Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which medication is commonly used for symptomatic relief in Meniere's disease?

1. Hydrochlorothiazide

2. Lasix

3. Corticosteroids

4. Antihistamines

The correct answer is: Lasix

In the management of Meniere's disease, symptomatic relief can often be enhanced through the use of certain medications, particularly those that address the symptoms of vertigo and nausea experienced by patients. The choice of Lasix (a loop diuretic) is notable as it works by reducing fluid retention and helping to decrease the pressure in the inner ear, thereby alleviating some of the symptoms associated with Meniere's disease. This condition is characterized by episodes of vertigo, tinnitus, hearing loss, and a feeling of fullness in the ear, which are believed to be related to fluid imbalance within the inner ear. By using Lasix, clinicians aim to manage the fluid dynamics that contribute to these symptoms, making it a common choice in this context. While hydrochlorothiazide is also a diuretic that can be used in the treatment of Meniere's disease, it is typically less potent than Lasix and may not provide the same level of symptomatic control. Corticosteroids can be beneficial in reducing inflammation and may be used in some cases, but their role is more about managing acute exacerbations rather than routine symptomatic relief. Antihistamines can help with nausea and vertigo but are generally considered adjunctive therapies rather than first-line