Top Treatments to Consider in the Early Days After Onset

Discussion in 'Treatments' started by Canadaman, Dec 27, 2017.

    1. Steph1710
      Old hag

      Steph1710 Member Benefactor Ambassador Hall of Fame

      Location:
      England
      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      Antibiotics - I think
      @Juan - actually I had prednisolone not prednisone. My mistake!

      Still no taper and completely different packaging. I know it will differ country-to-country.

      The difference is interesting: The main difference between prednisone and prednisolone is that prednisone must be converted by liver enzymes to prednisolone before it can work. In people with severe liver disease, prednisolone is usually preferred.

      Steph
       
      • Informative Informative x 1
    2. porcelainblue

      porcelainblue Member

      Tinnitus Since:
      06/2020
      Cause of Tinnitus:
      Unknown
      Do the treatments listed apply only to acoustic trauma induced T or do they equally apply to T arising from an unknown cause?
       
    3. mknature
      Confused

      mknature Member

      Tinnitus Since:
      11/2013 (quiet), 5/2020 (loud)
      Cause of Tinnitus:
      hearing loss/ototoxicity/viruses
      Unfortunately, Lenire is only accepting "chronic" cases (I think it was a year after onset at the earliest). Their little intake questionnaire told me I had to use my hearing aids for a year before I was a candidate. Womp womp.
       
      • Hug Hug x 1
    4. CAgirl

      CAgirl Member

      Tinnitus Since:
      07/2020
      Cause of Tinnitus:
      3 M80 Firecrackers
      Can Prednisone still help 5 weeks out of an acoustic trauma?

      I tried it in the beginning (just one 10 mg pill) and the side effects were tough on me (burning skin, nausea, restlessness) so I gave up. I thought how can I handle 40 mg of this when I can barely tolerate 10 mg? However, my tinnitus has worsened in the last week, likely with continued swelling in my ear.

      I am wondering if I should give it another go as one last ditch attempt and to prevent this from worsening.
       
    5. Dennis LeRoy

      Dennis LeRoy Member

      Tinnitus Since:
      September 1, 2020
      Cause of Tinnitus:
      Most likely a middle ear infection
      I am currently in my first week of Prednisone use. 60mg/day the first four days! I know how you feel CAgirl. Pretty wired right now, typing is more difficult than normal. Onset of tinnitus was September 1st, and thankfully I recognized what was going on and went to the ENT right away. Sleeping is difficult - not sure if it's the medication or the constant hiss.

      Did you go in for more Prednisone? What were the results?
       
    6. Matthew Piecora
      Batty

      Matthew Piecora Member

      Tinnitus Since:
      7/1/2020
      Cause of Tinnitus:
      Unknown
      Same, neither have done anything. I did have one day that I felt a little better but it was just for part of the day - I wonder what it was that helped so much, probably not those meds, haha. I wonder what CBD oils work best
       
    7. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      08/2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      I'm in a very similar situation to everyone here. I had a very bad experience with earbuds and not noticing how bad it was, and then being told by a family member to try some high does aspirin (wow right?).

      Unfortunately, everyone in my life would rather of coddled me than helped me including doctors.
      I managed to get steroids but I think it was too little avail, only 4 days worth, I'm back on them for the last 2 weeks and to be honest, have only noticed it getting louder with some moments where it quiets at night briefly.

      I'm also doing HBOT... but 2 weeks in. I've done a few sessions so far and have to say I've had no effect, it's possibly even gotten worse. There could be some delayed reaction but I'll keep you all in the loop. I also have been taking tons of supplements antioxidants but who knows right? I didn't get the good one, NAC in time... and asking doctors for help is pulling teeth.

      The ENT was not helpful in regards to recommending anything but HBOT (I asked for steroid injections and he wasn't into it).

      Trying to live with this, is really terrifying at my age, I'm still trying to get a family together. Even in a noisy environment is absolutely brutal, sleep doesn't exist. I don't see how I can work in an office like this.

      I don't know what effect the steroids have had really, but I'm now tapering 3 weeks in. I might try one more large dose at the end to see if there's any reduction that day or not.
      Pretty much out of options.

      Benzos work for volume reduction, but yeah... they have their own big problems.

      Any advice?
       
      • Hug Hug x 1
    8. GBB

      GBB Member Hall of Fame

      Location:
      NYC
      Tinnitus Since:
      2016-2019 (Mild, Cured) 8/2020 (Severe)
      Cause of Tinnitus:
      Virus / Microsuction / Acoustic Trauma
      What benzo were you on and at what dose?
       
    9. GBB

      GBB Member Hall of Fame

      Location:
      NYC
      Tinnitus Since:
      2016-2019 (Mild, Cured) 8/2020 (Severe)
      Cause of Tinnitus:
      Virus / Microsuction / Acoustic Trauma
      Start taking NAC and magnesium and bide your time. Protect your ears, and you could consider seeing another ENT and pushing for steroids if you want.
       
    10. weab00
      Gloomy

      weab00 Member Benefactor

      Location:
      Joe Dart's basement
      Tinnitus Since:
      05/2019
      Cause of Tinnitus:
      some good mf music
      What's the timeframe for Dexamethasone? I got pain hyperacusis 5 weeks ago and am seeing an ENT. I want to try to push for a round window injection.
       
    11. GBB

      GBB Member Hall of Fame

      Location:
      NYC
      Tinnitus Since:
      2016-2019 (Mild, Cured) 8/2020 (Severe)
      Cause of Tinnitus:
      Virus / Microsuction / Acoustic Trauma
      I'm not sure if there is clear efficacy but I've heard up to three months according to some sources. No idea if it would help for hyperacusis as it is usually studied with regard to hearing loss, and people append it to tinnitus as such.
       
    12. Juan

      Juan Member Hall of Fame

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      I don't think Dexamethasone works 3 months after.

      After being exposed to loud noise, ears develop a series of symptoms, pressure, muffled hearing, tinnitus, hyperacusis, etc etc... this rarely subsides (the acute phase of symptoms) after 2 months. It would be very rare. There is usually a horrible period of 10 days after noise exposure, then the other time mark is like 3 weeks. To have an acute phase of symptoms for 2 months means major hearing damage, with permanent hearing loss. And more than 2 months, I think it is very rare.

      When symptoms go away (acute phase) usually whatever is left is your baseline hearing, or the real situation of your ears...

      So having corticoids, including Dexamethasone, like 2 month after... I don't see it. I think even 3 weeks after is really really late...
       
    13. Kriszti

      Kriszti Member Benefactor Hall of Fame

      Tinnitus Since:
      2016/2017/2019
      Cause of Tinnitus:
      Unknown
      Do you think that it's a good sign if tinnitus changes / increases in frequency and loudness while on Methylprednisolone?

      Doctors here say that it's good, because it shows that the steroid does something.

      This is not my personal issue, I'm just wondering.
       
    14. Chris Goodman

      Chris Goodman Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Taking an antidepressant: Afflexor
      Did yours spike while you were taking Prednisone? I just tried it and mine is through the roof.
       
    15. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      08/2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      Mine was ALWAYS better on Prednisone, but ALWAYS made me twice as bad coming off.

      Permanently.

      I'd do one course tops and live with what you get on the other side... and taper super duper slowly even if the course is just "2 weeks", like taper over another 2 weeks at least.

      Ginkgo biloba and Magnesium are probably the best things to use early on... or any vasodilators.
       
    16. Chris Goodman

      Chris Goodman Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Taking an antidepressant: Afflexor
      Thanks so much for getting back. I think I might call it quits tomorrow. I'm not showing any good signs and don't want to see where I'll be in 8 days.
       
    17. GeorgeLG
      Wishful

      GeorgeLG Member

      Location:
      USA
      Tinnitus Since:
      05/2021
      Cause of Tinnitus:
      Leaf blower, rock band, constr & comp shooting, chemo
      There are studies that suggest that getting your Glutathione status up before and/or quickly after an exposure can help prevent some of the oxidative stress damage. One study used NAC plus Glycine and other discussions recommend some of the cofactors in the synthesis process such as Magnesium, Selenium, B2, vitamin C, Lipoic Acid. In another study, correcting a B12 deficiency lowered tinnitus loudness scores in deficient subjects.

      George
       
      • Agree Agree x 1
    18. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      08/2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      Noise conditioning, so listening to low levels of noise a lot actually helps hair cells resist oxidative stress, as those reduction enzymes get upregulated in mRNA expression. So that the next time it happens, they can deal with the higher levels of free radicals.

      Of course, supplementing helps so long as it isn't toxic and can get into the nerve and hair cells via lipid solubility and mechanotransduction channels, respectively.
       
    19. GeorgeLG
      Wishful

      GeorgeLG Member

      Location:
      USA
      Tinnitus Since:
      05/2021
      Cause of Tinnitus:
      Leaf blower, rock band, constr & comp shooting, chemo
      I noticed in your profile that you list Prednisone as a cause of tinnitus. I finished my first 5-day Prednisone course for hip pain and developed severe light sensitivity. Got my eyes checked, nothing found. That has faded by about 80%. A couple of weeks later a brief leaf blower exposure seemed to cause my tinnitus and hyperacusis or so I thought. Could this have been brought on by the steroids themselves?

      George
       
    20. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      08/2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      No, I doubt it. It was probably the noise exposure.

      Upon finishing the steroids I knew immediately something was very wrong. I had new noises in the morning on awakening (bilateral drones) and nothing sounded "crisp". The sounds got a bit better but now there's distortions, the drones have turned into... best description is just pure nonsense in both ears when I wake up in a silent room.

      Could the steroids have "primed" you to get worse? I wouldn't doubt THAT given my experience with them. While on them if I got exposed to noise, that noise "stuck around" in my bad ear.
       
    21. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      I am 6 weeks after my acoustic trauma event. Is it too late to ask for steroid treatment? I asked several ENTs but they all refused based on my "normal" hearing test, which I think is irrelevant at 8 kHz top range.

      Can more people share their experiences with steroid treatment while they were still in (mid) acute stage of tinnitus?

      Clearly, I wish I tried steroids much sooner regardless of what the doctor said. I just didn't find any consensus on this and I wasted a lot of time just waiting doing nothing.
       
    22. Lane

      Lane Member Hall of Fame

      Tinnitus Since:
      02/2018
      Cause of Tinnitus:
      Single 25 mg dose of (anticholinergic) drug Promethazine
      Hi @rogerlee -- Check out THIS POST. And this...

      Prednisone for Hyperacusis: Any Experiences? Natural Alternatives?

      At the above link, I discuss hydrocortisone as a possible substitute for prednisone. I actually think hydrocortisone is a better option than Prednisone, as a person can experience some pretty severe side effects from Prednisone, including anxiety, sleeplessness, etc. I believe that even relatively low doses of hydrocortisone for a few days has the potential to have a significant impact on inflammation in the inner ears.
       
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    23. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      So the effect of steroids for 2 weeks was not permanent on your tinnitus?

      I really wished I tried it but my doctors kept telling I had normal hearing tests despite the fact that I knew something was wrong after an acoustic trauma.
       
    24. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      How long after noise exposure did you try the Prednisone pack?
       
    25. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      Did the steroid treatment resolve your tinnitus permanently?
       
    26. RichardGuy
      Depressed

      RichardGuy Member

      Location:
      Florida
      Tinnitus Since:
      10/16/17, At Age 20
      Cause of Tinnitus:
      Acute
      Always ignore the doctors when they say you have "normal" hearing. Normal hearing in the US is up to 25 dB lost, which is very noticeable. I personally have 15 dB across most frequencies and quite noisy tinnitus.

      Yes, the Prednisone is rarely, if ever, permanently effective if taken after the first two weeks from noise exposure event.
       
    27. rogerlee

      rogerlee Member Benefactor

      Tinnitus Since:
      01/2022
      Cause of Tinnitus:
      noise, medication
      Were you able to take Prednisone within 2 weeks after onset?
       
    28. FlatDarkEarth

      FlatDarkEarth Member

      Location:
      Tennessee
      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Concert (2017)
      I'm surprised to see multiple people here recommend benzodiazepines for treatment.

      From what little I understood, benzos seem easy to develop tolerance/dependence for, and coming off them seems to have developed tinnitus for a lot of people.

      What's the 'safe' way to use these during a tinnitus spike?
       
      • Agree Agree x 1
    29. RichardGuy
      Depressed

      RichardGuy Member

      Location:
      Florida
      Tinnitus Since:
      10/16/17, At Age 20
      Cause of Tinnitus:
      Acute
      No, I was not. An ENT saw me shortly after developing tinnitus and when I asked her if there was anything she could do, she only shook her head. A year later I asked her why she didn't give me prednisone and she said it was because emotionally, I was a wreck, and she didn't want to make things "worse".
       
    30. Ola

      Ola Member

      Tinnitus Since:
      07/2022
      Cause of Tinnitus:
      Loud Concert: acoustic trauma
      This is all so frustrating. It seems like all the treatments in this thread are as likely to make tinnitus worse as they are to make tinnitus better.
       
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