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Medical Forum / Diseases and Disorders / Tinnitus / January 2004Your view on nifedipine, Dr.Nagler.
Dr. Nagler, I am interested in what you wrote before in another post: "Procardia (nifedipine) is a calcium channel blocker antihypertensive agent that (to my knowledge) has not been associated with increase in tinnitus; as a matter of fact, some physicians have used it at times to try to treat tinnitus...." My personal experience has been that nifedipine helps erection, which in a way suggest a vigorous kidney. But i am interested in your view on why "some physicians have used it at times to try to treat tinnitus....". Perhaps next time I will switch into it from the current Zestril. My own and that of my friends' experience with Zestril is that it hinders erection. TIA FP >Dr. Nagler, I am interested in what you wrote before in another post: > [quoted text clipped - 13 lines] > >FP ................ FP - It might surprise you to know that physicians are as anxious to rid tinnitus sufferers of tinnitus as tinnitus sufferers themselves are to be rid of it. There are various reasons - some docs are truly empathetic ... some just want to get you out the door ... the reasons go on. Anyway, *some* people believe that *some* tinnitus is due to inadequate blood flow to the cochlea. (My own feeling is that those cases - if they exist at all - are few and far between.) Anyway, it is for this reason that various agents that relax vascular sommth muscle (i.e., dilate blood vessels) have been tried over time in an effort to increase blood flow to the cochlea. Since nifedipine has not been associated with increase in tinnitus (actually that is no longer true - scattered cases have popped up), nifedipine is one of the drugs that have been tried in this regard - because as a calcium channel blocker it relaxes vascular smooth muscle. Unfortunately there are no studies in the literature attesting to the efficacy of nifedipine in this regard, and I am unaware of any reports of prolonged success even anecdotally. Still - some docs give it a whirl. smn > >Dr. Nagler, I am interested in what you wrote before in another post: > > [quoted text clipped - 23 lines] > empathetic ... some just want to get you out the door ... the reasons > go on. Out of desperation, people would try everything. For example, i now isolate the consumption of my HBP med daily and don't mix it up with vitamins or even herb pills. I am under the impression, either real or imaginary, that Zestril does not produce tinnitus either by itself or with diurectics but i do 'feel' that when Zestril interacts with other drugs, even herb pills, it tends to give me a hard day. My T took place before I switched to Zestril about 2 months ago but it was a low-keyed T to begin with, and was confined mainly to my left ear. I recall that my T exacerbated at the time when Zestril came in and did so with other drugs recommended to me by my stupid doctor. He applied a 'combination' treatment which involved 4 different kinds of hbp medicines. Currently with the intake of Zestril and diurectics isolated, my T has gone back to be like what it was in the beginning. Thus I am thinking seriously of switching medication. The one I am looking at is COZZAR. I have heard a great deal of good things about this one and the name sounds rather sexy! Any comments on that, please? Thus you might have been right that there is *rarely* any CASUAL relationship between Zestril and tinnitus but that *rare* percentage does not encompass a CORRELATIONAL relationship between the interaction of Zestril and other drugs on the one hand and T on the other. Again, comments please. > Anyway, *some* people believe that *some* tinnitus is due to > inadequate blood flow to the cochlea. Mine is, according to my doctorS, due to inadequate blood flow to the left side of my 'brain'. In the morning, the ringing starts on the left side of my head, and then travels throughout the day to the middle after I take Zestril and Dyazide. I somehow feel Dyazide might have helped released the left side of my brain. Any thoughts on that? (My own feeling is that those > cases - if they exist at all - are few and far between.) Anyway, it > is for this reason that various agents that relax vascular sommth [quoted text clipped - 4 lines] > the drugs that have been tried in this regard - because as a calcium > channel blocker it relaxes vascular smooth muscle. Better than the inhibiting action of an ACE inhibitor??? > Unfortunately there are no studies in the literature attesting to the > efficacy of nifedipine in this regard, and I am unaware of any reports > of prolonged success even anecdotally. Still - some docs give it a > whirl. We are desperate people. Aren't we? I have become less desperate now since Ativan was rid of. My life is 'acceptable' without Ativan! FP > smn <snip> > We are desperate people. Aren't we? I have become less desperate now > since Ativan was rid of. My life is 'acceptable' without Ativan! > > FP I think you hit the nail on the head, Francis. Use drugs only for their intended purposes and then, only if necessary. Acceptance is a giant step toward habituation which is free and has no side effects. I don't think you appreciate how complicated controlling blood pressure is. In the simple world, a single pill would do the job, period. In the real world, patients vary in how they react, etc. What works great for Joe, makes Bill sleepy and unable to work. It may take months to hit the right combination. Your not just dealing with BP, You are dealing with hear rate, stroke prevention, kidney function, etc etc. ITo say your doctor is stupid because, like any one else, he is trying to get the best treatment for you is ridiculous. Also, it sounds like you may be mixing herbs that work against the medications. Murray Grossan, M.D. http://www.ent-consult.com > I don't think you appreciate how complicated controlling blood pressure is. > In the simple world, a single pill would do the job, period. [quoted text clipped - 5 lines] > ITo say your doctor is stupid because, like any one else, he is trying to get > the best treatment for you is ridiculous. Then they are not stupid but not knowledgable enough. None of *them*(7 together) was aware: (1)that the use of short-lived beta-blocker was responsible for my fluctuating bp. It was until Dr. Chung from SMC brought up this concept of bp spikes then I went ahead to prescribe for myself and the problem went away. (2)6 of them replaced or agreed to replace my 10mg Norvase with a few short-lived bp pills taken two to three times a day. (3)7 of them were unaware that a 24 hours acting calcium channel blocker could be strengthened by a 24 hours acting beta-blocker and an ACE inhibitor by diuretics. The latter method was found in a book named "The Best Treatment" by Dr.Rothensal in the US. And if you were interested in the diagnosis of those ENT doctors that treated my T in the beginning, you might want to use a harsher word for their incompetence. One of the ENT doctors felt that my T must have come from living in high rises. > Also, it sounds like you may be mixing herbs that work against the medications. I am aware of that. Some works with while some against. FP > Murray Grossan, M.D. > http://www.ent-consult.com entconsult@aol.comnospam (ENTconsult) wrote in message snipped... > Also, it sounds like you may be mixing herbs that work against the medications. (1)Herbs used for sleep supplement Ativan. (2)Herbs used to invigorate the kidney tends to raise blood pressure. For this reason, I added a Dyazide pill to Zestril 'on my own advice'. *None* of my doctors has asked what other doctors have prescribed for me. FP =================================== > Murray Grossan, M.D. > http://www.ent-consult.com > *None* of my doctors has asked what other doctors have prescribed for >me. So I hope you are not taking medicine prescribed by 3 different doctors. Perhaps you should volunteer that information next time you see one. Tinnitus is a pain in the neck Elly's Tinnitus Resources http://www.eebee.net/ http://www.tinnitusrelief.net/ For email: elly at eebee.cjb.net |
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