Antibiotic Zithromax?

[Christian_B]

So I went to a dentist today which prescribed me Zithromax antibiotic which he wants me to take for 3 days a total of 3 pills. Is this antibiotic known for anything tinnitus related?

Thanks.

 

[Lisa Robinson]

I thought it was used for infections or gastro which caused by contaminated food according to wiki. Antibiotics have helped clear me up a bit but T still persists though.

 

[Christian_B]

I thought it was used for infections or gastro which caused by contaminated food according to wiki. Antibiotics have helped clear me up a bit but T still persists though.

I'm a bit confused on whats your point here?

after some research i can see the Antibiotic is a mycin oxotoxic. So i guess i should avoid this? Can any confirm this..

 

[Lisa Robinson]

since you put your title wrong and drug obviously reason why I put what I put. Sorry :/

Do you have ear infections? The correct title says it's used for that.

Hope someone can help you.

 

[Dr. Nagler]

Zithromax is not truly ototoxic, but on the basis of a number of anecdotal reports I nevertheless strongly caution against its use in people who have tinnitus. Ask your dentist for a different oral antibiotic if there is an acceptable alternative. Any of the penicillins, cephalosporins, or quinolones should be fine.

stephen nagler

 

[Christian_B]

Zithromax is not truly ototoxic, but on the basis of a number of anecdotal reports I nevertheless strongly caution against its use in people who have tinnitus. Ask your dentist for a different oral antibiotic if there is an acceptable alternative. Any of the penicillins, cephalosporins, or quinolones should be fine.

stephen nagler

It was Zitromax, not Zithromax - Sorry!

I appreciate an answer from a real doctor

Well i think i just "jumps" over the antibiotic, the dentist just prescribed it for me, to not have too much pain until he will fix the tooth. But i really don't have any pain, so i guess i don't need it.

No reason to take it for no reason and risk increase in T.

Thanks for your answer.

 

[Dr. Nagler]

Well i think i just "jumps" over the antibiotic, the dentist just prescribed it for me, to not have too much pain until he will fix the tooth. But i really don't have any pain, so i guess i don't need it.

Why don't you check with your dentist to be sure?

stephen nagler

 

[Christian_B]

Why don't you check with your dentist to be sure?

stephen nagler

The dentist asked me if i needed it. I said i had one night (which is rare) that i had bad pain. I don't have any pain currently, so i dont see any needs for it.

And if Zitromax is a oxotoxic med, i'm just not happy taking it.

 

[Dr. Nagler]

Zitromax and Zithromax are the same thing.

The drug does not cause auditory damage. My concerns regarding its use in tinnitus patients are purely anecdotal. Same as with the anti-inflammatory drug Relafen.

stephen nagler

 

[Christian_B]

Zitromax and Zithromax are the same thing.

The drug does not cause auditory damage. My concerns regarding its use in tinnitus patients are purely anecdotal. Same as with the anti-inflammatory drug Relafen.

stephen nagler

If i look the drug up on a Danish medicine site, it says 0,1%-1.0% of risk getting tinnitus.

 

[Dr. Nagler]

If i look the drug up on a Danish medicine site, it says 0,1%-1.0% of risk getting tinnitus.

There's a 7% chance of getting tinnitus from a placebo pill. Seems to me that 0.1%-1.0% is a bargain!

Still and all, I'd stay away from Zithromax for compelling anecdotal reasons.

smn

 

[dh42]

Dr. Nagler,

I have taken Zithromax a number of times in the past when I had no Tinnitus. No issues then,

However, now that I have Tinnitus, would you still recommend not taking it - could it make it worse or am I likely not to get an effect since I've had no issues with it before?

I feel I might have a sinus infection coming on and haven't been on Zithromax since the last sinus infection in 2012 - but had no T then. Thanks!

 

[Dr. Nagler]

However, now that I have Tinnitus, would you still recommend not taking it [Zithromax] - could it make it worse or am I likely not to get an effect since I've had no issues with it before?

Thank you for your very good question, DH.

I would like to take this opportunity to re-emphasize and make it perfectly clear that my concerns about the antibiotic azithromycin (Zithromax, Z-Pak) and the non-steroidal anti-inflammatory agent nabumetone (Relafen) are based purely on anecdote. I have absolutely no hard data or studies to back up my recommendations in this regard. That said, under no circumstances whatsoever do I believe that any person with tinnitus should take either of those two drugs - especially because in the case of those drugs in particular, there are always equally effective alternatives.

Dr. Stephen Nagler

 

[dh42]

Thank you, sir.

Does this go for all "-mycin" antibiotics?

I am allergic to Penicillin (got hives last time I took it as a kid - although no issues prior to that - go figure), so trying to find another option. I've been taking Zithromax for sinus infections since the med came out I think. Prior I was taking Biaxin I believe.

 

[Dr. Nagler]

Thank you, sir.

You are most welcome.

Does this go for all "-mycin" antibiotics?

No. Some of the "-mycins" are problematic, and some are not.

It is always best to tell the prescribing physician that you have tinnitus and that if at all possible, you would like to avoid any ototoxic antibiotics. Let your doctor research the issue if he or she does not know. That is an important part of the service you are paying for.

Regarding the antibiotic azithromycin and the NSAID nabumetone, neither is ototoxic. My concerns regarding those two drugs are purely anecdotal and are not related to ototoxicity.

Dr. Stephen Nagler