The first line management for pseudotumor cerebri typically involves weight loss and medications. Weight loss is often recommended as it can help to reduce intracranial pressure, which is elevated in this condition. A low-sodium diet and medications such as diuretics may also be prescribed to help reduce fluid retention and decrease intracranial pressure. In addition, acetazolamide, a medication that reduces the production of cerebrospinal fluid, may be used to treat pseudotumor cerebri. Regular monitoring of symptoms and vision is important, and in some cases, surgical interventions may be necessary if medical management is not effective.