What are the recommended first-line treatments for managing symptoms i

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Recommended first-line treatments for managing symptoms in patients diagnosed with labyrinthitis include:

Consider prescribing a short course (up to 7 days) of prochlorperazine or an antihistamine such as cinnarizine, cyclizine, or promethazine teoclate to alleviate nausea, vomiting, and vertigo symptoms.
If rapid relief is required for severe nausea or vomiting, consider buccal prochlorperazine or a deep intramuscular injection of prochlorperazine or cyclizine.
Advise that medication should be taken for the minimum amount of time possible (usually up to 3 days) to avoid delaying recovery by affecting vestibular compensation.
Benzodiazepines and corticosteroids are not recommended due to lack of evidence for benefit and potential adverse effects.
Hospital admission may be necessary if severe nausea and vomiting prevent oral intake and hydration.

These treatments aim to provide symptomatic relief during the acute phase of labyrinthitis while supporting the body's natural recovery processes.

References: ,

What are the recommended first-line treatments for managing symptoms in patients diagnosed with labyrinthitis?