Propofol-Interrupted Tinnitus Later Suppressed by Amantadine: a Case-Report

http://www.ncbi.nlm.nih.gov/pubmed/23426878?dopt=Abstract

 

Interesting find Joejunior! I will post it here


J Clin Pharmacol. 2013 Mar;53(3):356-8. doi: 10.1002/jcph.6. Epub 2013 Feb 20.
Propofol-interrupted tinnitus later suppressed by amantadine: a case-report.
Dardennes R, Al Anbar N, Rouillon F.

Source
Faculty of Medicine, Paris Descartes University, Paris, France; Sainte-Anne Hospital (CMME), Paris, France; Center of Psychiatry and Neuroscience, Sainte-Anne Hospital, Inserm U894, Paris, France.

Abstract
Tinnitus is a frequent condition without consistently effective remediation. Mr V. was a 64 year old man with Behcet's disease, a generalized systemic relapsing vasculitis. Tinnitus appeared in 1998 and he had been both aware and distressed by his tinnitus 80% of his awake time. After his last colonoscopic examination, he mentioned a transient interruption of his tinnitus. Mr V. only received propofol, an anesthesic drug that selectively down-regulates glutamatergic synaptic transmission. Amantadine, another glutamate antagonist, was later prescribed and durably suppressed tinnitus. Systematically inquiry about post-anesthesia effects on tinnitus may help decide if amantadine may be tried on an individual basis.

 

How did you find this?

 

Hi Calin, I occasionally use this tool

http://www.authormapper.com/search.aspx?q=Tinnitus

 

i dont know if Propofol or amantadine have been assessed before for tinnitus?

 

I too have read that anestesia suppresses tinnitus! It makes sense that it would by calming the nerves down.
Although the study I read stated that it was an epidural of lidocaine that worked.

 

interesting, i too found that after anesthesia my tinnitus was suppressed

thanks joejunior for the find
best
mt

 

Mock turtle how long did the suppression last after the anestesia. The study I read used lidocaine through an epidural and I think the suppression was permenant. I will look at it again.

 

propofol is anesthesia but dont think amantadine is? has anyone heard of it in relation to tinnitus ?

 

http://www.ncbi.nlm.nih.gov/pubmed/23426878?dopt=Abstract

Does anyone know of any ongoing or upcoming research into the possible use of this compound to treat tinnitus? It would be interesting to see if a clinical trial was/is initiated.

 

I should have been more specific, I was referring to the amantadine. I guess I wouldn't consider propofol to be any kind of treatment any more than I would diamorphine.

 

I wonder why these studies are not picked up by experts and commented on in a formal way, and if considered promising advanced further. The process seems to be too random.

 

It's random because tinnitus is a low profile disease with inadequate funding. Only two research and policy groups are focusing on tinnitus: the ATA and TRI. And they are small compared with other medical and policy groups. Fortunately for us, the Dept of Defense is now giving this disease serious attention because of tinnitus is a major cause of disability for new veterans.

Three clinical studies are currently testing Amantadine for various illness, none are tinnitus related. There's also many smaller trials going on with Amantadine and traumatic brain injury.

Tinnitus needs higher visibility and institutional/pharmaceutical sponsorship to investigate the various drugs that have shown promise in either attentuating or curing the disorder. There's more than a dozen drugs over the past 10 years that should be investigated.

 

Sorry to dig up a 2 year old thread. I was doing some reading up as I am having surgery under anesthesia this week and found the full case report of the abstract in the OP. What interested me most was the quote below:

A carryover effect was then observed as tinnitus reappeared only 3 months after treatment removal. For the last 3 years,Mr. V. had been free of tinnitus with 1-month amantadine treatment every 4 months.

Perhaps we can have our own TT trial of amantadine

Full case report below:

Also some useful info on Amantadine
Amantadine uses and side effects
Amantadine, Old Flu Drug, Speeds Brain Injury Recovery: Study [Huffington Post]

 

Just to report back, I came out of theater just over 24 hours ago after being sedated under general anesthetic (propofol) for 2 and a half hours. On coming around and throughout the day, there was no increase in tinnitus and sadly no temporary cessation of tinnitus either apart from a really sore throat

Like in this article, the subjects tinnitus disappeared for 11 days meaning glutamate excitotoxicity played a role in his tinnitus. This goes goes to show as in my case, there are various etiologies of tinnitus and what may work for one person may not work for another. This is really important when it comes to analysing trial drug efficacy and people who are on the trial whose tinnitus etiology is completely different to what the drug is targeting may not see any positive results and thus cause a trial drug being unnecessarily banished which may actually cure some cases of tinnitus with a specific etiology.

 

I recently had an auto. accident where my vehicle was slammed in the rear. I had a severe concussion, whip lash & back pain. For the back pain, I had a lumbar epidural of 2 medications and the T went completely silent for about 2 days. I also couldn't fall asleep for 36 hrs, so that was bad. When it wore off, I had the worst lumbar spine headache for 24+ hrs. and the T came back 10-fold. It was just awful!!! Its since subsided to its normal 5-6. I would never have this procedure done again.

 

Could you also inform us with a little bit more information about your experience:

1. Which 2 meds were injected?
2. For how long did you have tinnitus?
3. What is the character of your tinnitus (pitch, both sides/one side, constant/changing etc.)?

Note For everyone else: please describe your experience with all the details. This is important for researchers that might visit the forum.

 

The lumbar injection shot had 2 medicines; Lidocaine & methylprednisolone. Pretty standard in the US I've been told.
My Tinnitus life-sentence year is on my profile; since 2008. My 9th anniversary was May 2017.
The pitch is usually rather high and the volume varies. I base it on 1-10. when its a 6 or under, I can tolerate it and am able to basically ignore it. I perceive the sounds in my head & both ears as a buzz or hum, high pitched squeak, sound of a vibrating motor, etc. I'm blessed with a variety show.