Steroids: Prednisone / Dexamethasone / Others (Oral and Intratympanic Injections)

[John_415]

I recently had a huge spike in my T, full ear feeling and everything. The low volume sound I had trippled to where I could start hearing it during the day. After that another small spike happend not long after this.
Within 48 I took my leftover prednison 60mg for 2 days. The sound lowered to a doubling of my base line.
10 days after onset it was still at double the volume and I got a hold of 10 days worth of 60mg prednison.
After the second day of treatment the sound lowered to baseline and after finishing the course and now 2 weeks afterward its still on base line. Im really happy with the result and am going to go way more heavily into prevention because my current state could have been way worse. Happy that it worked here.

 

[John_415]

I took a 6 day course of methylprednisolone for acoustic trauma and it elevated the already present T-tone to the point I could hear it constantly over everything along with mild hyperacusis which subsided the day after I finished my cycle. I should add I was extremely depressed whiler taking it and had suicidal ideation and panic attacks at night over my T. The ringing has lowered and I am less hyper-fixated on it so I'm unsure if the steroids did improve anything since I had no real baseline to go off of except for the day I noticed it but if you receive an increase in your T tone don't fear. I recommend anyone that it is better to be safe then sorry if they have SSHL and immediately go to an urgent care as time is critical and get help, if you have any depressing thoughts realize they are a result of the drug and find comfort through friends and family until you finish your course.

I took vitamin D3 (lifts your mood a bit) and kapikacchu powder (increases dopamine levels) plus took prednison in the morning so it would less impact my sleep in the evening. Next to that I tryed to act really happy all the time even thow I was really grumpy, my side-effects where not so heavy.

Had the same experience on a previous prednison course, lots of volume increase but then lowering after I stopped, guess thats common.

 

[Nice]

@Nice I had sudden hearing loss and recovered nearly 100% with IV systemic methylprednisolone - high doses > 250mg day for 3 days and after that lower doses and tapering for about 10-15 days.

Why do you get intratympanic and not IV?

Doctor recommendation.

 

[lifeisover]

Hi, my doctor prescribed me 80mg, 60mg, 40mg, 20mg, over 4 days. I was hesitant because I have had bad side effects when I took prednisolone 6 months ago several times in short dosages.

But I still took the 80mg today. And now I am worried beyond hell. I do not want more of the side effects that this drug gave me (muscle weakness). I am so scared and I regret that I took it. My tinnitus is unchanged or feels louder. I went to another doctor today to ask if I can quit ASAP, he said it would be ok for me to stop the one-time dose without tapering. I am waiting now for any side effects to kick in, I am so scared. I don't know what to do. I am already on a short-term anti anxiety med and don't want it to mess with my stress reduction (my tinnitus was panic attack induced)

 

[GregCA]

I am waiting now for any side effects to kick in, I am so scared.

This is the root of your problem: you are actively monitoring for any signs of badness. If your ear itches for reasons completely unrelated to Pred, you'll still chalk it up as a Pred side effect and stress over it.

Relax, the meds will get out of your system naturally in time. The half-life seems to be of a few hours.

 

[nesto]

Hi dears,

Let me introduce my story, I got Tinnitus after jumping into a river from a 5m height and slapping my right ear against the water. That was 18 days ago.

I went to the ENT 12 days after the onset, she prescribed me prednisone for 5 days (dosis of 100mg first day, tapering 20mg each day during five days). I had kind of a mild T (4/10), but the second and thir day on Prednisone my T became really low (2/10 or even 1/10). The treatment was finished yesterday, and my T came to a level closer to what it was before, maybe a bit lower (3,5 -4 /10).

Today I had control with my ENT and she told me that the treatment was over, that I shouldn't take more pills and should try to not focus on my T, that it might or might not fade away with time. This was a bit disappointing for me, since prednisone seemed to be working.

That is why I wanted to ask you guys, should I got back to the GP to ask for a longer treatment on Prednisone ? Or just follow her advise and not doing anything else.

 

[dayma]

So my understanding is that you take the steroid after an acoustic event or other physical event to lover inflammation. It's a good sign that the steroid did in fact lower your T. In the perfect world I could see taking more steroids but either way it's a good sign!

 

[Johan_L]

I visited one of the few doctors focusing on the T/H field in Sweden today (there are not many) . When I asked her about prednisone she said that it is not used as their is no clinical evidence of its effect when there is acoustic trauma however, it is used for sudden hearing loss.

Which are the reliable studies that disprove her statement (or proves it)? I found this one: http://www.ncbi.nlm.nih.gov/pubmed/19160857

 

[Contrast]

this already shows evidence that treating the hearing loss treats the tinnitus.
obviously predisone has a 1 month window and won't compete compared to hair cell and synapse repair in the future.

 

[Johan_L]

this already shows evidence that treating the hearing loss treats the tinnitus.
obviously predisone has a 1 month window and won't compete compared to hair cell and synapse repair in the future.

I had my severe trauma 5 weeks ago so I don't expect prednisone to help me this time. But I like to have it at home for when my next accident happens (which might be in 1 day, 1 month, 1 year or 10 years, but it will happen). However nobody here will prescribe prednisone so I would like to argument for it if there is a scientific case.

 

[Natalie Roberts]

I visited one of the few doctors focusing on the T/H field in Sweden today (there are not many) . When I asked her about prednisone she said that it is not used as their is no clinical evidence of its effect when there is acoustic trauma however, it is used for sudden hearing loss.

Which are the reliable studies that disprove her statement (or proves it)? I found this one: http://www.ncbi.nlm.nih.gov/pubmed/19160857

I had an extremely loud MRI yesterday and want to avoid worsening my tinnitus or hearing loss.. I got an urgent care doctor to prescribe me two days of prednisone but I'm not even sure if this is the right duration etc as the urgent care dr didn't know.. MRI was yesterday. What's the window for treatment to avoid worsening hearing loss?

 

[Striveon]

Doctor recommendation.

Did the injections help lower your tinnitus? Or how did it work?

 

[1000]

I had an extremely loud MRI yesterday and want to avoid worsening my tinnitus or hearing loss.. I got an urgent care doctor to prescribe me two days of prednisone but I'm not even sure if this is the right duration etc as the urgent care dr didn't know.. MRI was yesterday. What's the window for treatment to avoid worsening hearing loss?

Take them as soon as possible. I don't think 2 days is enough... How many milligrams in each tab?

 

[Natalie Roberts]

Take them as soon as possible. I don't think 2 days is enough... How many milligrams in each tab?

50 MG

 

[1000]

50 MG

I think they should have given you more like for example: 50 mg for 4 days, then 40mg for 3 days, 30mg for 2 days, and 20mg for 1 day.

At the same time I always wonder why they don't just do an IV and also give a prescription for a week of prednisone...

 

[just1morething]

I think they should have given you more like for example: 50 mg for 4 days, then 40mg for 3 days, 30mg for 2 days, and 20mg for 1 day.

At the same time I always wonder why they don't just do an IV and also give a prescription for a week of prednisone...

That is a higher dose than they give me. I just started MethylPREDNIsolone 4 mg taper pack. Maybe that version is stronger than prednisone?

 

[Natalie Roberts]

I think they should have given you more like for example: 50 mg for 4 days, then 40mg for 3 days, 30mg for 2 days, and 20mg for 1 day.

At the same time I always wonder why they don't just do an IV and also give a prescription for a week of prednisone...

Yeah, the urgent care dr wasn't too keen on giving it to me at all, I had to basically beg. So she's only gave me two doses. My neurologist said I can take them although he's not sure it will help . My tinnitus is much lower today so I'm not sure if it's necessary, but I suppose it won't hurt.

 

[1000]

Yeah, the urgent care dr wasn't too keen on giving it to me at all, I had to basically beg. So she's only gave me two doses. My neurologist said I can take them although he's not sure it will help . My tinnitus is much lower today so I'm not sure if it's necessary, but I suppose it won't hurt.

It won't hurt. Just take them.

 

[1000]

That is a higher dose than they give me. I just started MethylPREDNIsolone 4 mg taper pack. Maybe that version is stronger than prednisone?

Very much similar. Methylprednisolone pack is for 6 days. You are taking it for that amount of time?

 

[just1morething]

Very much similar. Methylprednisolone pack is for 6 days. You are taking it for that amount of time?

Yes. For bad static hiss in head/ears and inflammation in neck/TMJ. I had 3 refills on it. I just started last night with full 1st day dose. I seem some better.

 

[1000]

Yes. For bad static hiss in head/ears and inflammation in neck/TMJ. I had 3 refills on it. I just started last night with full 1st day dose. I seem some better.

Drink a lot of water.

 

[Natalie Roberts]

I think they should have given you more like for example: 50 mg for 4 days, then 40mg for 3 days, 30mg for 2 days, and 20mg for 1 day.

At the same time I always wonder why they don't just do an IV and also give a prescription for a week of prednisone...

My ENT just gave me a dose of 60MG for 7 days. So now just debating using it or not. My tinnitus is much lower than yesterday so I'm thinking permeant damage was not done and I've never used it before so a little nervous!

 

[1000]

My ENT just gave me a dose of 60MG for 7 days. So now just debating using it or not. My tinnitus is much lower than yesterday so I'm thinking permeant damage was not done and I've never used it before so a little nervous!

Do it for at least 5 days.

 

[glynis]

@Natalie Roberts ,
I have taken prednisalone a lot but for my lungs.

Fluid retention, full of energy, insomnia, vivid dreams, extream hunger and dry mouth will be common above 40mg.
Weight on your face (moon face) is more common if on a daily dose.
Coming down off a high dose will give fateauge as tearful episodes but will pass.

love glynis

 

[grate_biff]

My ENT just gave me a dose of 60MG for 7 days

Why?

 

[GregCA]

Fluid retention, full of energy, insomnia, vivid dreams, extream hunger and dry mouth will be common above 40mg.

I did feel quite jittery and unable to sleep well when I was on it indeed.

 

[glynis]

@GregCA,
The high dose is taken in the morning due to the big energy rush causing insomnia and the opposite reaction coming off them ,cronic fatigue and low mood crash .
I now have to take 8 puffs of daily steroids but it's better than the dreaded prednisalone.
love glynis

 

[glynis]

@GregCA ,
Do you know anything about what I'm going to tell you.

I have Meniere's, hearing loss and bilateral tinnitus.
I do get eye problems with attacks.

Over the last 6 months I have found something out that I can make happen.

When I close my eyes and make my eyes push one way as if trying to look at my ear with eyes closed and focus on that ear sound ,I can block the tinnitus sound out of that ear and vice versa but only for about 15 seconds before my eyes feel pain and a pressure pain feeling after.
I know eyes and Meniere's attacks and Tinnitus are connected.
I have tested this out over 6 months to make sure I get the same results and works every time.
Anything you can think of why it happens.
love glynis

 

[AmericanJosh]

I would not take it. The evidence of its effectiveness is very shaky and limited while the side effects, now and later (avascular hip bone) aren't really worth it.

 

[GregCA]

@GregCA ,
Do you know anything about what I'm going to tell you.

I have Meniere's, hearing loss and bilateral tinnitus.
I do get eye problems with attacks.

Over the last 6 months I have found something out that I can make happen.

When I close my eyes and make my eyes push one way as if trying to look at my ear with eyes closed and focus on that ear sound ,I can block the tinnitus sound out of that ear and vice versa but only for about 15 seconds before my eyes feel pain and a pressure pain feeling after.
I know eyes and Meniere's attacks and Tinnitus are connected.
I have tested this out over 6 months to make sure I get the same results and works every time.
Anything you can think of why it happens.
love glynis

That is very interesting, Glynis, especially because it is reproducible.
I do not know why this is happening unfortunately, but if I were you I'd try to contact people who study/research Meniere's and explain that you can do this on demand. The studies on the bi-modal stimulation do show there is some "cross-talk" or "cross-correlation" from one sensory organ to another when the neuronal paths happen to get close to each other, so it's not far fetched to think that your eye movement could be impacting the region that is responsible for your Tinnitus... somewhere upstream "where the wires get close to each other" (sorry for the crude analogy).

I wonder how you stumbled on this!