 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Tinnitus / February 2006Tinnitus: A Clinical Update
I've found the link below quite useful. The last page includes a concise summary. It is on the web site of a reliable source (the Department of Otolaryngology at the University of Miami School of Medicine). It is also quite recent (February 2005). http://otolaryngology.med.miami.edu/grandrounds/Tinnitus.ppt Wow! This is really interesting stuff. Thanks. A little web work got this: The Use of Sodium Enoxaparin in the Treatment of Tinnitus Renzo Mora, Angelo Salami, Marco Barbieri, Francesco Mora, Giulio Cesare Passali, Saverio Capobianco, and Jacques Magnan Ear, Nose, and Throat Department, University of Genoa, Genoa, Italy Abstract: Tinnitus is a pathological event caused by abnormal stimulation of any point along the acoustic pathway. Generally, it produces a sharp tone accompanied by hearing impairment. Currently, no widely used standard protocol for treatment of this condition exists, and vascular microthrombotic factors are considered as the main determinants. Prompted by such observations, we implemented a protocol using an anticoagulant, sodium enoxaparin. It is a kind of heparin with a low molecular weight and is endowed with antithrombotic activity. We studied 40 patients (ages 20-65 years) who had been experiencing tinnitus for at least 2 months. We divided patients into two groups: To the first group, enoxaparin was administered for 10 days; the patients in the second group were treated with traditional therapy (corticosteroids, vasoactive agents, multivitamins, and anticoagulants). At the beginning and at the end of the therapy period, the patients were evaluated by instrumental examinations. All patients treated with anticoagulant therapy have shown an evident abatement of their tinnitus symptom. No patient experienced side effects from this treatment. The results indicate that administration of sodium enoxaparin is an excellent mode of therapy for patients with tinnitus. Key Words: microthrombotic factors; sodium enoxaparin; tinnitus > I've found the link below quite useful. The last page includes a > concise summary. It is on the web site of a reliable source (the > Department of Otolaryngology at the University of Miami School of > Medicine). It is also quite recent (February 2005). > > http://otolaryngology.med.miami.edu/grandrounds/Tinnitus.ppt > Wow! This is really interesting stuff. > Thanks. [quoted text clipped - 23 lines] > results indicate that administration of sodium enoxaparin is an excellent > mode of therapy for patients with tinnitus. Do you know how this medicine or solution is applied? Tks ==================== > Key Words: > microthrombotic factors; sodium enoxaparin; tinnitus [quoted text clipped - 5 lines] > > > > http://otolaryngology.med.miami.edu/grandrounds/Tinnitus.ppt That's near where I live...relatively. That's near where I live...relatively. That's near where I live...relatively. > Wow! This is really interesting stuff. > Thanks. [quoted text clipped - 3 lines] >The results indicate that administration of sodium enoxaparin is an >excellent mode of therapy for patients with tinnitus. Enoxaparin is a form of heparin - a potent anticoagulant. Personally I consider their statement, "No patient experienced side effects from this treatment. The results indicate that administration of sodium enoxaparin is an excellent mode of therapy for patients with tinnitus" irresponsible - and I doubt the "no side effects" claim. Wait until one of the patients nicks themselves, bangs their head, etc. PaulS Paul S wrote "...I consider their statement, "No patient experienced side effects .." irresponsible - and I doubt the "no side effects" claim. Wait until one of the patients nicks themselves, bangs their head, etc." I disagree. Using anticoagulants does not mean you will exsanguinate from a paper cut. Many people take them, and Enoxaparin is an increasingly common medicine. Like many drugs, if misused, anticoagulants can be fatal. To the person who asked, Enoxapin is injected, not sure if it's SQ or IM. The two biggest problems with it are that it is injected, and since it is injected and new, you'd better have a fat wallet or good insurance for a 10 day course of therapy. NOW, if you want to call someone irresponsible, how about the people in the other thread extolling the virtues of pharmaceutical "goodies" and Xanax. Habit forming substances like benzodiazepines have done a lot of harm: probably more harm than anticoagulants, and probably less good. Sorry Paul, I disagree with you. If you have evidence to the contrary, I'd love to hear it, but I suspect you speak as a cautious layman, not necessarily a bad thing. Pete > I disagree. Using anticoagulants does not mean you will exsanguinate > from a paper cut. Many people take them, and Enoxaparin is an [quoted text clipped - 12 lines] > I'd love to hear it, but I suspect you speak as a cautious layman, not > necessarily a bad thing. I think the fact is that all drugs, both rx and non rx should be approached with caution and consideration of risk/benefit. It's not that one is better than the other. Susan > I think the fact is that all drugs, both rx and non rx should be > approached with caution and consideration of risk/benefit. It's not > that one is better than the other. > > Susan Well said. It's all about risk/benefit. Benzo's for some people can be a literal life saver not only for those with tinnitus. frank > Sorry Paul, I disagree with you. If you have evidence to the contrary, > I'd love to hear it, but I suspect you speak as a cautious layman, not > necessarily a bad thing. Hi Pete, The issue is not taking the drug, but rather the cavalier manner in which the authors' summarized without a single notation of risk. That is irresponsible because there is a risk that must be balanced with the condition. When the drug is currently administered it is weighed against the potential of blood clots, etc. (all life threatening). To imply the drug can be taken with no side effects discounts the warnings well-known about heparin administration (which would constitute the "evidence to the contrary"). PaulS >I've found the link below quite useful. The last page includes a >concise summary. It is on the web site of a reliable source (the >Department of Otolaryngology at the University of Miami School of >Medicine). It is also quite recent (February 2005). > >http://otolaryngology.med.miami.edu/grandrounds/Tinnitus.ppt Dr. Telischi is one of the foremost Otolaryngolist around. He was recommended to me to do my stapes surgery and I couldn't have been happier. Even though my hearing is back to normal I still have some problems with T. If you had the opportunity to make an appointment to see him, he's very caring and he takes Blue Cross. best of luck GG |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.