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Review
. 2021 Oct;54(5):1057-1068.
doi: 10.1016/j.otc.2021.05.020. Epub 2021 Jul 20.

Allergy, Immunotherapy, and Alternative Treatments for Dizziness

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Review

Allergy, Immunotherapy, and Alternative Treatments for Dizziness

M Jennifer Derebery et al. Otolaryngol Clin North Am. 2021 Oct.

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.

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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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