Should Tinnitus Sufferers Worry About Paracetamol/Ibuprofen/Codeine?

I'm not a doctor and that's definitely a question best reserved for a specialist. I know that the anti-biotics that end in "mycin" are typically used to treat resistant infections and are not first line antibiotics, usually. My dad was a diabetic and had infections in his feet, which were MRSA. He had to be put on vancomycin, a pretty strong intravenous antibiotic. He had multiple treatment regimens of it over the course of several months. He only complained to me about his ears popping and cracking and ringing about a week before he died. At least with all the suffering he had he didn't have to put up with tinnitus really.

 

Grace... Have to chime in here, as this is 'hot topic' of mine.

Be very careful with antibiotics (or any med that has ototoxic potential). I'm really not kidding when I think this is the tip of an iceberg in regard to 'general new or increased tinnitus' in people, where no connection is made to a drugs + sound combo they were exposed to.
To me it is a very, very real fact. Not only with myself TWICE, but with a number of people I know personally. And c/o friends who have told me about a friend of theirs who got T with a '"drug + sound" combo (include Ibuprofen here on the drug side). These people have sometimes contacted me even though strangers, to ask about T, etc...So it is not 'anecdotal'.
Drugs + Loud Sound + T (or potential T) = we are in the Dark Ages still!

OK, to the drugs part....A real pity you are triggered by the 'cillins, as they are generally OK for T, or at least compared to the aminoglycosides, etc. (the 'mycins'). I agree with Hudson that you should get professional opinion from a doctor BUT, also from my experience, I often know more than most docs about certain esoteric aspects of some conditions. That is purely through hard experience. Lots of research. And the suffering being the fuel for it all.
hell a lot of docs here in the USA are just too busy and see too many patients to keep it all together. It's nuts. Also Tinnitus is not really that much on their radar unless you continually repeat the fact that it is a MAJOR concern for you. Even my very, very good doc "forgot" it was in my chart (when I was too out of it and brain dead to bring it up). I have three doc friends too, one my best friend, so we can be very candid about what 'really goes on' and it is like anything else. Screw ups are a regular feature of human endeavour. I sure paid dearly.

My point?! BECOME YOUR OWN EXPERT! It's what I have done. I know at times I may need antibiotics for instance, so I have researched and tried some when needed them (like bronchial infection, or tick bite that could have carried Lyme, etc.), to check. All the 'mycins even at very low teaser doses start increasing my ringing. I stop IMMEDIATELY. I know that time + drug can = permanent increase in volume. No doubts. (It's a real shame as Zithromax - Azithromycin is killer good at eliminating bronchial crud quick time, and Amoxycillin, which does not increase my T, does absolutely zero...Just an example). So if scour the lists and find those with no hearing signature, and then tell my docs what I want if I want it. They know me well enough not to argue as they know I know more than them on this. (Not boasting here, just reality....just like there's a lot of people on this board who know a helluva lot more about T than the majority of audiologists, whose business it is to know this stuff).

As I've pointed out before, I find the drugs.com list works for me better than the 'almost everything causes tinnitus' lists that are linked here, or other "ototoxic drugs" sites. I am not bad-mouthing those! Not at all. It's just they can be so restrictive that it is almost impossible to find a med for a condition you need it for.
If there is no mention of any 'hearing stuff' or 'auditory stuff' in the drugs.com "Side Effects" list of the drug you are looking up...then good. BUT then go to the "Professional" section lower down (keep scrolling down) and look under 'Nervous System'. Often it says tinnitus in there, or some other hearing thing, but not in the main list! Go figure???!!!
If it mentions anything in either of these two places I give that drug a miss, or treat as potentially dangerous with a "hearing signature" (my term for potential hearing/T/auditory kukka).

Hope this helps. I suggest doing the research before you need an antibiotic not after! (By the way Doxycycline works well for me with no effect on my T. and beat the pants off Amoxycillin for that chest/bronchial infection I mentioned).

Good luck! Zimichael

 

Hi all
Another codine related question ... Anyone had rikodeine? (For stubborn dry coughs)

 

Has anyone taken Toradol with no affect on T?

 

Hi

I have experience with codeine, paracetamol, and ibuprofen after T onset. None of them caused even a temporary spike. I think ibuprofen is potentially ototoxic, but for real risk of ototoxicity you need to be taking fairly high dosage regularly for at least a couple of weeks.

 

Lynn...

(From my 'check first' site - see post further above). Personally I would call this a med with a potential "hearing signature" so to proceed with caution. Slow > of dose rather than full on. See if anything changes with your hearing/T/H.

Here you go:

Listed "Rare" under Consumer Section - (I have eliminated the long list of other possibilities):

• 
  
• hearing loss
• 
  
• 
  
• ringing or buzzing in ears

A summary paragraph in Professional Section (but different layout to normal on this med) = under 10%:

In patients taking Toradol or other NSAIDs in clinical trials, the most frequently reported adverse experiences in approximately 1% to 10% of patients are:


Gastrointestinal (GI) experiences including:
abdominal pain*constipation/diarrheadyspepsia*
flatulenceGI fullnessGI ulcers (gastric/duodenal)
gross bleeding/perforationheartburnnausea*
stomatitisvomiting
Other experiences:
abnormal renal functionanemiadizziness
drowsinessedemaelevated liver enzymes
headaches*hypertensionincreased bleeding time
injection site painprurituspurpura
rashestinnitussweating

 

thanks @Zimichael

 

And I'm sh!tting myself.

In my latest health saga - following on from my Erythromycin thread - I've just been back to the doctors and have been told I have pleurisy (which totally sounds like something from back in the Middle Ages!) but basically I've been told to stay on my antibiotics (amoxil) and start taking ibuprofen for the pain and to reduce the swelling in the lining of my lung.

And unfortunately my safe option of Panadol won't cut it, so it has to be ibuprofen, and I'm scared.

I know I'm taking a low dose - starting with only one 200mg tablet - and I'm not going to overdoes, but still.

Talk some sense into me. I don't really have much choice, I'm in pain and I don't want this to get worse

 

Thanks @erik! You have given me the courage (and confidence) that I needed

 

I think it's stress

 

Having gotten used to my T i have had a massive spike today and have just realised that i have taken 200mg pill of ibuprofen earlier today. That must be linked surely as i had no idea that ibuprofen is potentially ototoxic. Took another 200mg this evening so hope this doesn't cause any long term issues. It's the only medication which soothes my tooth ache.

 

Taken 1000mg paracetamol which is 2 tablets of Paracetamol (each tablet 500mg paracetamol) on one occasion two days ago for headache. 2 days later, reaslised that my T seems to have spiked a bit.

Am I taking too much or should not have taken that?

 

Paracetamol really should effect your t I don't think ... It does not seem to effect me and I tend to take it quite a but.
My dad who has monster T will still take it

 

Anyone had any effects from taking Nurofen?

It's a Codeine/Ibuprofen based painkiller available in the UK/Ireland. I normally take a 200mg pill for a headache(Rare). It seems to be the only thing that will work for me. On Saturday I took a 200mg pill, around a hour later I had a feeling of fullness in my ear and the tone of my tinnitus shifted from it's usual high pitch to a much lower tone. 48hrs later, I'm left with the lower tone. It's no louder or quieter than what I had previously, so I think I should be able to get used to it. But does that rule out taking this painkiller in future? Or was the shift in tone mere coincidence?

If anyone has any experience with this medication I'd be grateful to hear opinions.

Thanks

 

I cannot take any medication with neclofenac (think that is spelled right) , It moght be the only thing i know for sure will spike my T

 

So there’s no bloody painkiller help at all for us people is there......charming !!!!!

 

My best headache reliever - drink many cups of hot water.....all day long if necessary....

 

Has anyone taken Toradol (Ketorolac) without a permanent increase in tinnitus?

I have a severe injury and need to bring down the inflammation. The ER doctor wrote me a script for Toradol, which is stronger than Tylenol. I’ve been using topical steroids but they are not helping and it’s been weeks. They want me to take the Toradol 3 times a day so I’m worried but this injury is worse than the tinnitus. I just don’t want the tinnitus to increase because I will be more unable to sleep and that will affect the healing process of the injury, and I have a loud MRI appt coming up too.