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

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

    1. Eric N

      Eric N Member Benefactor

      Location:
      Montreal QC
      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?
       
    2. GSC
      Volatile

      GSC Member

      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.
       
    3. Jack Straw
      Balanced

      Jack Straw Member Benefactor Ambassador Hall of Fame

      Location:
      US
      Tinnitus Since:
      1990s
      Cause of Tinnitus:
      Infection, Acoustic Trauma
      @Ed209 you will find this interesting.
       
    4. 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?
       
    5. GSC
      Volatile

      GSC Member

      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.
       
    6. 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.
       
    7. GSC
      Volatile

      GSC Member

      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.
       
    8. 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.
       
    9. 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.
       

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