Personal experience regarding increasing Amitriptyline to 20 mg

Yep. If it’s true Menieres it would be very episodic though and result in low frequency hearing loss. You might get away without prophylaxis. SEH and MAV are both continuous and prophylaxis is encouraged for both. One consultant told me ‘take Amitriptyline. I give it to both my hydrops and MAV patients.’

Science has not yet established the etiology of MAV but there is at least one paper that has identified hydrops in MAV patients, see:

http://www.mvertigo.org/t/oh-oh-bingo-this-is-huge-hydrops-found-in-people-diagnosed-with-mav-vm/14336?u=turnitaround