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What Causes Tinnitus While On Prozelax?
Question: Hi,
I am a 54 year old male; 167 kilos, 1.8 meters tall.
BP 152 / 98 - heart rate 71.
I've gained weight recently and have had a terrible ringing in my ears for the past month.
I really need to make that ringing go away ASAP.
I cannot take it.
Medication I am taking:
Daflon 500 2 x per day
81 mg aspirin 1 per day
Neurobion 1 per day
Stress Tab with iron 1 per day
Prozelax 400 mcg 1 per day
Allopurinal 300 mg 1 per day
How can I stop the ringing in my ears?
It's more than I can take.
Thank You,
I am a 54 year old male; 167 kilos, 1.8 meters tall.
BP 152 / 98 - heart rate 71.
I've gained weight recently and have had a terrible ringing in my ears for the past month.
I really need to make that ringing go away ASAP.
I cannot take it.
Medication I am taking:
Daflon 500 2 x per day
81 mg aspirin 1 per day
Neurobion 1 per day
Stress Tab with iron 1 per day
Prozelax 400 mcg 1 per day
Allopurinal 300 mg 1 per day
How can I stop the ringing in my ears?
It's more than I can take.
Thank You,
Brief Answer:
First rule out drug induced tinnitus. Then investigate as explained below:
Detailed Answer:
Hi,
Thank you for your query.
1. The first possibility is drug-induced tinnitus, more likely to be Allopurinol or Prozelax. Discontinuing these may help.
2. Get your ears examined to rule out any ear wax which is one of the commonest causes of Tinnitus. Also rule out any perforation of the ear drum. Decreased hearing also makes one more aware of tinnitus. Get a PTA (Pure Tone Audiogram) done. If you have a hearing loss, amplification may help mask the tinnitus. You may also get your middle ear pressures checked (Impedance Audiometry or Tympanometry).
3. What is your exposure to occupational noise and loud music / earphones / XXXXXXX phones? Exposure to loud noise is also a leading cause for tinnitus.
5. If your Tinnitus increases on clenching the teeth, it may require dental bite correction.
6. I have noticed patients who have increased Tinnitus when they are stressed, have fluctuations of blood pressure, low hemoglobin, low blood sugar levels and so on.
7. Cochlear Synaptic Tinnitus may be treated in up to 50% people with Caroverine infusion followed by capsules for two months. Other treatments such as transtympanic steroids, gingko biloba, multi-vitamins and anti-oxidants may also help in reducing Tinnitus.
8. Kindly let me know the results of your investigations. This will help in suggesting further treatment.
9. I must emphasize that in a vast majority of patients of tinnitus, the cause is never found. However there are further treatment options depending on the type of tinnitus.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
First rule out drug induced tinnitus. Then investigate as explained below:
Detailed Answer:
Hi,
Thank you for your query.
1. The first possibility is drug-induced tinnitus, more likely to be Allopurinol or Prozelax. Discontinuing these may help.
2. Get your ears examined to rule out any ear wax which is one of the commonest causes of Tinnitus. Also rule out any perforation of the ear drum. Decreased hearing also makes one more aware of tinnitus. Get a PTA (Pure Tone Audiogram) done. If you have a hearing loss, amplification may help mask the tinnitus. You may also get your middle ear pressures checked (Impedance Audiometry or Tympanometry).
3. What is your exposure to occupational noise and loud music / earphones / XXXXXXX phones? Exposure to loud noise is also a leading cause for tinnitus.
5. If your Tinnitus increases on clenching the teeth, it may require dental bite correction.
6. I have noticed patients who have increased Tinnitus when they are stressed, have fluctuations of blood pressure, low hemoglobin, low blood sugar levels and so on.
7. Cochlear Synaptic Tinnitus may be treated in up to 50% people with Caroverine infusion followed by capsules for two months. Other treatments such as transtympanic steroids, gingko biloba, multi-vitamins and anti-oxidants may also help in reducing Tinnitus.
8. Kindly let me know the results of your investigations. This will help in suggesting further treatment.
9. I must emphasize that in a vast majority of patients of tinnitus, the cause is never found. However there are further treatment options depending on the type of tinnitus.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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