GREEN PEACE

During an attack the patient must be perfectly still. An anti emetic drug is valuable but severe cases require a sedative. For long term treatment a vasodilator such as nicotinic acid may be helpful. It may be necessary to use 200 gm of more but as sensitivity varies greatly the initial dose should be 25gm and this is increased progressively until flushing of the skin is caused. Hydrops of the endolymph canal maybe reduced but restricting salt in the diet. If these measures are not effective sedation with phenobarbitone 30gm thee or four times a day is the best prophylactic. Destruction of the labyrinth by surgery ultrasonic, or division the eighth nerve maybe required in rare cases.