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

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

    1. mbsq

      mbsq Member

      Tinnitus Since:
      05/2021
      Cause of Tinnitus:
      Inflammation?
      I got it in Vienna, Austria, at “Tinnitus Zentrum Wien.” The doctor told me that it is also done in the US, but I don’t know exactly where.

      My tinnitus has been around for about 9 months.
       
    2. David S

      David S Member Benefactor Ambassador

      Tinnitus Since:
      10/2013
      @mbsq, what type of tinnitus do you have? High pitched? Tonal or fluctuating? Cicadas? Is it reactive to other sounds?
       
    3. IntotheBlue03

      IntotheBlue03 Member

      Location:
      Philadelphia PA
      Tinnitus Since:
      12/2021
      Cause of Tinnitus:
      Cervical/TBD
      Can you tell us who your doctor is in Vienna, Austria?
       
      • Optimistic Optimistic x 1
    4. Mumbo

      Mumbo Member

      Tinnitus Since:
      01/2001
      Cause of Tinnitus:
      Unknown
      I had a full audiogram done today with ranges up to 15,000 Hz which showed some significant hearing loss in the left ear above 8,000 Hz. My hippie audiologist just said it was cool and I’ll learn to live with the multiples of tinnitus sounds that have begun the past five weeks. Not any kind of treatment even mentioned. He was knowledgeable and nice but didn’t seem to care about anything other than convincing me it’s not a big deal.

      Would Prednisone potentially work in this situation? How do I get it if my audiologist refuses all treatments?
       
    5. mbsq

      mbsq Member

      Tinnitus Since:
      05/2021
      Cause of Tinnitus:
      Inflammation?
      The man I had the first consultation with was Tilman Keck.
      Find another. Google. Shop around. The approaches to treatment seem to vary a lot.
       
    6. blamingeverything

      blamingeverything Member Benefactor

      Tinnitus Since:
      12/2021
      Cause of Tinnitus:
      high frequency hearing loss
      @mbsq, still doing better?
       
    7. ZFire
      Bored

      ZFire Member Benefactor

      Tinnitus Since:
      2011 (mild) & 04/2021 (severe)
      Cause of Tinnitus:
      Ototoxicity (2012) Unknown-likely noise induce (2021)
      Methylprednisolone 6-day taper made me worse. Distortions + gained new tinnitus tones while on them (not sure if it’s the culprit, but likely). I’m only taking these drugs if I ever detect hearing loss. They don’t do anything for me.
       
      • Informative Informative x 2
    8. DocTors_94
      In pain

      DocTors_94 Member Benefactor

      Location:
      Spain
      Tinnitus Since:
      11/2021
      Cause of Tinnitus:
      Loud noise/ Covid? / Benzos / Ototoxicity
      Same story for me while on Prednisone... It gave me 4-5 new beautiful tones. I think some disappeared, while some stayed...
       
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      • Informative Informative x 1
    9. ZFire
      Bored

      ZFire Member Benefactor

      Tinnitus Since:
      2011 (mild) & 04/2021 (severe)
      Cause of Tinnitus:
      Ototoxicity (2012) Unknown-likely noise induce (2021)
      One of my biggest regrets. I wonder how things would have been if I opted out of taking steroids.
       
      • Hug Hug x 2
      • Agree Agree x 1
    10. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      How soon did you take the steroids after your tinnitus onset?
       
    11. ZFire
      Bored

      ZFire Member Benefactor

      Tinnitus Since:
      2011 (mild) & 04/2021 (severe)
      Cause of Tinnitus:
      Ototoxicity (2012) Unknown-likely noise induce (2021)
      5 weeks after onset.
       
      • Informative Informative x 2
    12. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      Can I ask what was your daily dose and how many days you were on Prednisone?

      Did an audiogram show you have hearing loss?
       
    13. ZFire
      Bored

      ZFire Member Benefactor

      Tinnitus Since:
      2011 (mild) & 04/2021 (severe)
      Cause of Tinnitus:
      Ototoxicity (2012) Unknown-likely noise induce (2021)
      I wasn’t on Prednisone. I was on Methylprednisolone (Medrol) for a 6-day taper course. 24 mg, 20 mg, 16 mg, 12 mg, 8 mg, 4 mg.

      Audiogram up to 8 kHz was excellent. In fact, the audiologist was blown away by how good my hearing was.

      Still though I feel like something is off with my hearing. If I anything I might have hidden hearing loss which is difficult to measure I’m told.
       
      • Agree Agree x 1
    14. Slambonie

      Slambonie Member

      Tinnitus Since:
      02/2022
      Cause of Tinnitus:
      COVID-19 Vaccine
      I just met with an ENT in my area who seemed very intelligent, many accolades in the ENT field which is why I went.

      Anyway, in response to my tinnitus that started from the 1st dose of the Pfizer vaccine, he said the only real thing to do is try Prednisone which may or may not work. I think he said he'd start at 60 mg and taper from there? That in order to reach the ear you need to have a high dosage like that.

      I mentioned that I have read a number of people reporting Prednisone making their tinnitus worse and he very confidently said there isn't a connection between tinnitus and Prednisone. I am debating whether to take it or not based on some people's stories here.

      He did say that anxiety is one side effect of Prednisone, so that may be what is causing people to think their tinnitus is increasing (or actually increasing due to the anxiety side effect given that anxiety can cause tinnitus).
       
    15. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      August 2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      It gets worse if you taper suddenly, with possibly new terrible and permanent noises. That is what I would suggest avoiding. Be very slow.

      It might go away while on it.

      I'd still suggest using it only if the volume tripled or you lost hearing.
       
      • Agree Agree x 3
    16. Slambonie

      Slambonie Member

      Tinnitus Since:
      02/2022
      Cause of Tinnitus:
      COVID-19 Vaccine
      Yeah I am hesitant. He said he thinks in my situation the tinnitus will go away on its own. I don't lose sleep over it or anything, it's usually pretty quiet (though flares up after a hot shower or hot tub for some reason for a bit after I get out) so maybe I should just let it play out. My only concern was that I heard people say that the sooner you take it, the better.
       
    17. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      August 2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      Take it and if nothing happens, slowly taper down right away. You should notice within a day or so. Just taper really really slowly.

      I'm really an enigma who got worse. Whilst on them, the ringing was a ton better.
       
    18. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      So you got worse after your Prednisone treatment? Can I ask how long/what dose were you on?
       
    19. mbsq

      mbsq Member

      Tinnitus Since:
      05/2021
      Cause of Tinnitus:
      Inflammation?
      I’d say overall it’s better than before. But not gone. Today was a bad tinnitus day.

      I also got an MRI and it showed some problems in the tissues in my neck - herniated discs and swelling in the marrow. I think this may be the root of it. I have a follow up visit in a few days to see what the treatment for these neck problems may be. Maybe cortisone injected right there?
       
      • Hug Hug x 2
    20. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      August 2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      I did 3 days of 60 mg followed by nothing. Hell, permanent new low frequency tinnitus sounds in right ear a few days later.

      Then 21 days of 60 mg and tapering to 0 over two weeks, crazy shit whilst tapering, most vanished over time.

      2 months later, 5 days of 50 mg, then a half dose, then nothing. That last one is what did me in with truly awful noises bilaterally, low frequency both ears, similar tones, and where I finally made the connection that the fast tapering was creating permanent noises in the morning... for me.
       
      • Hug Hug x 1
    21. RadioKid722

      RadioKid722 Member

      Location:
      NJ, USA
      Tinnitus Since:
      01/22/2022
      Cause of Tinnitus:
      Medication
      I'm in the US and have had 7 intratympanic injections. They work wonders when combined with NAC.

      When I get them while taking NAC, it makes a huge difference.

      When I get them without NAC I don't see much difference.

      I had screaming tinnitus at a 8 or 9 and now it's a 3 or 4 because of intratympanic Dexamethasone. Every time it gets bad again, I have another injection and it makes it so much better. Hopefully it won't get bad anymore and I won't need injections.

      These things are miracle workers and more people need to get them done.
       
      • Like Like x 2
    22. 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
      Due to some complications with COVID-19 causing slight distortions in my hearing at higher frequencies, my ENT is prescribing me 20 mg of Prednisone for 5 days. I am getting a hearing test tomorrow to see if I need to get a higher dose.

      He knows COVID-19 causes hearing loss and inflammation so he thinks this mild dose may help. I hate taking medications for anything, but I may have to make an exception here.

      Any thoughts/advice? He didn't mention anything about tapering just some potential side effects (anxiety, restlessness, acid reflux, heart racing).
       
    23. RadioKid722

      RadioKid722 Member

      Location:
      NJ, USA
      Tinnitus Since:
      01/22/2022
      Cause of Tinnitus:
      Medication
      Take the medicine. I'm surprised 20 mg is all he's giving you. Usually it's 60 mg for 2 weeks. You don't need to taper 20 mg after 5 days.
       
      • Agree Agree x 1
    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
      I don't know much about Prednisone so I have no idea why he chose 20 mg.
       
    25. Marshall

      Marshall Member

      Location:
      ND
      Tinnitus Since:
      12/2021
      Cause of Tinnitus:
      Not sure/virus/noise trauma/cumulative noise damage
      COVID-19 gave me tinnitus, hearing loss plus distortions. Prednisone made me worse.
       
    26. 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
      What was your dosage and how long did you take it for?
       
    27. kingsfan
      Mellow

      kingsfan Member Benefactor Hall of Fame

      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 was on a course of Prednisone for my asthma - 40 mg x 3 days. 20 mg x 3 days. 10 mg x 3 days.

      40 mg reduced my COVID-19-induced tone significantly, but it returned on the 3rd day of 20 mg.
       
    28. 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
      So you don't feel that Prednisone made it worse, just wore off the effectiveness?
       
    29. 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
      Doing some research and looking at studies it seems as though 20 mg is relatively small dose. I don't really get my doctor's line of thinking.

      I now debate whether it's worth the potential side effects for what seems like a pointless course of steroids.
       
    30. Marshall

      Marshall Member

      Location:
      ND
      Tinnitus Since:
      12/2021
      Cause of Tinnitus:
      Not sure/virus/noise trauma/cumulative noise damage
      Intratympanic steroid injections are better. But if it’s an oral small dose, I wouldn't take it.
       
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