Michael, I found that this varies depending on the country. There is consensus that in some cases an early intervention with steroids can help with hearing loss and tinnitus, but GPs don't prescribe them. GP/ER wouldn't even prescribe clonazepam when I was going mad but the private ent did.
@Chinmoku
I agree with you. Medical treatment for tinnitus in the UK is not necessarily the same in other countries. It is for this reason my advice and treatment suggestions are based on my experience in the UK. For instance, when someone in the UK is referred to ENT for tinnitus. It can take 4 to 6 months for an appointment. I didn't understand why it took so long when I had to wait 6 months for my first appointment 23 years ago. I didn't know back then there was a good reason for this, as I've indicated in my previous post.
The ear is a very delicate organ and often tinnitus can reduce or go completely away within the first 6 months. I still believe this is the right approach, providing there aren't additional problems that I have mentioned.
When a patient is seen at ENT for the first time a variety of tests are carried out that I have mentioned in my article:
Tinnitus, A Personal View:
https://www.tinnitustalk.com/threads/tinnitus-a-personal-view.18668/ If there is an underlying medical problem causing the tinnitus such as: Meniere's disease, otosclerosis, ETD, Acoustic neuroma etc, an ENT doctor will try treating the condition medically or surgically.
If there is no underlying medical problem causing the tinnitus as in "Noise induced", then the patient is referred to Audiology to see a Hearing Therapist or Audiologist, that is trained in the treatment and management of tinnitus and hyperacusis. Various treatments are available depending on which NHS hospital the patient attends. These health professionals will treat hearing loss and recommend hearing aid/s if needed as hearing loss can cause tinnitus.
Through talking to people from other countries, I have learned they are often only seen at ENT and don't get a referral to Audiology. If they are many are automatically advised to fork out for expensive hearing aids when usually the person doesn't have significant hearing loss. It seems, the treatment that is available in the UK for tinnitus is significantly different in other parts of the world.
A GP in the UK will not prescribe prednisone for tinnitus. I have heard people in other countries have had success with it when taken early for "Noise induced tinnitus" Others have said it didn't help. GPs are also reluctant to prescribe clonazepam, mainly I believe because of it's addictive nature. My ENT consultant prescribed it for me in 2010 and I found it very helpful. I was advised to only take it when my tinnitus is severe. 2x 0.5 tablets usually reduce to the tinnitus to a low level or complete silence over 12 hours. I haven't had a problem with this medication in 9 years. I take it about once or twice a month for one or two days.
People that have contacted me by telephone and email who are new to tinnitus and want to be seen quickly. Have paid privately to see an ENT consultant. What often happens tests are carried out nothing untoward is found, and the patient is told to wait to be seen at a NHS hospital ENT department. Then they are faced with an expensive consultation bill.
Michael