What should we do next for my 76-year-old father, who has an inner ear condition (Meniere's disease) and takes Betavert OD-24 and Selgin daily, since he had a sudden, severe attack of spinning dizziness and throwing up today after 10 months of being symptom-free, and despite receiving ONDEM and PAN IV injections to stop the throwing up, he still has such extreme dizziness that he cannot sit up or turn over in bed?
I am so sorry to hear your father is experiencing such a severe flare-up. It is reassuring that the vomiting has stopped with the IV ondansetron and pantoprazole, but the persistent, extreme dizziness is very distressing. Since he cannot sit up and takes daily selegiline (Selgin), please contact his ENT specialist or neurologist immediately for a prompt evaluation. They may temporarily adjust his betahistine (Betavert OD-24) or safely prescribe a short-term vestibular suppressant. For now, keep him lying completely still in a quiet, dimly lit room, avoiding sudden head movements. If he develops slurred speech, weakness, or confusion, please seek emergency medical care right away.