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

[Nick47]

Did doctors in the UK say that? Because it seems like different countries have different approaches.

Yes, be cautious of private or insurance-based services that claim otherwise. They are often motivated by payment. Anything beyond a few days is unlikely to be effective.

In the UK, steroids are only recommended when there is measurable and significant hearing loss. It is not recommended for tinnitus of any duration.

 

[Nick47]

Delivery of steroids intratympanically in a nanoparticle format was compared with a standard steroid solution. This study focused on sudden sensorineural hearing loss, not tinnitus. In 42 percent of cases, no hearing was restored. The nanoparticle solution performed better than the standard solution.

This is not the full article, so it does not mention the timeframe between hearing loss and treatment. In general, treatment more than three days after the onset of hearing loss is considered futile.

The efficacy of methylprednisolone acetate nanogel in treating patients with sudden sensorineural hearing loss - PubMed

Intratympanic injection of methylprednisolone acetate is considered to be one of the effective drugs in the treatment of sudden sensorineural hearing loss. In this study, the efficacy of intratympanic injection of methylprednisolone acetate nanogel in patients with sudden sensorineural hearing...

pubmed.ncbi.nlm.nih.gov

 

[annV]

This is not the full article, so it does not mention the timeframe between hearing loss and treatment. In general, treatment more than three days after the onset of hearing loss is considered futile.

The full article is freely available here:

The efficacy of methylprednisolone acetate nanogel in treating patients with sudden sensorineural hearing loss - PMC

Intratympanic injection of methylprednisolone acetate is considered to be one of the effective drugs in the treatment of sudden sensorineural hearing loss. In this study, the efficacy of intratympanic injection of methylprednisolone acetate nanogel ...

pmc.ncbi.nlm.nih.gov

 

[delta784]

The full article is freely available here:

The efficacy of methylprednisolone acetate nanogel in treating patients with sudden sensorineural hearing loss - PMC

Intratympanic injection of methylprednisolone acetate is considered to be one of the effective drugs in the treatment of sudden sensorineural hearing loss. In this study, the efficacy of intratympanic injection of methylprednisolone acetate nanogel ...

pmc.ncbi.nlm.nih.gov

It does not matter. The intravenous Methylprednisolone ruined my life. It gave me tinnitus, dysacusis, and visual snow syndrome.

 

[Hottopic29]

It does not matter. The intravenous Methylprednisolone ruined my life. It gave me tinnitus, dysacusis, and visual snow syndrome.

Same for me. I wish I had not panicked and taken these medications after reading this group. They ruined my life, and I would have been a lot better off without them.

 

[delta784]

Same for me. I wish I had not panicked and taken these medications after reading this group. They ruined my life, and I would have been a lot better off without them.

Yup, same, bro. What happened to you?

 

[Pseudonymmed]

Has anyone reduced their tinnitus by taking Prednisone? It seems that for most of the people I have seen on here, it either did nothing or only helped with their hearing, but not with the tinnitus. I have taken it twice for sudden sensorineural hearing loss, and my hearing did come back, fortunately. Any additional tinnitus that followed the hearing loss also went away. The tinnitus that I already had from previous noise exposure months earlier returned to its default level afterward.

 

[NeroRay]

I also went to the ENT because I have had tinnitus in my right ear for roughly three to four weeks. I would consider this tinnitus mild to moderate, since I can only hear it in quiet rooms. I think I got it from attending a series of concerts, but I am not entirely sure, as it seemed to creep up on me gradually.

I do not appear to have any hearing loss. However, they only tested up to 8 kHz, so I cannot be certain about the higher frequencies or possible hidden hearing loss.

The doctor prescribed me Prednisolone for 10 days. For the first three days, I am supposed to take 100 mg, and then taper off gradually. After doing some reading, I am concerned. It seems that the likelihood of improvement after three to four weeks is quite low. Prednisolone also has many potential side effects, and 100 mg seems like a high dose. I am now quite afraid to take it. I also read that psychosis is a possible side effect, and since I am not in the best mental state right now, I feel hesitant.

I also told the doctor that I have difficulty "popping" my right ear, and everything on that side feels a little clogged, including my nose. He simply said that the cortisone would take care of that as well.

 

[delta784]

I also went to the ENT because I have had tinnitus in my right ear for roughly three to four weeks. I would consider this tinnitus mild to moderate, since I can only hear it in quiet rooms. I think I got it from attending a series of concerts, but I am not entirely sure, as it seemed to creep up on me gradually.

I do not appear to have any hearing loss. However, they only tested up to 8 kHz, so I cannot be certain about the higher frequencies or possible hidden hearing loss.

The doctor prescribed me Prednisolone for 10 days. For the first three days, I am supposed to take 100 mg, and then taper off gradually. After doing some reading, I am concerned. It seems that the likelihood of improvement after three to four weeks is quite low. Prednisolone also has many potential side effects, and 100 mg seems like a high dose. I am now quite afraid to take it. I also read that psychosis is a possible side effect, and since I am not in the best mental state right now, I feel hesitant.

I also told the doctor that I have difficulty "popping" my right ear, and everything on that side feels a little clogged, including my nose. He simply said that the cortisone would take care of that as well.

Don't take it. It worsened me.

 

[NeroRay]

Don't take it. It worsened me.

May I ask how it worsened your situation? Did your tinnitus get louder?

 

[delta784]

May I ask how it worsened your situation? Did your tinnitus get louder?

It killed me.

 

[kingsfan]

May I ask how it worsened your situation? Did your tinnitus get louder?

I have taken it many times. Sometimes I need a course when my asthma gets out of control. The usual dosage is 40 mg, then 20 mg, then 10 mg over about 9 days.

I have also taken it many times for acoustic trauma, although I am now done resorting to that unless I experience actual hearing loss. In those cases, I would start at 60 mg and taper down gradually.

I have not had any serious issues with it. It does cause restlessness, anxiety, and other uncomfortable side effects at higher doses, but it definitely makes the tinnitus feel less intense while I am on it.

 

[Rings-a-Bell]

The two times I have taken a very high dose of Prednisone (80 mg), my ever-present tinnitus went away completely. I could not even hear it in a quiet room. By the time I started tapering down to 60 mg, it came back. Sadly, one cannot live a good life permanently on 80 mg per day. For reference, my tinnitus is from 4000 kHz noise-induced hearing loss.

 

[NeroRay]

I actually decided not to take them. Maybe it was a mistake, but ultimately, I think it was already too late anyway. My tinnitus probably came from a concert at the end of April or from a cold a little later. I am still not sure, but I guess I have to learn to live with it.

Sadly, I also constantly have these odd feelings in my ears, which I think might be from Eustachian Tube Dysfunction.