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Medical Forum / Diseases and Disorders / Tinnitus / August 2006

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Dr. prescribed drug for tinnitus very quickly...

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ben - 17 Aug 2006 21:14 GMT
Hello,

I've had tinnitus for 1/2 maybe 3/4s of a year and it's got worse in
roughly the last month, so I finally went to see my doctor about it.
He's had me do an audiogram (played various tones via headphones with
increasing volume until I say I can hear it). Audiogram fine. Also took
blood sample/test (mainly for something else but I think also
conneceted with the tinnitus) -- yet to receive the results. Without
any further ado he's prescribed Betahistine Hydrochloride (saying it
does not have any side effects at all but from searching a bit I can
see it does although not too serious ones by the looks of it but none
the less it clearly has side effects). He didn't go into anything
really about what could be the *cause* of the tinnitus before
prescribing the drug; hardly asked any questions apart from a very
small number of basic ones: how long have I had it and does it
flucuate. I'm not a big fan of drugs generally and just prescribing
some without really attempting to get at what may be the cause of the
tinnitus doesn't seem so good to me. Or, is the course of action I just
described quite normal / fine / reasonable in anyone's opinion?
Certainly it hasn't followed what's indicated in the decision tree
thing in the 3rd question in the tinittus FAQ, "How is tinnitus
diagnosed?"!

Also about that 3rd FAQ the start of the decision tree is:

ear exam--->(audible sounds)
   |
   |
   v
(no audible sounds)  

Does that mean audible sounds to the person who has tinnitus or audible
sounds emitted from the ear (traceable by people/instruments -- not the
person with tinnitus)? I feel pretty silly asking that but it isn't
clear to me.

Thanks,
Ben.
Martin Smith - 17 Aug 2006 21:49 GMT
> Hello,
>
[quoted text clipped - 15 lines]
> tinnitus doesn't seem so good to me. Or, is the course of action I just
> described quite normal / fine / reasonable in anyone's opinion?

It is reasonable. I suppose the doctor is using this medicine to see if
eliminating excess fluid in the ear reduces the tinnitus. If it doesn't,
you will stop taking the medicine. It is used as a treatment for  
Menier's Disease.
ben - 17 Aug 2006 23:32 GMT
> It is reasonable. I suppose the doctor is using this medicine to see if
> eliminating excess fluid in the ear reduces the tinnitus. If it doesn't,
> you will stop taking the medicine.

An attempt to first find out the cause would have been much more
preferable I reckon but there you go. I suppose you're saying that the
drug is part of that.

> It is used as a treatment for  
> Menier's Disease.

Right OK thanks for the reply.
Ben.
Martin Smith - 18 Aug 2006 04:47 GMT
> > It is reasonable. I suppose the doctor is using this medicine to see if
> > eliminating excess fluid in the ear reduces the tinnitus. If it doesn't,
[quoted text clipped - 3 lines]
> preferable I reckon but there you go. I suppose you're saying that the
> drug is part of that.

Tinnitus isn't that kind of as problem. Most of us here don't know a
specific cause. Some do. There is usually a lot of trial and error.
There are a few specific known causes, and I suppose that prescribing
this drug is a way to eliminate one of them.

> > It is used as a treatment for  
> > Menier's Disease.
>
> Right OK thanks for the reply.
> Ben.
Jim Chinnis - 18 Aug 2006 05:04 GMT
Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:

>Tinnitus isn't that kind of as problem. Most of us here don't know a
>specific cause. Some do. There is usually a lot of trial and error.
>There are a few specific known causes, and I suppose that prescribing
>this drug is a way to eliminate one of them.

Any effect of betahistine on tinnitus in Meniere's or otherwise appears to
be slight.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

ben - 18 Aug 2006 13:16 GMT
> Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
>
[quoted text clipped - 5 lines]
> Any effect of betahistine on tinnitus in Meniere's or otherwise appears to
> be slight.

OK, thanks for that.
fyfpoon@gmail.com - 19 Aug 2006 01:19 GMT
> > Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
> >
[quoted text clipped - 7 lines]
>
> OK, thanks for that.

Try the med yourself before thanking anyone for the advice.  The
reaction to a med is a very individual thing.

========================
Martin Smith - 19 Aug 2006 07:21 GMT
> > > Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
> > >
[quoted text clipped - 10 lines]
> Try the med yourself before thanking anyone for the advice.  The
> reaction to a med is a very individual thing.

Actually its not. The reaction will be the same for most people. The
point is that one should be observant, should know what the
possibilities are, and should be prepared for a reaction outside the
normal.
fyfpoon@gmail.com - 23 Aug 2006 16:25 GMT
> > > > Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
> > > >
[quoted text clipped - 15 lines]
> possibilities are, and should be prepared for a reaction outside the
> normal.

In the case of Ben, he should listen to his doc and try the med rather
than consulting an online amateur like you.
Martin Smith - 23 Aug 2006 17:19 GMT
> > > > > Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
> > > > >
[quoted text clipped - 20 lines]
> In the case of Ben, he should listen to his doc and try the med rather
> than consulting an online amateur like you.

He isn't consulting me.  I'm the one who recommends doctors. You're the
one who recommends herbalists.
Janice - 24 Aug 2006 00:57 GMT
Somebody has to tell a non0nutritional doctor what works.

>> > In article
>> > <1155946744.793315.109570@h48g2000cwc.googlegroups.com>,
[quoted text clipped - 5 lines]
> the
> one who recommends herbalists.
fyfpoon@gmail.com - 24 Aug 2006 02:40 GMT
> > > > > > Martin Smith <burning.giraffe@meltingclock.bis> wrote in part:
> > > > > >
[quoted text clipped - 23 lines]
> He isn't consulting me.  I'm the one who recommends doctors. You're the
> one who recommends herbalists.

Where did I recommend "herbalists"?  Are you reading Norwegian language?
fyfpoon@gmail.com - 17 Aug 2006 23:52 GMT
I took betahistine while i was having tinnitus.  I did not experience
any side effects; the latter being an individual thing.  All you need
is trying it for a few days and see if you are comfortable with it.
But do this before bedtime only as it causes drowsiness.  The purpose
of the drug is to help you sleep while facilitating a certain micro
circulation in your head.  I found it to be a good drug for me.

The cause of tinnitus is very difficult to pin-point.  In your case,
you may be suffering from 'nerve' type tinnitus.  The way to treat it,
since the cause is hard to find, is to improve the overall but in
particular the blood circulation in your head so that whatever part(s)
that causes your  T can be made to recover.

At the time of my t onset, i was advised to take one tablet of gingko
biloba in the morning and one tablet of betahistine at night.  I think
you should take your doctor's advice rather than asking for amateurs'
advice online.

FP
\\\\\\\\\\\\\\\\\\\\\\\\\
> Hello,
>
[quoted text clipped - 34 lines]
> Thanks,
> Ben.
ben - 18 Aug 2006 13:17 GMT
> I took betahistine while i was having tinnitus.  I did not experience
> any side effects; the latter being an individual thing.  All you need
[quoted text clipped - 11 lines]
> At the time of my t onset, i was advised to take one tablet of gingko
> biloba in the morning and one tablet of betahistine at night.

> I think
> you should take your doctor's advice rather than asking for amateurs'
> advice online.
Yes definetely. I was just looking for some opinions. Thanks.

Right that was all very interesting/useful -- thanks very much for that.

Ben.
fyfpoon@gmail.com - 26 Aug 2006 06:28 GMT
> > I took betahistine while i was having tinnitus.  I did not experience
> > any side effects; the latter being an individual thing.  All you need
[quoted text clipped - 18 lines]
>
> Right that was all very interesting/useful -- thanks very much for that.

Take the pill AFTER dinner with a full stomach.

\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

> Ben.

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