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@julieo4

Hi Lacy2. No problem jumping in. So many of these topics overlap. It's hard to keep track of them all. Ototoxicity is a real issue. I don't know why it's not considered when doctors are prescribing medication. It seems like many good physicians just don't know enough about hearing issues to understand this. About 8 years ago I had an eye infection. My physician, an Ophthalmologist, prescribed a medication that I knew to be ototoxic. I told him that I was not comfortable taking that medication. It was like I punched him in the gut. He did not like my saying that, and argued with me about my hearing loss issues. It was awful. At the time, I had a brochure that included a long list of ototoxic medications. Thus, I was able to show him that brochure. Bottom line was that he had never considered this an issue. Thankfully, I was prescribed something different that worked for me.

Unfortunately, in some situations ototoxic medications are the only available options for a particular health issue. Mostly chemotherapy. It's a tough one. Tinnitus

Sadly, hearing loss has been disregarded in many medical situations over time.

According to information I've read over time, tinnitus can be caused by some medications. Most often though, it is caused by excess noise. There is so much to learn, and we are all different.

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Replies to "Hi Lacy2. No problem jumping in. So many of these topics overlap. It's hard to keep..."

...so true! And many medical conditions probably have been started by medications for other illnesses in many cases... but as you say its a tough one.. weighing the pros and cons of helping one condition only to create another. But I wish patients were given the choice. I too was told by glaucoma specialist not to take meds that increased eye pressure and psychiatrist insisted could take it... was adamant. And a person at the clinic for elderly, a woman, told me: it's better to have better mental health and lose some vision, the library has talking books! I will never forget that statement which was also repeated by an emerge dept. doctor, who was very nice, but said the same thing. I chose vision over mental health and my life is not that happy but at least I can see my family's faces and read my ipad and see the flowers outside..... 🌷🌷🌷my choice, cant have everything!

Here's a resource with information about ototoxic medications, along with a list of ototoxic drugs/medications. They are not all prescription drugs; many over the counter medications are on the list.

List of Ototoxic Drugs that Cause Tinnitus

Certain prescription drugs can, over time, have an ototoxic effect on your hearing, causing hearing loss and ear ringing from tinnitus. Ototoxicity may be reversible or may be permanent, depending on the type of medication used, dosage and duration of treatment. There are many medications that have been listed as potentially ototoxic drugs, including antidepressants, antibiotics, and many painkillers.

What are ototoxic drugs?
Ototoxic medications have a toxic effect on the nerve cells of your inner ears. Over time, long-term usage of certain prescription medications can result in tinnitus or hearing loss.

Please speak with your doctor before discontinuing or reducing your intake of any medication.

Here is a list of medications that can potentially cause tinnitus.

Salicylates – Aspirin and aspirin containing products
Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) – Advil, Aleve, Anaprox, Clinoril, Feldene, Indocin, Lodine, Motrin, Nalfon, Naprosyn, Nuprin, Poradol, Voltarin.
Antibiotics – Aminoglycosides, Erythromycin, Vancomycin
Aminoglycosides – Streptomycin, Kanamycin, Neomycin, Gantamycin, Tobramysin, Amikacin, and Netilmicin
Erythromycin – EES, Eryc, E-mycin, Ilosone, Pediazole and new derivatives of Erythromycin, Biaxin, and Zithromax
Vancomycin – Vincocin
Loop Diuretics – Lasix, Endecrin, and Bumex
Chemotherapy Agents – Cisplatin, Nitrogen Mustard, and Vincristine
Quinine – Aralen, Atabrine (for treatment of malaria), Legatrin, and Q-Vel Muscle Relaxant (for treatment of night cramps)

Ototoxic drugs that worsen tinnitus
Many prescription and nonprescription medicines can worsen ringing in the ears (tinnitus).

Starting a new medication or increasing your dose of ototoxic prescription drugs can make symptoms of tinnitus more pronounced.

Medicines that commonly cause tinnitus or make tinnitus worse include some of the following:

Antibiotics
Antidepressants.
Anti-inflammatory medicines
Blood pressure medicine
Heart medicines
Local anesthetic agents
Medicines used to treat cancer
Medicine used to treat Parkinson’s disease
Radiation therapy to the head or neck.
Some vitamins or mineral supplements, such as niacin or vitamin A.
Water pills (diuretics)
The signs of ototoxicity, in order of frequency
Symptoms of ototoxic drug reaction include:

a) Development of tinnitus in one or both ears.

b) Intensification of existing tinnitus or the appearance of a new sound.

c) Fullness or pressure in the ears other than being caused by infection.

d) Awareness of hearing loss in an unaffected ear or the progression of an existing loss.

e) Development of vertigo or a spinning sensation usually aggravated by motion which may or may not be accompanied by nausea.”

It is strongly suggested that if any of these symptoms develop while taking any medication, call your doctor immediately.

Antioxidants help with tinnitus
If you must take ototoxic medications, it is a good idea to also take antioxidants, in order to lower your chances for developing tinnitus.