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

[Nick47]

Did doctors in the UK say that? Because it seems like different countries have different approaches.

Yes, be cautious of private or insurance-based services that claim otherwise. They are often motivated by payment. Anything beyond a few days is unlikely to be effective.

In the UK, steroids are only recommended when there is measurable and significant hearing loss. It is not recommended for tinnitus of any duration.

 

[Nick47]

Delivery of steroids intratympanically in a nanoparticle format was compared with a standard steroid solution. This study focused on sudden sensorineural hearing loss, not tinnitus. In 42 percent of cases, no hearing was restored. The nanoparticle solution performed better than the standard solution.

This is not the full article, so it does not mention the timeframe between hearing loss and treatment. In general, treatment more than three days after the onset of hearing loss is considered futile.

The efficacy of methylprednisolone acetate nanogel in treating patients with sudden sensorineural hearing loss - PubMed

Intratympanic injection of methylprednisolone acetate is considered to be one of the effective drugs in the treatment of sudden sensorineural hearing loss. In this study, the efficacy of intratympanic injection of methylprednisolone acetate nanogel in patients with sudden sensorineural hearing...

pubmed.ncbi.nlm.nih.gov

 

[annV]

This is not the full article, so it does not mention the timeframe between hearing loss and treatment. In general, treatment more than three days after the onset of hearing loss is considered futile.

The full article is freely available here:

The efficacy of methylprednisolone acetate nanogel in treating patients with sudden sensorineural hearing loss - PMC

Intratympanic injection of methylprednisolone acetate is considered to be one of the effective drugs in the treatment of sudden sensorineural hearing loss. In this study, the efficacy of intratympanic injection of methylprednisolone acetate nanogel ...

pmc.ncbi.nlm.nih.gov