Thursday, September 22, 2022

Does Meclizine Help Ringing In The Ears

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Meclizine For Tinnitus Off

Whatâs that ringing in your ears? – Marc Fagelson

Meclizine, popularly known as Antivert, Meni-D, Bonine, D-Vert and Dramamine is essentially a motion sickness drug. It is usually prescribed when someone experiences spells of vertigo or dizziness. But, can Meclizine also help with Tinnitus? Lets explore this potential off-label use.

Diagnosis And Treatment For Menieres Disease

Abnormal results of a caloric stimulation test of eye reflexes can indicate a sign of Menieres disease. An electrocochleography, MRI scan or electronystagmography may also be recommended to decipher Menieres disease from other forms of vertigo. The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes. If those measures do not work, gentamicin injections might give lasting relief. Surgery is an option when other measures fail.

Medications

Medications that are effective for Meniere’s disease include:

  • Diuretics are the most commonly prescribed maintenance medications for Meniere’s disease. Diuretics work by restricting the overproduction of fluid in the inner ear. Diuretics are long-term medications. They help reduce the number of vertigo attacks, and in some cases, they help stabilize hearing. Commonly used diuretics are Diamox and Dyazide .
  • Meclizine is the most commonly prescribed medication for the control of vertigo. Dramamine, available over-the-counter, is milder but might also be effective.
  • Valium in small doses may be helpful when other medications fail to control the vertigo.

Low-salt Diet

Injection Therapy for Menieres Disease

The medication is administered in the office. The injections are performed at monthly intervals until either dizziness, imbalance, or hearing loss occur. Most patients receive between one and three treatments, although the number may vary depending on the response.

How Can I Prevent Tinnitus

Your risk of developing tinnitus increases with exposure to loud noises, so hearing protection is an important intervention. If you are around a noise that is so loud you cannot speak at a normal conversation level, you should wear ear plugs, move away from the noise source, or turn it down.

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Location Of Endolymphatic Sac

NIH/NIDCD

  • Surgery. Surgery may be recommended when all other treatments have failed to relieve dizziness. Some surgical procedures are performed on the endolymphatic sac to decompress it. Another possible surgery is to cut the vestibular nerve, although this occurs less frequently.
  • Alternative medicine. Although scientists have studied the use of some alternative medical therapies in Ménières disease treatment, there is still no evidence to show the effectiveness of such therapies as acupuncture or acupressure, tai chi, or herbal supplements such as gingko biloba, niacin, or ginger root. Be sure to tell your doctor if you are using alternative therapies, since they sometimes can impact the effectiveness or safety of conventional medicines.
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    There are many options to help resolve or cope with tinnitus, depending on the underlying cause of the tinnitus. These options may include:

  • Hypnotherapy has been helpful to relieve symptoms of tinnitus for some patients.
  • Biofeedback is a way for those with tinnitus to manage stress and relax, potentially reducing some of the cause of tinnitus.
  • Lifestyle changes such as eating a proper diet, exercising, and socializing can help treat depression and anxiety sometimes caused by tinnitus. Diets low in salt can also benefit those with tinnitus from Menieres disease.
  • Counseling is important for helping those who have strong negative emotions about tinnitus, usually in cases of severe tinnitus.
  • A clinical trial for tinnitus can be a way to help treat tinnitus and help scientists develop a cure.
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    Take Caution And Next Steps

    Please note: All medications should be taken as prescribed by your doctor. If you have been prescribed meclizine, you must follow up with your doctor to discuss your concerns and request for the medication to be reduced if possible.

    For people with a poor prognosis of vestibular recovery, meclizine may be appropriate for long term use. However, the accurate prognosis can not be determined until an exam by a vestibular expert provider has been conducted.

    Meclizine may also be helpful to take short term until proper vestibular care can be found. Sometimes, it takes awhile to find the right provider.

    Disclaimer

    This blog is provided for informational purposes only. The content and any comments by Dr. Kim Bell, DPT are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that Dr. Bell might see and do not describe the circumstances of a specific individual.

    The Truth About Otc Tinnitus Cures

    Tinnitus is a bothersome ringing, roaring, whistling, hissing, humming or buzzing sound in the ears with no external source. Symptoms vary from person to person and can range from a mild nuisance to a debilitating experience. While most people with tinnitus wish for a magic pill they can pick up from Athens Pharmacy that can make their symptoms disappear, sadly this does not exist. We review more about over-the-counter tinnitus cures below.

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    > > > Best Tinnitus Treatment Available

    Hearing loss or tinnitus can be a symptom of an ear or sinus problem. Sometimes, the problem goes away by itself, other times it requires medical intervention. Tinnitus is often times a sign of an ear or sinus infection, which means you need to see your doctor as soon as you can. A bacterial infection in the ear can go away by itself, but if it doesnt and keeps coming back, it can cause hearing loss, which is why you need to get your doctors advice right away.

    Many people who suffer from a mental health issue, may also experience hearing loss. When a person has serious depression, he is at risk to low self-esteem. Low self-esteem and anxiety can lead to more social problems and depression, which can lead to more hearing loss. If a person continues to have ongoing issues with depression and anxiety, his hearing will continue to deteriorate.

    Medications For An Acute Attack Of Meniere’s

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    This is the way that we manage acute attacks at Chicago Dizziness and Hearing

    Medications commonly used for an acute attack include the following:

    • Meclizine , chewable . Dose ranges from 12.5 twice/day to 50 mg three times/day. This medication is over the counter. No prescription is necessary.
    • Lorazepam 0.5 mg. Usual dose is twice/day or both at the same time at onset. This medication is effective even if it is not swallowed . Tiredness is expected.
    • Promethazine , orally or rectal suppository . Usual dose is once every 12 hours as needed for vomiting.
    • Prochlorperazine . Usual dose is 5-10 mg every 12 hours as needed for vomiting.
    • Ondansetron . Usual dose is 8mg q 12 hrs for vomiting. . Although Ondansetron isn’t as strong as phenergan or compazine, and doesn’t always work, it also doesn’t have much side effects either. One can certainly work and drive after taking nearly any dose of ondansetron. The same cannot always be said for meclizine, lorazepam and klonazepam, phenergan or compazine.
    • dexamethasone 4 mg orally for 4-7 days. Or a “medrol dose pack” This convenient, rapid, but not very effective treatment is gradually being replaced by steroid injections through the ear drum. It is usually an “add-on” at the time of a physicians visit for persistent symptoms . Being “hyper” is the most common side effect. Often people feel that they don’t need sleep and do a lot of cleaning (:.
  • Antihistamines
  • meclizine 12.5 mg to 25 mg as needed up to 3-4 times/day
  • diphenhydramine
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    Before Taking This Medicine

    You should not use meclizine if you are allergic to it.

    To make sure meclizine is safe for you, tell your doctor if you have any of these conditions:

    • liver disease

    • enlarged prostate or

    • urination problems.

    FDA pregnancy category B. Meclizine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

    It is not known whether meclizine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

    This medicine should not be given to a child younger than 12 years old.

    Meclizine Is Dangerous Because It Masks The Problem

    Meclizine is dangerous because it masks the symptoms of dizziness and vertigo to reduce discomfort, but does not correct the underlying problem.

    The lack of root cause leaves the person with a balance impairment that has not been addressed, even if they no longer feel dizzy or spinny on the medication.

    An unidentified and unaddressed balance impairment increases the risk of falls.

    Many older patients I have met who sustained a serious fall-related injury are on meclizine and have been taking it for many years to mask their dizziness.

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    Can Dietary Supplements Help Tinnitus

    While the Food and Drug Administration has not approved any dietary supplements for the treatment of tinnitus, some believe that they can provide relief. Unfortunately, no well-designed studies have showed them to be helpful.

    This article by Cláudia Barros Coelho, M.D., Ph.D., overviews some of the claims about dietary supplements and what the research shows to be true her findings are summarized below.

    Nonnarcotic Analgesics And Antipyretics

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    Ibuprofen and naproxen are medications that can induce reversible hearing loss and tinnitus. A comparison of dosage per patient weight of ibuprofen and salicylate showed that the ototoxicity of the former was weaker than that of the latter. Cessation of treatment results in a recovery of hearing and reversal of tinnitus within a few weeks. Indomethacin may also induce reversible hearing loss and tinnitus .

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    The Initial Causes Does Meclizine Help Tinnitus

    There are many causes of hearing loss. These include loss of hair cells , damage done to the brain stem due to disease or an infection, and a buildup of wax in the ears. Any combination of these can cause the brain to send wrong signals to the ears causing them to lose hearing. Oftentimes, there is no way to know whether or not you are suffering from hearing loss without having your ears checked. The only way to make sure is to undergo a hearing test.

    Many people believe that they are going crazy or having a break out when they have a constant ringing, buzzing, screaming, or hissing sound in their ears. They think it is going to come and go. But, the truth is that it can take weeks or even months to go away depending on the underlying medical condition causing it. Once you know for sure what is causing your hearing loss, you can find a good treatment to fix it so you can once again enjoy great quality hearing.

    Tinnitus isnt actually a disorder in and of itself its more of a symptom for another underlying condition. In many instances, tinnitus simply is a sensory reaction in the inner ear and hearing system to damage to these systems. While tinnitus can be caused by hearing loss alone, there are about 200 other health conditions which can produce tinnitus as a result. This condition is different for each person, although common symptoms include high-pitched ringing, pulsing noises, or continuous clicking or whirring.

    Anticancer Drugs And Heavy Metals

    Subjective tinnitus is a common side-effect of heavy-metal-containing anticancer medicines, including alkylating agents, such as nitrogen mustard, cyclophosphamide, melphalan, and chlorambucil antimetabolites, such as methotrexate, pyrimidine, and 5-fluorouracil antitumor antibiotics, such as dactinomycin, doxorubicin, bleomycin, and mitomycin and cisplatin.

    Cisplatin-induced ototoxicity may be exacerbated by fosfomycin, a phosphonic acid antibiotic that can counteract the effects of cochleotoxic and nephrotoxic medications. About 50% of patients administered 2 mg/m2 of cisplatin experienced a 15 dB hearing loss on pure tone audiometry, usually at frequencies of 68 kHz, with tinnitus occurring before audiographic abnormalities were observed. Combinations of cisplatin with anticancer drugs, such as 5-fluorouracil, bleomycin, methotrexate, and leucovorin, result in the development of tinnitus. In addition, long-term treatment with cisplatin is ototoxic, with recovery from tinnitus observed after the medication is halted . Tinnitus was found to be more frequent in patients treated with cisplatin than with other agents. Furthermore, patients with tinnitus were more likely to have a lower quality of life .

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    How Common Is Meniere’s Disease

    Studies have shown that Meniere’s disease affects about 200 out of 100,000 people . This is roughly the same prevalence as multiple sclerosis . The majority of people with Meniere’s disease are over 40 years of age, with equal distribution between males and females. Interestingly, the Framingham study found that 2/100 people believe they have Meniere’s disease in the US, suggesting that misdiagnosis is far more common than the correct diagnosis.

    What Medications Can Treat Tinnitus

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    Currently, there is not an FDA-approved medicine specifically to treat tinnitus, likely due to the fact that the cause of tinnitus is often unknown. However, there is research currently being done dedicated to trying to find a cure. Research is also being done to find drugs to cure hearing loss and Menieres disease, which may indirectly help cure tinnitus. However, there are some medications your doctor may prescribe if you need relief from tinnitus, they may include:

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    Last Resort Treatment Regimens

    There is a, but briefly, for intractable unilateral Menieres disease cases, we often presently advise a low dosegentamicin protocol. Gentamicin is administered through the ear drum every month for a total of one or two administrations. We have had very good results with this procedure, and no hearing loss as yet. If this fails, then if symptoms are severe we may follow with a labyrinthectomy, or in patients with good hearing and good health, vestibular neurectomy .

    Persons who have intractable bilateral Meniere’s disease are offered a trial of steroids with a safer immunosuppressant should this be effective, a modified gentamicin protocol. In the past, occasionally systemic aminoglycosides were used to deaden both ears.

    In our opinion, medical treatments, including a reasonable trial of anti-migraine drugs such as verapamil or venlafaxine, should precede use of any last resort treatment.

    Behavioral Treatment Options For Tinnitus

    Mental health care is an important part of tinnitus treatment. As the Journal of Family Practice states“some patients experience extreme anxiety or depression in response to tinnitus and should be referred to a mental health professional on the day they present with symptoms.”

    A therapist with experience treating tinnitus patients can use a combination of sound-based and tinnitus-focused cognitive-behavioral therapy to help you manage the emotional impact of tinnitus.

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    What You Need To Know About Tinnitus

    There are many different types of hearing loss. Sensorineural hearing loss commonly comes with tinnitus. Some researchers think that only subjective tinnitus can exist without some sort of physical damage to the hearing nerve. The underlying deafness might be due to:

    Noise-induced hearing loss can also be unidirectional and usually makes patients lose hearing just around the frequency of the offending sound. This type of disorder is called conductive hearing loss. Patients suffering from this type of disorder have difficulty remembering information. For example, if a patient hears a phone ringing on a train, but hears nothing else, he may begin to worry that someone is being hurt. In this way, his brain is trying to take action, so he starts to memory function. This all depends upon his state of mind, which is affected by his anxiety levels.

    There are many symptoms associated with tinnitus, but only a few are really serious. Generally, patients notice decreased hearing functions as indicated by the reduction in the quality of their audible signal. They also experience nausea, fatigue, dizziness, headaches, depression, and anxiety. These symptoms vary from person to person, but there is one common thing in most cases: the brain is trying to take care of its own problems. The auditory system is getting overloaded and it can not deal with all the information coming through.

    Possible Causes Of Tinnitus

    Vertigo Alfred Hitchcock Streaming Ita

    Vertigo is usually easy to note if you suffer from it, but tinnitus can be more difficult for one to self-diagnose. Conditions that can cause low-pitched ringing in one ear include Menieres disease, but this is not the most common cause of tinnitus. A general exam and a hearing test can help you discern exactly what is going on.

    If you are in need of a hearing test, consider House of Hearing Clinic. House of Hearing Clinic is a well-established hearing care clinic, home to professionally-trained audiologists and hearing instrument specialists. We have successfully treated more than 7000 patients. Book your appointment today here. You can also contact us here.

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    A Woman With Severe Vertigo With Nausea Vomiting Tinnitus

    A 42-year-old woman is evaluated for occasional episodes of severe vertigo with nausea, vomiting, tinnitus, and a feeling of ear fullness. Her first episode occurred 3 years ago, and since then, she has had approximately six episodes, each of which may last from a few hours to 1 or 2 days. Meclizine and diazepam taken at the onset of symptoms provide partial relief, but she often must resort to bed rest during these episodes, missing 1 to 2 days of work. She has a family history of migraine headache, although the patient does not experience headache or visual symptoms with her episodes of dizziness.

    Physical examination, including vital signs, is normal. An audiogram discloses a bilateral low-frequency sensorineural hearing loss. MRI of the head is normal.

    Which of the following is the most likely diagnosis in this patient?

    A. Acephalgic migraine

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