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

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

    1. Liam_Cairns

      Liam_Cairns Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Originally loud Music and was worsened by Micro-suction
      Yeah mine is in the UHF, but I have no hearing loss I can hear up to 19 k at 5db and have been retested twice, man tinnitus really works in mysterious ways. But yeah if you have any more question seriously hmu just cause I would hate to see you get a worsening from something like that
       
    2. Danton

      Danton Member

      Tinnitus Since:
      12/2018
      Cause of Tinnitus:
      Loud ear phones.
      Hey liam, I live in the brisbane area and was wondering which clinic had that quiet MRI, I've been having funny feelings in my left hip 4 weeks after doing a week course + taper predniosone 6 days after noise exposure, I was doing insanely well until, 3 days ago where I went to a moderalty loud party with ear protection, and woke up with a raging buzz, I got scared and it didn't really improve this morning so in my weakness I took a 64mg dose of prednoisone, I realize that was a mistake, How high of a dose did you take that you stopped cold turkey from?, Does anyone know if I should take 30 tomorrow, then 14 to taper off or just stop cold turkey, Need help.
       
    3. Liam_Cairns

      Liam_Cairns Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Originally loud Music and was worsened by Micro-suction
      Hey Danton it is at the QE2 Hospital QLD Xray department. It is a private machine tho, so even with Medicare you get nothing back unless you have ever been an inpatient at QE2.

      Oh and I would personally not take anymore in your position.
       
      • Informative Informative x 1
    4. Arseny
      Wishful

      Arseny Member

      Tinnitus Since:
      2018
      Cause of Tinnitus:
      Possibly from problems with blood flow
      I had intramuscular injections.
      I had first course after a spike due to MRI, I think it helped a bit.
      Other two were combination of spikes due to noise exposure and allergies, mostly allergies. Thankfully I feel better now.
       
    5. racerfish
      No Mood

      racerfish Member Benefactor

      Tinnitus Since:
      2005
      Cause of Tinnitus:
      Noise / T worsened with antiobiotics
      What happened when you took the 64 mg dose?
       
    6. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      Apparently you can get it after subsequent acoustic traumas while you are still in the acute stage.
       
    7. Marko Nakovski
      Bored

      Marko Nakovski Member Benefactor

      Location:
      North Macedonia
      Tinnitus Since:
      27.04.2017
      Cause of Tinnitus:
      Loud music
      @Arseny Can you take those kinds of steroids only in the beginning stage of hyperacusis or isn't the timeframe of one's onset important? If so, the same applies for HBOT?
       
    8. Liam_Cairns

      Liam_Cairns Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Originally loud Music and was worsened by Micro-suction
      You got a source for this?
       
    9. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      An ENT told me.
       
    10. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      Also, that would make sense, new damage is acute in nature. Dexamethasone is proven to help in the acute stage.
       
    11. Liam_Cairns

      Liam_Cairns Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Originally loud Music and was worsened by Micro-suction
      Wait hold up sorry I misread your comment, when you say "you can get it" do you mean hyperacusis?
       
    12. Danton

      Danton Member

      Tinnitus Since:
      12/2018
      Cause of Tinnitus:
      Loud ear phones.
      I got pain in all through my legs, then a new one on my right hip, Unfournatly the hip pain continued after I stopped, now both my hips have pain in the sockets and I'm deathly afraid I got AVN (Necrosis) all I can do keep weight off the joints and see the doctor.
       
    13. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      do they not give it at ENTs?
       
    14. Liam_Cairns

      Liam_Cairns Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Originally loud Music and was worsened by Micro-suction
      Intratympanic injections of Dex but oral is normally Pred.
       
      • Agree Agree x 1
      • Informative Informative x 1
    15. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      Why isn't everyone in the acute stage of noise induced hearing loss being given Dexamethasone injections??????????
       
      • Good Question Good Question x 1
    16. Marko Nakovski
      Bored

      Marko Nakovski Member Benefactor

      Location:
      North Macedonia
      Tinnitus Since:
      27.04.2017
      Cause of Tinnitus:
      Loud music
      @JohnAdams What's the timeframe for acute stage? Is it 3 months or 6 months? I want to try it in order to improve my hyperacusis ...
       
    17. dpdx
      Disappointed

      dpdx Member Benefactor Hall of Fame

      Location:
      Murica
      Tinnitus Since:
      Onset:09/23/2017 Worsened: 1/17/2018
      Cause of Tinnitus:
      Acoustic Trauma, worsened by caloric test/VEMP test 90db nhL
      how many months have you had severe h?
       
    18. Marko Nakovski
      Bored

      Marko Nakovski Member Benefactor

      Location:
      North Macedonia
      Tinnitus Since:
      27.04.2017
      Cause of Tinnitus:
      Loud music
      @dpdx In general I have hyperacusis for 3 months and 1 week. My first 3 weeks were very severe, next 1 week little improvement, something like between severe and moderate, next 2 and a half weeks moderate then some setback (I don't know the cause, maybe car horns) and worsening, then after new year very severe for the past month, especially in the last 2 weeks. I would like to try these steroids.
       
    19. dpdx
      Disappointed

      dpdx Member Benefactor Hall of Fame

      Location:
      Murica
      Tinnitus Since:
      Onset:09/23/2017 Worsened: 1/17/2018
      Cause of Tinnitus:
      Acoustic Trauma, worsened by caloric test/VEMP test 90db nhL
      Do you have sound sensitivity or ear pain/burning?
       
    20. Arseny
      Wishful

      Arseny Member

      Tinnitus Since:
      2018
      Cause of Tinnitus:
      Possibly from problems with blood flow
      I think the time frame is very limited:
      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664349/

      It would make sense to go for steroid treatment if you have recent injury. Otherwise it might be not worth it.

      I would attribute my progress more to HBOT than to steroids.

      You can try one or two injections and see if it makes any difference. At that point you can stop cold turkey.
       
    21. dpdx
      Disappointed

      dpdx Member Benefactor Hall of Fame

      Location:
      Murica
      Tinnitus Since:
      Onset:09/23/2017 Worsened: 1/17/2018
      Cause of Tinnitus:
      Acoustic Trauma, worsened by caloric test/VEMP test 90db nhL
      Is your tinnitus severe as well?
       
    22. Eric N

      Eric N Member Benefactor

      Location:
      Montreal QC Canada
      Tinnitus Since:
      10/2012, 03/2016, 05/2017, 05/2018
      Cause of Tinnitus:
      noise + 3 major increases via (shouting / MRI/ flu+Tylenol)
      Do you still have the spike from the MRI?
       
    23. GSC
      Wishful

      GSC Member Hall of Fame

      Tinnitus Since:
      02/2019
      Cause of Tinnitus:
      Acoustic trauma.
      So, what is the actual time window of taking Dexamethasone injections into the ear. Does anyone know, I know the sooner, the better, but still.
       
    24. Jack Straw
      Balanced

      Jack Straw Member Podcast Patron Benefactor Ambassador Hall of Fame Advocate

      Location:
      US
      Tinnitus Since:
      1990s
      Cause of Tinnitus:
      Infection, Acoustic Trauma
      @Ed209 you will find this interesting.
       
    25. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      Guys what is your experience with corticosteroid intratympanic injection?
      I had noise induced tinnitus for 2 months and I wanted to get an ear injection done, but I've visited 2 doctors already and they said it's not proven to work. Should I keep trying new doctors or should I just surrender?
       
    26. GSC
      Wishful

      GSC Member Hall of Fame

      Tinnitus Since:
      02/2019
      Cause of Tinnitus:
      Acoustic trauma.
      It's already too late. They will only do an injection if there's an obvious dip in your audiogram.
       
    27. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      There is a dip at 4.2 kHz and 8 kHz, but like -30 dB, nothing deadly, but my tinnitus is loooouuud.
      From the research I've read an injection could "possibly" help my case as well.
       
    28. GSC
      Wishful

      GSC Member Hall of Fame

      Tinnitus Since:
      02/2019
      Cause of Tinnitus:
      Acoustic trauma.
      You have until month three for effectiveness and the possibility of it helping your case. If you want to keep going this route, you can keep trying, but it will be very hard to find an ENT who will do this. Maybe print out proof on how much it helps and research that it does in order to make your case known if you are going to see another ENT.
       
    29. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      I have finally found a doctor who accepted to try it (costs quite a bit), I think I'll go in next week, but he suggested for one ear only.
       
    30. bendaver

      bendaver Member

      Tinnitus Since:
      Since Diagnosed with SSNHL 28-Mar-2019
      Cause of Tinnitus:
      Upper Respiratory Ailment (virus) infiltrated Cochlear Nerve
      I was diagnosed 3/28/2019 with SSNHL. It was caused by several viral infections from late Fall 2018 through Winter and early Spring 2019. I never really (100%) was able to escape the virus ... somewhat my fault for not persisting with my primary care physician to continue hitting it with another round of med.

      So, I contacted my ENT. A full exam of my outer-to-middle ear revealed nothing alarming, but the follow up (audiologist in that office) the same appointment revealed that I had 100% hearing loss in my left ear.

      So my ENT prescribed a round of prednisone. After completing it, I went back to my ENT, to report I had no change in my hearing, and I had continued (as before) to have extreme vertigo and tinnitus. An appointment was made right away by my ENT to meet with an inner ear specialist a few days later.

      The specialist agreed that I had SSNHL and he recommended, then and there, to begin intratympanic (into/through the ear drum) injections of Dexamethasone. Three injections were administered over a 9-day period. The physician said that, even though I sense no change to date (now 1-week after the final treatment, that he has seen down the road benefit. So, there may yet be hope.

      Meanwhile, I do daily exercises that he gave me to do at home to deal with my vertigo. I have improved a bit, in that regard. But my tinnitus has worsened and it’s seems to change in intensity and variability. I have a constant seashell/white noise that is quite loud and it is with me 24/7. In the last couple of days, a new sound overlays that seashell sound, which us a repetitive hum (like a fog horn) that repeats every 3-5 seconds in 1-second long bursts ... it is quite annoying. I keep myself busy throughout the day, occasionally listening to books on Audible. In the evening I listen to quiet nocturnes (Debussy or Chopin) to lull me into sleep.

      This entire day-to-day experience drives me crazy, but I try not to let it get me down .. keeping busy helps; fortunately, I am retired and I have a quiet house while my wife is at work. I hope this ends soon ... that I see some relief. I know that my vertigo will eventually come under control with exercises, and I hope that eventually I become accustomed to the tinnitus, but I am concerned about my unilateral deafness.

      I read all day long about options ... technical fixes to address my deafness. Cochlear fixes, such as titanium cranial implants (Osseointegration) offer some hope, but I am hesitant to agree to any workaround that may have long-term side affects. I need to do more reading, talk further with my otolaryngologist, and perhaps reach out to other professionals to understand all if the options available to me.

      Hopefully this forum will provide me with some solace ... millions of people struggle with this illness ... I’d like to know about the various coping mechanisms that others use to make the adjustments a livable, sustainable quality of life. Thanks to this community for any input.
       
      • Hug Hug x 1

Share This Page

Loading...