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

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

    1. saliner

      saliner Member

      Tinnitus Since:
      2020, forever
      Cause of Tinnitus:
      migraines, viral illness
      Nerve blocks with corticosteroids have been the most effective thing in reducing my tinnitus. I had long-term tinnitus that was mild and didn't bother me, and then newer tinnitus that came with the onset of migraines that was unbearable. The corticosteroid was injected more than 6 months after onset of the newer tinnitus. My tinnitus was not noise-induced. It was an occipital nerve block, and the effects were profound. When it was injected more laterally, closer to the lesser occipital nerve (which affects nerves of the ear/hearing), it was more effective. The 3rd round lasted 6 months, until I got a cold which seems to have triggered a tinnitus relapse. I've never tried oral steroids but am considering that for this relapse.
       
    2. Ultra

      Ultra Member

      Location:
      Europe..
      Tinnitus Since:
      2021
      Cause of Tinnitus:
      Unknown
      Unfortunately, no. I got to see finally an ENT a few weeks ago, he prescribed 7 days of 60 mg Prednisolone. It did absolutely nothing.

      Meanwhile, my tinnitus seems to be just increasing to almost deafening levels. I can hear it over police sirens in the street...

      I'm seeing him again next week for an in-depth audiogram of up to 18 kHz (I think), and probably a round of more experimental treatments this time.
       
      • Hug Hug x 3
    3. AbeS

      AbeS Member

      Location:
      Sweden
      Tinnitus Since:
      08/2019
      Cause of Tinnitus:
      Noise/headphones
      I have been hearing a new tinnitus sound for the past 3-4 days, it sounds very much like a siren.

      No real loud sound exposure I think. An ambulance drove by a week ago, I was inside the car with double protection.

      Dogs barking a few times, also with double protection. Can’t be that loud?

      Is Prednisone worth trying for this?

      Maybe a stupid question but I feel desperate and I’m just scared this will be permanent.
       
      • Good Question Good Question x 1
    4. Wrfortiscue
      Provocative

      Wrfortiscue Member

      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Trauma
      I’m sorry man. That’s terrible.
       
    5. lucy_snow

      lucy_snow Member

      Tinnitus Since:
      2018.03
      Cause of Tinnitus:
      hearing loss/ibuprofen
      Did anyone here take Prednisone after Pfizer (or any other) COVID-19 vaccine to lessen the tinnitus spike? Did it help?
       
    6. CDNThailand

      CDNThailand Member

      Tinnitus Since:
      11/17/2016
      Cause of Tinnitus:
      MP3, Stress, TMJ
      That's the advice I need. I'm having a very stressful episode now, I have a tone that gets very loud at night, but fades back daytime.

      I take it Prednisone would be overkill?
       
    7. T Toledo OH

      T Toledo OH Member

      Tinnitus Since:
      2/26/20
      Cause of Tinnitus:
      Likely loud noise and earbuds
      I am taking a cycle of Prednisone for sciatica and just started to taper. The first 2 days it eliminated my tinnitus, but now it is back when I began to taper.

      I can’t believe there is no option for those of us whose tinnitus is eliminated when taking Prednisone.
       
      • Agree Agree x 1
    8. kingsfan
      Mellow

      kingsfan Member Benefactor

      Location:
      Southern California
      Tinnitus Since:
      9-17-20 / 10-20-20 / 3-31-21 / 5-23-21
      Cause of Tinnitus:
      turning everything up to 11
      You could give it a shot, but it has some very unpleasant side effects while you are on it.
       
      • Helpful Helpful x 1
    9. Wrfortiscue
      Provocative

      Wrfortiscue Member

      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Trauma
      Yup that happens to most of us including me. It’s like a cure is at your fingertips lol.
       
    10. Suaimhneach

      Suaimhneach Member

      Location:
      Ireland
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Unknown
      Is it normal for Prednisone to increase tinnitus? I am off a 5 day course since Sunday and I feel like it spiked me.
       
    11. Quiet please
      Balanced

      Quiet please Member Benefactor

      Location:
      Westchester County, NY
      Tinnitus Since:
      May 2008
      Cause of Tinnitus:
      Cochlear Endolymphatic Hydrops/Hearing loss
      After my 2 Pfizer COVID-19 shots, I had no spiking or side effects. But a week ago, I had my booster shot and the tinnitus is spiking like crazy!

      Yesterday I went to an orthopedic doctor about some pain in my shoulder & elbow. I’ve had it for a few months, but it’s gotten worse. Turns out I have golfer’s elbow, but I don’t play golf! lol.

      I was prescribed a short course of a low dose of generic Prednisone to taper off over 6 days.

      I’m interested to see if it will help with this nasty spike. I’ll post the answer.
       
      • Like Like x 1
    12. Wrfortiscue
      Provocative

      Wrfortiscue Member

      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Trauma
      Could’ve been it lowered it while on it so now you’re back at baseline and maybe perception is worse.
       
      • Helpful Helpful x 1
    13. Jerad

      Jerad Member

      Location:
      Ohio; United States
      Tinnitus Since:
      2002
      Cause of Tinnitus:
      Medication ototoxicity
      Hey everyone, I managed to get my ENT to prescribe me a Methylprednisolone Medrol Dosepak (6 day with taper): 24 mg, then 20 mg, 16 mg, 12 mg, 8 mg, 4 mg, 0 mg. I tried to get 60 mg, but they wouldn’t go higher.

      It has been 7 weeks since the onset of my tinnitus spike. I tried to get it first 2.5 weeks in, but the doctor didn’t agree. Is there any point in taking this now? I am concerned that the dosage is too low and too much time has passed, even though some say there’s a 2-3 month window possibly. My spike was caused by headphones at low volumes for hyperacusis pink noise therapy.

      I’m also concerned that the Prednisone could make it worse, as I’ve seen some reports of that. Right now, my tinnitus is pretty bad (sounds like a drumbeat, car engine, hum oscillation). It’s about 35 dB and can be masked somewhat easily due to the low frequency nature of it.

      I’m on the fence on what to do. Don’t want to make it worse, but also don’t want to wonder if it could’ve helped?
       
    14. CDNThailand

      CDNThailand Member

      Tinnitus Since:
      11/17/2016
      Cause of Tinnitus:
      MP3, Stress, TMJ
      Are you sure, pink noise therapy on low volume with headphones? How many hours a day? What is "low" volume?

      I don't think this could logically cause any damage, if I tapped your wrist repeatedly, it wouldn't break the bone, no matter how long I tap it. If your pink noise was low volume in headphones that would be like 1-5 dB or so?

      So should you take it? I've taken it 2-3 times, didn't make my tinnitus worse (but I don't even know, maybe it did...), but it sure didn't improve it. I've taken it at 30 days after onset, and then at other times post that period.

      Anything under 60 mg is too low, from the research I have seen. I wouldn't trust that ENT.

      Would I take it? For 5 dB pink noise, probably not.
       
      • Like Like x 1
    15. Jerad

      Jerad Member

      Location:
      Ohio; United States
      Tinnitus Since:
      2002
      Cause of Tinnitus:
      Medication ototoxicity
      @CDNThailand, thanks for the reply. I am 99% sure my spike that started 7 weeks ago is from the headphones and pink noise therapy. I’d say the dB level was no greater than 30 dB. I did the therapy for a few hours each day, like a few sessions each day lasting 1 hour with breaks, over a total of 5 days. At the time, I didn’t know headphones were risky because I had used white noise generators in the past, and my mind thought they were the same concept. My WNGs were no longer working, though, and I was advised by some hyperacusis “experts” elsewhere to do the headphones. I didn’t know it was risky until later on when I saw a bunch of info on this forum from people who had bad experiences with headphones, even at low volumes.

      So I am pretty confident this was what spiked me. It’s a bad spike. The tinnitus went from a 1 out of 10 to a fluctuating case of sometimes 5, 6, or 8, and occasionally it quiets down to like a 2 or 3. It’s very sporadic and intense. I used to just have a very low hum that could only be heard in the most quiet of rooms. It was like a 1/10. Now it can be heard in environments under 35 dB, unless it’s calmer. It sounds like a drumbeat or light saber, oscillating with a pulsating rhythm, and sometimes it sounds like a car engine idling. So the thought of setting for this as a possible endgame is scary.

      I’m almost 2 months in and the Prednisone, I dunno if it’s worth the risk or could make it worse. I’ve seen some instances where people spiked bad from it. My doctor said that’s happened, too. I have a backup dose pack and if I combined the 2, it would be 48 mg day 1, 32 mg day 2, 24 mg day 3, and so forth. Not sure what to do. I generally react badly to meds. Even Turmeric spiked me bad and it’s an anti-inflammatory. But I also don’t want to regret later on not trying it if it could help. It’s been 7 weeks since the onset of the spike. The ENT wouldn’t give the Prednisone first time I tried to get it 2.5 weeks in.
       
    16. kingsfan
      Mellow

      kingsfan Member Benefactor

      Location:
      Southern California
      Tinnitus Since:
      9-17-20 / 10-20-20 / 3-31-21 / 5-23-21
      Cause of Tinnitus:
      turning everything up to 11
      I think 7 weeks is past the window of opportunity for Prednisone to be of any help, and it's really only indicated for SSNHL. Also the dosage you were given is not high enough nor for long enough.
       
    17. CDNThailand

      CDNThailand Member

      Tinnitus Since:
      11/17/2016
      Cause of Tinnitus:
      MP3, Stress, TMJ
      I agree, dosage is wrong, another incompetent ENT...!
       
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