{
  "schema_version": 1,
  "kind": "condition",
  "id": "vestibular-neuritis",
  "name": "Acute vestibular neuritis & labyrinthitis",
  "category": "chronic",
  "sources": "Egyptian National Drug Formulary - Nervous System Disorders 2025 · Dimenhydrinate 50 mg tablets US OTC drug facts label (DailyMed, Time Cap Labs) · Smith T, Rider J, Cen S, Borger J. Vestibular Neuronitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Last Update: July 21, 2023. Bookshelf ID: NBK549866, PMID: 31751056.",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary - Nervous System Disorders 2025 · Dimenhydrinate 50 mg tablets US OTC drug facts label (DailyMed, Time Cap Labs)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1882,
      "generic": "Dimenhydrinate",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 50.0,
      "adult_dose": "50 mg 3-4 times daily as needed for acute severe vertiginous nausea (max 3 days continuous use)",
      "adult_duration": null,
      "dose_source": "Dimenhydrinate 50 mg tablets US OTC drug facts label (DailyMed, Time Cap Labs)",
      "rationale": "Short-term antiemetic vestibular suppressant strictly limited to initial 48-72 hours so as not to impair central compensation",
      "cautions": [
        "Sedation and anticholinergic effects (dry mouth, urinary retention) can occur.",
        "Never above 400 mg in 24 hours.",
        "Alcohol, sedatives and tranquillisers all deepen the drowsiness. No driving until they know how it takes them.",
        "Ask twice before giving it in glaucoma, prostatic enlargement with difficulty passing urine, or chronic lung disease - it is an anticholinergic antihistamine and all three get worse."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "children 6 to under 12 years: give 1/2 to 1 tablet every 6-8 hours; do not give more than 3 tablets in 24 hours. children 2 to under 6 years: give 1/2 tablet every 6-8 hours; do not give more than 1 1/2 tablets in 24 hours.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": 24.0,
      "peds_age_max_months": null,
      "peds_age_bands": [
        {
          "label": "2 to under 6 years",
          "age_min_months": 24,
          "age_max_months": 71,
          "dose_text": "Half a tablet every 6 to 8 hours, and no more than one and a half tablets in 24 hours"
        },
        {
          "label": "6 to under 12 years",
          "age_min_months": 72,
          "age_max_months": 143,
          "dose_text": "Half to one tablet every 6 to 8 hours, and no more than 3 tablets in 24 hours"
        }
      ],
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "DRAMENEX 50MG 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA",
          "price_egp": 28.0,
          "pack_count": 20,
          "unit_price": 1.4,
          "strength_mg": 50.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "vestibular-neuritis"
    }
  ]
}