Allergy, Immunotherapy, and Alternative Treatments for Dizziness
- PMID: 34294437
- DOI: 10.1016/j.otc.2021.05.020
Allergy, Immunotherapy, and Alternative Treatments for Dizziness
Abstract
Allergic reactions may result in central symptoms of dizziness, including nonspecific chronic imbalance, Meniere's disease, and autoimmune inner ear disease. Excepting first-generation antihistamines, and short-term use of steroids, most pharmacotherapies used to treat allergic rhinitis have limited benefit in treating allergically induced or related dizziness. Allergy immunotherapy and/or an elimination diet for diagnosed food allergies have been found to be effective treatments. Individuals diagnosed with autoimmune inner ear disease remain challenging to treat and may require high-dose, long-term steroid treatment, biologics, or immunomodulators for symptom control.
Keywords: Allergy; Autoimmune inner ear disease; Dizziness; Immunotherapy; Meniere disease.
Copyright © 2021 Elsevier Inc. All rights reserved.
Conflict of interest statement
Disclosures The authors have received a grant from the House Ear Institute and the CURES foundation for a clinical trial of the use of montelukast in patients with allergy who also have been diagnosed with Meniere disease.
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