When Should You Take Prednisone? What Specific Situation?

[jdjd09]

So, I feel this needs a topic of its own. What specific conditions should one take prednisone, assuming they already had tinnitus before new incident and it's already loud? Also, when should one NOT take prednisone and wait out a spike?

If one does take prednisone, what is considered "good enough" timeline to take it? What date IS too late? Also, what dose is OK, since most doctors WILL NOT give what is recommended on this board?

I do not feel there is clear guidelines on this and would really like it spelled out. Thanks for any information.

 

[Starthrower]

Only take this within 48 hours of being exposed to extreme loud damaging type of noise.

 

[erik]

Within 72 hours of SSNHL. Dosage is 60mg a day (20mg x 3) for 10 days followed by a few days of tapering off down to 40mg and 20mg.

 

[Strife_84]

Within 72 hours of SSNHL. Dosage is 60mg a day (20mg x 3) for 10 days followed by a few days of tapering off down to 40mg and 20mg.

I had 80mg per day. It depends of your body weight.

 

[erik]

Of course you want to make adjustments based on your body weight, those are just general guidelines. However, the evidence isn't even conclusive that Prednisone does anything after hearing loss. 60-70% of people recovered partial or most of the hearing regardless if they took Prednisone or not. There is another major study in phase two to answer this exact question. It concludes in 2020 - https://clinicaltrials.gov/ct2/show/NCT03255473.

 

[Bill Bauer]

Within 72 hours of SSNHL. Dosage is 60mg a day (20mg x 3) for 10 days followed by a few days of tapering off down to 40mg and 20mg.

When I posted this information last week, my post got deleted(!) I was told that I wasn't an MD, so I am not supposed to talk about those things. I went around it by pasting a link to drugs.com with the same information...

I don't think the moderator has helped anyone by his or her action.

 

[Jack Straw]

You ENT will tell you when and when not to take it as well as dosage info. It is a serious drug and should not be taken willy nilly.

If you want to protect yourself against noise exposure with supplements, look into taking magniusm and anti oxidents. They have been shown to help protect against noise induced trauma.

 

[Starthrower]

It is a serious drug and should not be taken willy nilly.

Exactly @Jack Straw. Good information.

@Bill Bauer I think the problem is giving out the medication info without stating a doctor's opinion should be considered.

 

[Bill Bauer]

@Bill Bauer I think the problem is giving out the medication info without stating a doctor's opinion should be considered.

That would depend on a doctor, wouldn't it?!
https://www.tinnitustalk.com/thread...orum-more-useful-than-your-ents-advice.28006/
Many doctors don't know much about T and its treatment. The only thing they might think they "know" is that it is not a serious condition, so if a drug has any possible side effects, it makes sense (to them) to not prescribe it if the only upside is increasing the probability that the patient doesn't get a lifetime of T.

 

[Starthrower]

@Bill Bauer I know and cannot disagree with you.

It is a serious legal issue on internet support boards so that is why some things are probably moderated.

 

[punkaddict]

Is a second or two of a very loud fire alarm test permanently damaging?