<prompt> Medication which may prevent rapid progression of cochlear Otosclerosis is:SteroidsAntibioticsFluoridesVitamins  <response>: c FluoridesRef. Cummings, 6th ed., 2218In active otosclerosis cases, i.e. when Schwartz sign is present medical management with sodium fluoride Na F decreases the progression by accelerating the maturation and inhibiting proteolytic enzymes.As per the pathogenesis of otosclerosis steroids, antibiotics and vitamins have no role in the management of otosclerosis. 