Difference In Effectiveness Of Fixed Combination Of Cinnarizine 20 Mg And Dimenhydrinate 40 Mg With Betahistine Dihydrochloride 16 Mg In Patients With Meniere's Disease
Keywords:
Meniere disease , cinnerizine , dimenhydrinate , betahistineAbstract
Meniere's disease (MD) is a disorder of the inner ear characterized by hearing loss , tinnitus , and vertigo . In most cases , the disease is slowly progressive and has a significant impact on the social functioning of the affected individual. Hearing loss , tinnitus , and vertigo is common symptomatic complaints with many potential causes , but Meniere's disease is actually quite rare and is essentially a diagnosis of exclusion . This research uses a literature review method by tracing the results of scientific publications in the time period between 2012 and 2024 using 3 databases , namely : Google Scholar , PubMed , and ScienceDirect . A search strategy based on PICO suggests that the fixed combination of cinnarizine and dimenhydrinate is a safe and possibly better treatment options for patients . a combination of cinnarizine and low dose dimenhydrinate is a good choice for treatment . Dimenhydrinate has been proven to be effective in reducing the DHI score and sub- score of GVP sufferers , meaning that combination drugs administration is considered more effective for treating Meniere's disease when compared to monotherapy .
References
Past Head of ORL & Head and Neck Surgery Hopital Nord, Aix Marseille University, Marseille, France, Magnan J, Ozgirgin ON, Department of Otolaryngology, Bayindir Hospital, Ankara, Turkey, Trabalzini F, Department of Otolaryngology, Ospedale Pediatrico Meyer, Firenze, Italy, dkk. European Position Statement on Diagnosis, and Treatment of Meniere’s Disease*. Int Adv Otol. 16 Agustus 2018;14(2):317–21.
Zou J, Zhao Z, Zhang G, Zhang Q, Pyykkö I. MEFV, IRF8, ADA, PEPD, and NBAS gene variants and elevated serum cytokines in a patient with unilateral sporadic Meniere’s disease and vascular congestion over the endolymphatic sac. Journal of Otology. Juli 2022;17(3):175–81.
Gürkov R, Jerin C, Flatz W, Maxwell R. Clinical manifestations of hydropic ear disease (Menière’s). Eur Arch Otorhinolaryngol. Januari 2019;276(1):27–40.
Asadi P, Zia Ziabari SM, Majdi A, Vatanparast K, Naseri Alavi SA. Cinnarizine/betahistine combination vs. the respective monotherapies in acute peripheral vertigo: a randomized triple-blind placebo-controlled trial. Eur J Clin Pharmacol. November 2019;75(11):1513–9.
Jalali MM, Gerami H, Saberi A, Razaghi S. The Impact of Betahistine versus Dimenhydrinate in the Resolution of Residual Dizziness in Patients with Benign Paroxysmal Positional Vertigo: A Randomized Clinical Trial. Ann Otol Rhinol Laryngol. Mei 2020;129(5):434–40.
Nayoan CR. EFEKTIVITAS DIMENHIDRINATE MENURUNKAN SKOR DAN SUB SKOR DIZZINESS HANDICAP INVENTORY PADA PENDERITA GANGGUAN VESTIBULER PERIFER. 2019;6(3).
Plescia F, Salvago P, Dispenza F, Messina G, Cannizzaro E, Martines F. Efficacy and Pharmacological Appropriateness of Cinnarizine and Dimenhydrinate in the Treatment of Vertigo and Related Symptoms. IJERPH. 30 April 2021;18(9):4787.
Scholtz AW, Hahn A, Stefflova B, Medzhidieva D, Ryazantsev SV, Paschinin A, dkk. Efficacy and Safety of a Fixed Combination of Cinnarizine 20 mg and Dimenhydrinate 40 mg vs Betahistine Dihydrochloride 16 mg in Patients with Peripheral Vestibular Vertigo: A Prospective, Multinational, Multicenter, Double-Blind, Randomized, Non-inferiority Clinical Trial. Clin Drug Investig. November 2019;39(11):1045–56.
Scholtz AW, Waldfahrer F, Hampel R, Weisshaar G. Efficacy and Safety of a Fixed-Dose Combination of Cinnarizine 20 mg and Dimenhydrinate 40 mg in the Treatment of Patients with Vestibular Vertigo: An Individual Patient Data Meta-Analysis of Randomised, Double-Blind, Controlled Clinical Trials. Clin Drug Investig. September 2022;42(9):705–20.
Scholtz AW, Steindl R, Burchardi N, Bognar-Steinberg I, Baumann W. Comparison of the Therapeutic Efficacy of a Fixed Low-Dose Combination of Cinnarizine and Dimenhydrinate with Betahistine in Vestibular Neuritis: A Randomized, Double-Blind, Non-Inferiority Study. Clinical Drug Investigation. Juni 2012;32(6):387–99.