Steroids: Prednisone / Dexamethasone / Others (Oral and Injections)

Discussion in 'Treatments' started by tweak, Apr 23, 2012.

    1. IvanRus

      IvanRus Member

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ototoxicity
      Did anyone have skin rashes in the form of pimples from prednisolone?
       
    2. IvanRus

      IvanRus Member

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ototoxicity
      Has anyone had tinnitus after a sharp withdrawal / withdrawal of prednisolone?

      Then it returned to its previous level?
       
    3. Nice
      Bookworm

      Nice Member Benefactor

      Location:
      Bay Area, Ca
      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      Sudden hearing loss
      I just finished prednisone treatment and there's no difference for me. Tomorrow I'm getting an eardrum injection . This will be the first of three injections.
       
    4. Nice
      Bookworm

      Nice Member Benefactor

      Location:
      Bay Area, Ca
      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      Sudden hearing loss
      I don't think the prednisone helped me. It did add to my depression and insomnia.
       
    5. OnTheEdge
      Sneaky

      OnTheEdge Member

      Tinnitus Since:
      2018
      Cause of Tinnitus:
      Headphones/Home Theater
      I took a 6 day course of methylprednisolone for acoustic trauma and it elevated the already present T-tone to the point I could hear it constantly over everything along with mild hyperacusis which subsided the day after I finished my cycle. I should add I was extremely depressed whiler taking it and had suicidal ideation and panic attacks at night over my T. The ringing has lowered and I am less hyper-fixated on it so I'm unsure if the steroids did improve anything since I had no real baseline to go off of except for the day I noticed it but if you receive an increase in your T tone don't fear. I recommend anyone that it is better to be safe then sorry if they have SSHL and immediately go to an urgent care as time is critical and get help, if you have any depressing thoughts realize they are a result of the drug and find comfort through friends and family until you finish your course.
       
      Last edited: Jun 19, 2018
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    6. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      Correlation vs causation?
      Why would the methylprednisolone be responsible for the spike, rather than the acoustic trauma?
       
    7. OnTheEdge
      Sneaky

      OnTheEdge Member

      Tinnitus Since:
      2018
      Cause of Tinnitus:
      Headphones/Home Theater
      I don't know anecdotally I perceived the ringing as louder while I was on methylprednisolone, could just have been me being hyper-aware of it as it's subsided quite a bit to the point where I can tune it out. I hope others fare as well I did in the future.
       
    8. Nice
      Bookworm

      Nice Member Benefactor

      Location:
      Bay Area, Ca
      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      Sudden hearing loss
      Had first eardrum injection today. Ringing is still the same but glad I finally got the procedure done. There was pain when the needle punctured the eardrum. Glad my husband was there to hold my hand. Two more to go.
       
    9. 1MW
      No Mood

      1MW Member

      Tinnitus Since:
      2008 but cured and relapsed from benzos
      Cause of Tinnitus:
      ssnhl/benzos/unknown
      @Nice I had sudden hearing loss and recovered nearly 100% with IV systemic methylprednisolone - high doses > 250mg day for 3 days and after that lower doses and tapering for about 10-15 days.

      Why do you get intratympanic and not IV?
       
    10. John_415

      John_415 Member Benefactor

      Location:
      Netherlands
      Tinnitus Since:
      20-12-2017
      Cause of Tinnitus:
      Noise induced
      I recently had a huge spike in my T, full ear feeling and everything. The low volume sound I had trippled to where I could start hearing it during the day. After that another small spike happend not long after this.
      Within 48 I took my leftover prednison 60mg for 2 days. The sound lowered to a doubling of my base line.
      10 days after onset it was still at double the volume and I got a hold of 10 days worth of 60mg prednison.
      After the second day of treatment the sound lowered to baseline and after finishing the course and now 2 weeks afterward its still on base line. Im really happy with the result and am going to go way more heavily into prevention because my current state could have been way worse. Happy that it worked here.
       
    11. John_415

      John_415 Member Benefactor

      Location:
      Netherlands
      Tinnitus Since:
      20-12-2017
      Cause of Tinnitus:
      Noise induced
      I took vitamin D3 (lifts your mood a bit) and kapikacchu powder (increases dopamine levels) plus took prednison in the morning so it would less impact my sleep in the evening. Next to that I tryed to act really happy all the time even thow I was really grumpy, my side-effects where not so heavy.

      Had the same experience on a previous prednison course, lots of volume increase but then lowering after I stopped, guess thats common.
       
    12. Nice
      Bookworm

      Nice Member Benefactor

      Location:
      Bay Area, Ca
      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      Sudden hearing loss
      Doctor recommendation.
       
    13. lifeisover

      lifeisover Member

      Tinnitus Since:
      2012
      Cause of Tinnitus:
      Concert/ plane+music
      Hi, my doctor prescribed me 80mg, 60mg, 40mg, 20mg, over 4 days. I was hesitant because I have had bad side effects when I took prednisolone 6 months ago several times in short dosages.

      But I still took the 80mg today. And now I am worried beyond hell. I do not want more of the side effects that this drug gave me (muscle weakness). I am so scared and I regret that I took it. My tinnitus is unchanged or feels louder. I went to another doctor today to ask if I can quit ASAP, he said it would be ok for me to stop the one-time dose without tapering. I am waiting now for any side effects to kick in, I am so scared. I don't know what to do. I am already on a short-term anti anxiety med and don't want it to mess with my stress reduction (my tinnitus was panic attack induced)
       
    14. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      This is the root of your problem: you are actively monitoring for any signs of badness. If your ear itches for reasons completely unrelated to Pred, you'll still chalk it up as a Pred side effect and stress over it.

      Relax, the meds will get out of your system naturally in time. The half-life seems to be of a few hours.
       
    15. nesto
      Amazed

      nesto Member

      Tinnitus Since:
      07/2018
      Cause of Tinnitus:
      water slap
      Hi dears,

      Let me introduce my story, I got Tinnitus after jumping into a river from a 5m height and slapping my right ear against the water. That was 18 days ago.

      I went to the ENT 12 days after the onset, she prescribed me prednisone for 5 days (dosis of 100mg first day, tapering 20mg each day during five days). I had kind of a mild T (4/10), but the second and thir day on Prednisone my T became really low (2/10 or even 1/10). The treatment was finished yesterday, and my T came to a level closer to what it was before, maybe a bit lower (3,5 -4 /10).

      Today I had control with my ENT and she told me that the treatment was over, that I shouldn't take more pills and should try to not focus on my T, that it might or might not fade away with time. This was a bit disappointing for me, since prednisone seemed to be working.

      That is why I wanted to ask you guys, should I got back to the GP to ask for a longer treatment on Prednisone ? Or just follow her advise and not doing anything else.
       
    16. dayma
      Inactive

      dayma Member Benefactor

      Tinnitus Since:
      1/6/2018
      Cause of Tinnitus:
      UNKNOWN
      So my understanding is that you take the steroid after an acoustic event or other physical event to lover inflammation. It's a good sign that the steroid did in fact lower your T. In the perfect world I could see taking more steroids but either way it's a good sign!
       
    17. Johan_L

      Johan_L Member

      Location:
      Sweden
      Tinnitus Since:
      05/2015
      Cause of Tinnitus:
      Noise induced
      I visited one of the few doctors focusing on the T/H field in Sweden today (there are not many) . When I asked her about prednisone she said that it is not used as their is no clinical evidence of its effect when there is acoustic trauma however, it is used for sudden hearing loss.

      Which are the reliable studies that disprove her statement (or proves it)? I found this one: http://www.ncbi.nlm.nih.gov/pubmed/19160857
       
    18. Contrast

      Contrast Member Benefactor Hall of Fame

      Location:
      Retrovile
      Tinnitus Since:
      late 2017
      Cause of Tinnitus:
      injury from noxious noise
      this already shows evidence that treating the hearing loss treats the tinnitus.
      obviously predisone has a 1 month window and won't compete compared to hair cell and synapse repair in the future.
       
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    19. Johan_L

      Johan_L Member

      Location:
      Sweden
      Tinnitus Since:
      05/2015
      Cause of Tinnitus:
      Noise induced
      I had my severe trauma 5 weeks ago so I don't expect prednisone to help me this time. But I like to have it at home for when my next accident happens (which might be in 1 day, 1 month, 1 year or 10 years, but it will happen). However nobody here will prescribe prednisone so I would like to argument for it if there is a scientific case.
       
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    20. Natalie Roberts
      Haunting

      Natalie Roberts Member Benefactor

      Location:
      USA
      Tinnitus Since:
      10/2015
      Cause of Tinnitus:
      Pregnancy or mild hearing loss.. Who knows.
      I had an extremely loud MRI yesterday and want to avoid worsening my tinnitus or hearing loss.. I got an urgent care doctor to prescribe me two days of prednisone but I’m not even sure if this is the right duration etc as the urgent care dr didn’t know.. MRI was yesterday. What’s the window for treatment to avoid worsening hearing loss?
       
    21. Striveon

      Striveon Member

      Tinnitus Since:
      08/2018
      Cause of Tinnitus:
      Unknown
      Did the injections help lower your tinnitus? Or how did it work?
       
    22. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      Take them as soon as possible. I don't think 2 days is enough... How many milligrams in each tab?
       
    23. Natalie Roberts
      Haunting

      Natalie Roberts Member Benefactor

      Location:
      USA
      Tinnitus Since:
      10/2015
      Cause of Tinnitus:
      Pregnancy or mild hearing loss.. Who knows.
      50 MG
       
    24. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      I think they should have given you more like for example: 50 mg for 4 days, then 40mg for 3 days, 30mg for 2 days, and 20mg for 1 day.

      At the same time I always wonder why they don't just do an IV and also give a prescription for a week of prednisone...
       
    25. just1morething
      Benevolent

      just1morething Member Benefactor

      Location:
      U.S.
      Tinnitus Since:
      2008
      Cause of Tinnitus:
      barotrauma, noise exposure, TMJ, neck?
      That is a higher dose than they give me. I just started MethylPREDNIsolone 4 mg taper pack. Maybe that version is stronger than prednisone?
       
    26. Natalie Roberts
      Haunting

      Natalie Roberts Member Benefactor

      Location:
      USA
      Tinnitus Since:
      10/2015
      Cause of Tinnitus:
      Pregnancy or mild hearing loss.. Who knows.
      Yeah, the urgent care dr wasn’t too keen on giving it to me at all, I had to basically beg. So she’s only gave me two doses. My neurologist said I can take them although he’s not sure it will help . My tinnitus is much lower today so I’m not sure if it’s necessary, but I suppose it won’t hurt.
       
    27. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      It won't hurt. Just take them.
       
    28. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      Very much similar. Methylprednisolone pack is for 6 days. You are taking it for that amount of time?
       
    29. just1morething
      Benevolent

      just1morething Member Benefactor

      Location:
      U.S.
      Tinnitus Since:
      2008
      Cause of Tinnitus:
      barotrauma, noise exposure, TMJ, neck?
      Yes. For bad static hiss in head/ears and inflammation in neck/TMJ. I had 3 refills on it. I just started last night with full 1st day dose. I seem some better.
       
    30. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      Drink a lot of water.
       
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