Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
157 Doctors are Online

Post-menopausal. Taking Xanax and tramadol for pancreatic pain. Experiencing tinitus and dizziness. In hospital with pancreatitis

User rating for this question
Answered by

Internal Medicine Specialist
Practicing since : 1980
Answered : 1357 Questions
62 yr old way post-menopausal female, recently quit smoking after 48 yrs., cigarettes and marijuana; taking Xanax for 13 yrs

trying to decrease 3 mgs/day xanax to two

taking tramadol 50 mgs x 2 day for pancreatic pain, not every day but at least 3 x wk; 2001 pancreatic stones removed but have returned

torqued pancreatic duct so stones cause no problem unless they try to exit pancreas as stint was inserted in duct;

no alcohol, no caffeine, green tea used on a daily basis no sugar added and no salt in house or used in cooking; prepared food never used, cook from scratch, no obesity 5'9" 122 lbs., but low blood pressure 90/60 and no more pot but experiencing tinitus and dizziness especially during early evening and into night time; ringing in ears and dizziness started after 2 weeks of using opalescence 10% tooth whitening gel; antihitamine helps in evening but I don't take benadryl with melatonin;

just had complete physical with CBC and slight liver enzyme problem noted which has been present since mega doses of pain meds during 3 weeks in hospital with pancreatitis;

no sleep problems as yet but melatonin used when needed
Posted Sun, 17 Nov 2013 in Digestion and Bowels
Answered by Dr. Rakesh Karanwal 15 hours later
Brief Answer:
Problems due to ear disease/ chronic marijuana use

Detailed Answer:

Thanks for your query.

* Firstly, the symptoms of tinnitus, dizziness, ringing in the ears are usually due, either to :-

- ear problem, particularly that of middle ear (which is responsible for hearing) and XXXXXXX ear (responsible for maintenance of posture; its abnormality causes dizziness, giddiness, vertigo or unsteadiness of gait); or,

- side effects of chronic use of marijuana, which impairs a person's ability to form new memories, and also disrupts coordination and balance by affecting certain areas of the brain such as, cerebellum and basal ganglia, which too have a role in maintenance of balance and coordination

* Further, the tooth whitening gel usually contains Potassium nitrate, which has several side effects including loss of taste (lasting for 3-4 months), dizziness or occasionally,even ringing in the ears, as reported in some literature.

I therefore recommend that :-

1. You get your blood sugar done to exclude diabetes, which is usually a complication of chronic pancreatic stones.

2. Stop using teeth whitening gel if it contains potassium nitrate.

3 Continue with Xanax (prescribed presumably for anxiety/depression) on a dose which keeps you mentally relaxed. Your doctor may add anti-depressants, if deemed appropriate.

4. Continue taking anti-histaminics, such as, betahistine 8mg THRICE daily for a long duration, since the effects of chronic marijuana intake would take a long time to go away. Also, use of Vitamin B12 (at least 1500mcg) daily will help, if taken regularly.

5. Lastly, you should consult ENT specialist to exclude/confirm ear problems, if any.

Hope I have answered your query. I will be happy to address to further clarifications, if any.

Fond regards,

Dr. Rakesh Karanwal
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor