Which statement best describes the management of Menière’s disease according to the material?

• A. Antihistamines (Meclizine) as first-line
• B. Diuretics as first-line
• C. Steroids as first-line
• D. Beta blockers as first-line

Answer: (A)

The key idea is controlling vertigo symptoms right away. In Menière’s disease, the immediate goal during an episode is to suppress the vestibular system to reduce spinning and nausea. An antihistamine with anti-vertigo effects like meclizine does this effectively, providing rapid symptomatic relief during attacks, which is why it’s described as first-line in the material.

Longer-term management to reduce recurrence usually includes measures that affect endolymphatic fluid, such as a low-sodium diet and diuretics, but these take time to work and aren’t as immediately helpful for an acute spell. Steroids or intratympanic steroids may be used if symptoms persist or in certain cases, and beta blockers aren’t standard first-line for this condition. So, starting with a vestibular suppressant like meclizine aligns with the approach described in the material for initial management.