NEOMYCIN vs. METRODINAZOLE for SIBO: Worried about otoxicity
I have read information explaining that the otoxicity (hearing damage, tinnitus, etc.) associated with this drug was found in the case of IV administration at high levels. I have read that oral Neomycin is not well absorbed (95% stays in the gut) and people as esteemed as Dr. Mark Pimentel (one of the top experts on SIBO) have attested to this.
And yet, as someone already suffering from tinnitus, I have some reservation. Pimentel and many others routinely offer and prescribe Metrodinazole in place of the Neomycin, so that is something I am considering. However, Metrodinazole is systemic (potentially more side effects outside the gut), whereas Neomycin is not well absorbed outside the gut.
Anyone want to help me make this decision?