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

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

    1. MaryA

      MaryA Member Benefactor

      Location:
      Tampa, FL
      Tinnitus Since:
      02/2021
      Cause of Tinnitus:
      Moderna Vaccine
      @Gav, thank you. It's been eight weeks. The docs at my hospital think there still could be benefit. I know every person and situation is different. I really don't want to exacerbate the problem. I appreciate your post. Thank you.
       
    2. VeryUnfortunate
      Stressed

      VeryUnfortunate Member Benefactor

      Tinnitus Since:
      January 2021
      Cause of Tinnitus:
      Acoustic Trauma
      Thanks for the info, much appreciated. I will take that into account.
       
    3. Richard Snyder

      Richard Snyder Member

      Tinnitus Since:
      February 2021
      Cause of Tinnitus:
      Noticed it after 1st vaccine (Moderna).
      Just to add: I’m in week 7 of symptoms and just nearing the end of Prednisone treatment. I’ve had no changes to my conditions. Some days worse, most days unchanged.
       
    4. racedy

      racedy Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear infection and possibly noise over time
      @Gav, forgot to ask, but did your tinnitus improve after your course of prednisolone? I'm glad you tolerated it well.

      I went to the ENT on Tuesday (about 3.5 days after the dishwashing incident) and my hearing was the same, excellent, she wasn't surprised that I am hypersensitive to sounds/loud noises because my hearing is so good. (I have mild hyperacusis, which makes me think I have some hearing loss that isn't picked up on the tests.)

      She hasn't had success treating people with steroids after loud concerts or explosions, but she has with SSNHL. I forgot to ask her for an Rx just for backup, but realize i would also need to check with my PCP to make sure it doesn't mess with some conditions I have.

      Thanks again for your response and happy easter.
       
    5. Gav

      Gav Member Benefactor

      Tinnitus Since:
      06/2004
      @racedy, my tinnitus spikes usually pop straight away at full volume after any audio trauma, e.g. plate smash, for a week and then subside.

      This spike though continued growing for the period before I took the Prednisolone (9 days), then continued at the same level for five days and then started to subside to baseline - this could have been due to the Prednisolone, or it could have been the natural course of the spike... who knows. Either way, I'm glad I took it.

      Anyway... I was going to post this update, but then my daughter dropped her knife on our tiled kitchen floor a few days ago and bam... my spike was up it was again. Still up now. :meh:

      Good to hear about your hearing test though. I have often wondered what my hearing is actually like under the artificial layer of sound my tinnitus adds. It definitely distorts my results I think.
       
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    6. VeryUnfortunate
      Stressed

      VeryUnfortunate Member Benefactor

      Tinnitus Since:
      January 2021
      Cause of Tinnitus:
      Acoustic Trauma
      I would like to add that this time around taking steroids, I have had very minimal side effects.

      Before I was instructed to take it 20 mg for breakfast, 10 mg at lunch, 10 mg at dinner, and 20 mg before bed. This time I decided to take all the doses at once during the morning with breakfast and it has been night and day difference. The first time around where I followed the taking it throughout the day method, I had every possible side effect, now I can barely feel anything.

      I'm on day 3 of my 60 mg dose and there has been no change to my tinnitus spike.
       
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    7. AliasM
      Depressed

      AliasM Member

      Location:
      Australia
      Tinnitus Since:
      Dec 2020
      Cause of Tinnitus:
      ? Autoimmune, daily headaches, Ibuprofin, BP meds, Virus?
      I saw a new GP yesterday. She was good and very thorough. She wants to put me on 25 mg Prednisone daily for 2 weeks to see if my tinnitus improves. My inflammatory markers are now normal (elevated at time of onset) but she said sometimes inflammation can hide.

      I am reluctant to start the Prednisone. Have others started steroids so late after onset and found any improvement (or worsening) of tinnitus and hyperacusis?
      What was your steroid dose if you don't mind me asking?

      Details for my reason asking 2 posts up. Thank you.
      Similar to me. I have pulsatile and somatic tinnitus on my left side. Mine is a largish area in the temporal lobe that whirls static with my pulse 24/7. It is loud and forceful and I feel it too. The noise coming from the same area of my brain is also somatic so e.g. bending over, chewing, head movement etc it revs 10/10. Is this similar to how you experience things?

      Now that it has been some weeks, how did you find taking the Prednisone in hindsight? I'm debating whether or not to take it.
       
    8. Emiris

      Emiris Member

      Location:
      Stockholm
      Tinnitus Since:
      2000
      Cause of Tinnitus:
      Noticed it while watching the Tonight Show with Jay Leno
      I've been taking Prednisolone for a couple of days.

      60 mg, 60 mg, 50 mg, 40 mg, 30 mg. Every time I take it, my tinnitus goes very soft and I can live a normal life for 24 hours. Yesterday this happened even at the lowest dose of 30 mg. WHY IS THIS HAPPENING?

      My tinnitus got worse from COVID-19.
       
    9. racedy

      racedy Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear infection and possibly noise over time
      I'm glad it's helping! My ENT said viral infections can affect tinnitus (via inflammation, I'm guessing) and she had mentioned she would prescribe steroids if I developed any tinnity/hearing issues from a viral infection.

      COVID-19 causes a lot of inflammation, which is why one of the only effective drugs to treat it (the inflammation, not the actual viral infection) is a steroid, Dexamethasone. (Dexamethasone can also be injected into the ear at onset of SSNHL.) So it's no surprise to me that Prednisolone is helping with your COVID-19-related tinnitus spike. I am glad you are recovering!
       
    10. Emiris

      Emiris Member

      Location:
      Stockholm
      Tinnitus Since:
      2000
      Cause of Tinnitus:
      Noticed it while watching the Tonight Show with Jay Leno
      Prednisone is just giving me relief for the moment. As it wears off, I'm back to baseline :(
       
    11. racedy

      racedy Member

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Ear infection and possibly noise over time
      @Emiris, I'm glad you are getting relief, even if it is temporary. And who knows, maybe the baseline will shift to a quieter volume? If not, then Jay Leno owes you some money! (Just noticed that on your profile...)
       
    12. Chris Goodman

      Chris Goodman Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Taking an antidepressant: Afflexor
      I’ve had tinnitus for two years. It was caused from an ototoxic reaction from five days of taking the drug Effexor. I had finally been at the point where I could barely hear it, life was good and I’m feeling great again all around.

      Last weekend I went to a friend’s (very small, all vaccinated) wedding, drank for the first time in over a year and a half, woke up with a horrible hangover, took 3 Ibuprofens thinking they were 100 mg when in fact they were 500 mg. Now I have a new ringing in my left ear and the hissing is back to terrible levels.

      It’s been a week, my hissing is still high and and I can hear the new faint ringing noise in quiet settings.

      I just started Prednisone 2 hours ago and WOW my tinnitus is through the roof.

      Does anybody have any experience with this? Is a spike normal during this period of taking Prednisone?

      This forum has been a godsend for me over the past few years. Any advice would be much appreciated!
       
    13. Gav

      Gav Member Benefactor

      Tinnitus Since:
      06/2004
      @Chris Goodman, I occasionally have to take slow release Ibuprofen (Brufen Retard) for my arthritis flares - 1600 mg per day, and have hit 2400 mg at times (max dose the doctor allowed). My tinnitus always increases when I take it, but it always returns to baseline when I stop. All NSAIDs will do that - it's the reason I don't take Diclofenac... now that makes my tinnitus go properly crazy.

      If there was noise at the wedding party - music, lots of conversation etc. then you could just be having a regular, temporary tinnitus spike from that. That's where I'd put my money anyway. Not sure you need to be taking Prednisone for an Ibuprofen spike though... I wouldn't anyway.
       
    14. VeryUnfortunate
      Stressed

      VeryUnfortunate Member Benefactor

      Tinnitus Since:
      January 2021
      Cause of Tinnitus:
      Acoustic Trauma
      What is the dosage of Prednisone you are taking? Personally, I found when taking my daily dose of steroids at once in the morning with breakfast reduced my side effects to almost 0. So instead of taking it throughout day, only take in the morning. Although it is worth noting everyone is different so YMMV.
       
    15. Chris Goodman

      Chris Goodman Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Taking an antidepressant: Afflexor
      Thanks so much for getting back!

      Very interesting.

      I took 60 mg about 8 hours ago.
      Thanks so much for this. Wish I had read it before taking it today.

      My doctor suggested it because he thought I inflamed my auditory nerves due to the extreme amount of Ibuprofen at once. And thus Prednisone would act as anti-inflammatory to bring it down.

      That was our thinking...
       
    16. Ecip

      Ecip Member

      Location:
      Edmonton, AB/Switzerland
      Tinnitus Since:
      4.11.2015
      Cause of Tinnitus:
      Still unknown... possibly noise exposure?
      It's weird... everytime I have a spike, I find that when I take corticosteroids that it decreases the loudness and intensity. I have still not figured out why, and still haven't found any kind of doctor knowledgeable enough, or who gives enough of a shit, to work with me to find some sort of explanation. My finger is on some kind of inflammatory process, but I just don't know.

      I've read a bit about Botox injections for tinnitus, and I'll be exploring that route shortly.
       
    17. lucy_snow

      lucy_snow Member

      Tinnitus Since:
      2018.03
      Cause of Tinnitus:
      hearing loss/ibuprofen
      Same here.

      How many times per year do you take steroids? And what is your dosage?

      Do you think that Botox could replace the Prednisone?
       
    18. Matchbox

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      August 2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      Botox paralyzes nerves. If Lidocaine worked, then maybe.

      Comparing Botox to Prednisone is like comparing heroin and LSD. It makes no sense to and there's nothing to relate that it'd work.
       
    19. teacher34

      teacher34 Member

      Location:
      Texas
      Tinnitus Since:
      7/2017
      Cause of Tinnitus:
      Prescription megadose ibuprofin combined with noise exposure
      My 16 year-old son began having a lot of ear problems a few months ago, including ear pain, fullness, slightly muffled hearing (despite 2 normal hearing tests), tinnitus and hyperacusis. Doctors haven't pinpointed the cause (no medications before onset or extreme noise exposure), and he's tried a few different medications including short courses of oral steroids, and the oral steroids are the only medication that has brought any relief.

      Our doctor now wants to do a series of steroid injections into the eardrum.

      Has anyone here experienced those? If so, what was the treatment like (my son is an anxious boy & a bit frightened of the injections), and did it help?

      Thanks.
       
      • Hug Hug x 1
    20. Aleksandar

      Aleksandar Member

      Tinnitus Since:
      09/2020
      Cause of Tinnitus:
      Covid19
      Steroid injections are ok. I received 8 of them and there were no complications, but it didn't help me much.
       
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