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Betahistine Mesilate

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At a glance

Betahistine Mesilate is used to prevent and treat Meniere's disease by improving blood circulation in the inner ear and relieving symptoms of vertigo, tinnitus, and hearing loss.

Description

Betahistine Mesilate is used to prevent and treat a disorder of the inner ear known as Meniere's disease. The symptoms include dizziness (vertigo), ringing in the ears (tinnitus) and loss of hearing, probably caused by fluid in the ear. This medicine helps relieve the symptoms by reducing the amount of fluid.

Betahistine Mesilate should be swallowed whole with water and taken at the same time(s) each day to get the most benefit. Your doctor will decide what is the correct dose to relieve your symptoms and how often you need to take it. You may need to take this medicine for several months and you should take it for as long as you prescribed by your doctor, even if you start feeling better.

The most common side effects include headache, feeling sick and indigestion (dyspepsia). You may also get stomach pain and bloating. Taking the medicine with food can help reduce stomach problems. Before taking this medicine, you should talk to your doctor if you have a stomach ulcer, asthma or high or low blood pressure. You must also tell him/her what other medicines you are taking, to make sure you are safe. Also speak to your doctor if you are pregnant, trying to become pregnant or breastfeeding.

Indications
  • Meniere's disease
  • Meniere's syndrome
  • Peripheral vertigo
Therapeutic class

Drugs used in meniere's diseases

Pharmacological class

Histamine analog

Pharmacology

Betahistine Mesilate dilates precapillary sphincters, increasing the blood flow in the inner ear. It controls the permeability of capillaries in the inner ear, thereby removing endolymphatic hydrops. It also improves cerebral circulation, increasing blood flow in the internal carotid artery. Thus, Betahistine Mesylate is clinically useful for the relief of vertigo and dizziness.

Betahistine Mesilate increases microcirculation blood flow in the inner ear, and removes endolymphatic hydrops of the inner ear. It also significantly increases the blood flow of the internal carotid artery.

Mechanism of action

Betahistine improves the microcirculation in the labyrinth which reduces endolymphatic pressure.

Dosage

Adults: 1 to 2 tablets three times per day after meals. The dose may be adjusted according to the age of patient and severity of symptoms.

Administration

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Betahistine Mesilate may be taken with or without food, but it is better to take it at a fixed time.

Missed dose

If you miss a dose of Betahistine Mesilate, skip it and continue with your normal schedule. Do not double the dose.

Side effects
  • Headache
  • Nausea
  • Dyspepsia
  • Stomach pain and bloating
  • Vomiting (rare)
  • Skin rash (rare)
Precautions & warnings
  • You have been prescribed Betahistine Mesilate to relieve vertigo (dizziness), hearing problems and tinnitus (noise in the ear) associated with Meniere's disease.
  • It can only decrease the number and severity of attacks but may not completely stop them.
  • Taking it with food can help reduce stomach problems.
  • Take it at the same time each day to maintain a steady amount of the medicine in your body.
  • Inform your doctor if you have a history of stomach ulcer, asthma, or low blood pressure.
  • Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
  • Do not stop taking the medicine suddenly without talking to your doctor first.
Contraindications
  • Phaeochromocytoma
  • Porphyria
  • Hypersensitivity to betahistine mesylate or any component
  • Peptic ulcer
  • Acute bronchial asthma
Drug interactions
  • Antihistamines: Betahistine may antagonize the effects of antihistamines.
  • Beta-2 agonists: Betahistine may decrease bronchodilator effects of beta-2 agonists.
Food interactions

[SAFE] Consuming alcohol with Betahistine Mesilate does not cause any harmful side effects.

Use in pregnancy

[CONSULT YOUR DOCTOR] Information regarding the use of Betahistine Mesilate during pregnancy is not available. Use only if the expected therapeutic benefit outweighs any possible risk.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Use in lactation

[CONSULT YOUR DOCTOR] Information regarding the use of Betahistine Mesilate during breastfeeding is not available. Please consult your doctor.

Pediatric use

Not recommended for use in children and adolescents below age 18 due to lack of safety and efficacy data.

Geriatric use

Dose adjustment may be needed for elderly patients. Use with caution.

Renal / hepatic impairment

[SAFE IF PRESCRIBED] Probably safe to use in kidney disease. Limited data suggests dose adjustment may not be needed.

[CONSULT YOUR DOCTOR] Limited information available on use in liver disease. Consult your doctor.

Overdose effects

Consult your doctor if symptoms of overdose occur.

Storage conditions

Store in cool and dry place. Protect from light & moisture.

Common questions

What is Betahistine Mesilate?
Betahistine Mesilate is used to prevent and treat Meniere's disease by improving blood circulation in the inner ear and relieving symptoms of vertigo, tinnitus, and hearing loss.
What is Betahistine Mesilate used for?
Meniere's disease, Meniere's syndrome, Peripheral vertigo.
What is the dosage?
Adults: 1 to 2 tablets three times per day after meals. The dose may be adjusted according to the age of patient and severity of symptoms.
What are the side effects?
Headache, nausea, dyspepsia, stomach pain and bloating. Rare: vomiting, skin rash.
Is Betahistine Mesilate safe during pregnancy?
Information is not available. Consult your doctor.
How should Betahistine Mesilate be stored?
Store in cool and dry place, away from light and moisture.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.