Meniere’s Medications Summary
Metoclopramide (Reglan)

• Purpose: Treats nausea and vomiting, especially during vertigo attacks.
• How it Works: Blocks dopamine in the brain’s nausea center and helps stomach emptying.
• Usual Dose: 5–10 mg every 6–8 hours as needed.
• Best Time to Take: Before meals or when nausea begins.
• Common Side Effects:
- Drowsiness
- Restlessness or jitteriness
- Rare: Muscle stiffness or spasms
- Very Rare: Tardive dyskinesia (involuntary movements with long-term use)
• Cautions:
- Avoid long-term use unless directed.
- Use caution if you have mood disorders.

Meclizine (Antivert, Bonine)

• Purpose: Reduces vertigo and dizziness during Meniere’s episodes.
• How it Works: Antihistamine that calms the inner ear’s balance signals.
• Usual Dose: 25–50 mg every 6–8 hours as needed.
• Best Time to Take: At onset of dizziness or before expected triggers.
• Common Side Effects:
- Drowsiness
- Dry mouth
- Blurred vision
- Fatigue or brain fog
• Cautions:
- Don’t mix with alcohol or sedatives.
- May cause confusion in older adults.

Combo Use Tip

• Meclizine = helps with vertigo.
• Metoclopramide = helps with nausea.
• Safe to use together, but monitor how drowsy you feel.