Hi, A week and a half ago, shortly after waking up I (for no obvious reason) lost the hearing in my right ear. I have an earlier post under "SUDDEN HEARING LOSS, AND I'M TERRIFIED", explaining the details of my ordeal. Anyhow, my ENT diagnosed the problem as possibly a viral infection in the inner ear and put me on a ten day prescription of Prednisone. I've already been on it for five days and notice some of the hearing I've lost seems to slightly be coming back. Initially, tests showed I had lost 80db of hearing in my right ear as a result of this attack! Prior to taking the steroid, I had LOUD high pitch ringing in my infected ear and loud rushing which has caused serious PANIC and ANXIETY attacks causing me to lose most sleep and I've been falling into a deep depression. I'm on Xanax a couple times a day to get me through and help with a little sleep but I'm still going insane from the constant ringing! Steroids are commonly prescribed for sudden hearing loss as well as for autoimmune inner ear disease and vestibular neuritis. The purpose of this page is to outline the usual methodology. We do not discuss their effectiveness or the validity of their indications. The drugs that are most commonly used include: There is very little difference with respect to the ultimate results with these drugs and side effects, but they differ in potency and duration of action, and for this reason, the dose must be adjusted. In most cases, the goal will be to start with a 1mg/kg equivalent of prednisone (i.e about 60 mg/day). Oral decadron would seem to us to be a poor choice for a condition in which rapid effects are desirable such as acute hearing loss or vestibular neuritis, as due to it's long half life, it takes 20 days to reach steady state. Of course, one can adjust one's protocol to give more drug at the beginning, as is the case for the "medrol dose pack".
STUDY DESIGN AND SETTING A retrospective chart review n = 75 in a tertiary care clinic examined sudden hearing loss patients treated with 1 60-mg prednisone taper, 1 course of steroid less than a 60-mg taper, or any 2 courses of oral steroid. Dec 2, 2013. Treating Sudden Hearing Loss Without Side Effects. Carey notes that the injected drug used in the study, methylprednisone, can be painful.