Non sedating anti emetic
Other medications that may be prescribed are steroids (e.g., prednisone), antiviral drugs (e.g., acyclovir), or antibiotics (e.g., amoxicillin) if a middle ear infection is present.
If nausea has been severe enough to cause excessive dehydration, intravenous fluids may be given.
Because the pathways that control and stimulate these bodily reactions are complex, the effectiveness of the various types of drugs differs depending on the patient and the source of the discomfort.
In addition, few studies exist that demonstrate the effectiveness of using particular antiemetics to treat specific conditions.
Physicians generally find that most patients who fail to compensate are either strictly avoiding certain movements, using vestibular suppressants daily, or both. These produce asymmetric input into the central vestibular apparatus or asymmetrical central processing.However there are also nicotinic receptors, as well as M1 and M5 (Soto et al, 2013).In the CNS, the N or P/Q type are the ones that participate in neurotransmitter release.The use of medication in treating vestibular disorders depends on whether the vestibular system dysfunction is in an initial or acute phase (lasting up to 5 days) or chronic phase (ongoing).
During the acute phase, and when other illnesses have been ruled out, medications that may be prescribed include vestibular suppressants to reduce motion sickness or anti-emetics to reduce nausea.
The NMDA receptors determine the basal discharge and tonic response (Soto et al, 2013).