochlorothiazide is a commonly prescribed diuretic for this purpose. Evidence for effectiveness is not solid, as a strong placebo effect has been shown to exist. Vestibular Suppressants Useful for patients who experience constant dizziness and motion sickness, as well as for acute control of vertigo.