Gabapentin can cause a whole host of ear problems including hearing loss, tinnitus, ear pain, ear infections, Otitis externa (ear infections in the outer ear/ear canal) and Otitis media (ear infections in the middle ear) plus a lot more. These agents may induce hearing loss and tinnitus by mechanisms involving vasoconstriction and cochlear blood flow. Patients can recover from hearing loss if treatment with these agents is stopped immediately after bradyacusia and tinnitus occur . 3.11. Salicylates. Salicylate (aspirin), a dosage-dependent ototoxic medicine, is associated with Interestingly enough, even though gabapentin can cause ringing in the ears, it is sometimes prescribed off-label for the treatment of it. Nevertheless, the vast majority of studies report that the drug is no more effective than placebo in this regard. Among subjects with normal hearing who received gabapentin, there was a 21.40-point change in THI score from weeks 0 to 8. Among subjects with normal hearing who received placebo, there was a 1.75-point change in THI score. The difference in the change in THI score between the gabapentin and placebo arms was 19.7 (P = .005). The most common gabapentin (Neurontin) side effects are dizziness and drowsiness. This may affect your ability to drive or perform other activities. Other gabapentin side effects include edema (fluid buildup), weight gain, and eye problems, but these aren’t as common. Rare but serious gabapentin side effects include mood changes in children. Gabapentin is more likely to cause tinnitus (ringing in the ears) than hearing loss – but both have been reported in users. A European Review by Altissimi et al. (2020) reported that gabapentin can induce “tinnitus” and “vertigo or dizziness” – but there was zero documentation of hearing loss & ototoxicity. (R) duction type hearing loss and sensorineural hearing loss. While conduction type hearing loss is caused by reasons that prevent the voice from shifting from the outer ear to the inner ear; the problem with senso-rineural hearing loss is the vestibulocochlear nerve, the inner ear and the pathways between the inner Arguably, one of the drugs that has been studied most extensively as a tinnitus treatment is gabapentin (marketed as Neurontin®). It is useful to look at the history of this drug to appreciate the promise and pitfalls encountered when searching for effective tinnitus treatments. Hearing loss is reported as a side effect among people who take Gabapentin (gabapentin), especially for people who are female, 60+ old, have been taking the drug for < 1 month also take Zometa, and have Multiple myeloma. Both animal studies and human clinical trials implicate loss of inhibition, and specifically loss of GABA function, in the development of acoustic trauma-induced tinnitus. Introduction It has been hypothesized that partial deafferentation from various causes, such as acoustic trauma or age-related hearing loss, produces a loss of inhibitory Can Gabapentin Cause Loss of Hearing? Yes, gabapentin can cause loss of hearing. Research has shown a connection between gabapentin use and reversible hearing loss, especially in patients with renal impairment. The toxic effects of gabapentin, when kidneys are compromised, can lead to this issue. Check with your doctor immediately if any of the following side effects occur while taking gabapentin: More common in children. Some side effects of gabapentin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Moreover similar to lidocaine, gabapentin can inhibit voltage-activated Na + channels (11). A study in rat models revealed that administration of salicylates decreases GABA and the affinity of the GABA receptors in the brain and induces the sensation of tinnitus and hearing loss (12). Ototoxicity refers to chemical-induced damage to the inner ear. The damage can either be permanent or temporary, causing hearing loss or balance disorders. While medications are taken for their established benefits, all medications have side effects that you should be aware of before taking. Areas covered: This article review the evidence that long-term treatment with some antiepileptic drugs (AEDs) [e.g. carbamazepine, phenytoin, valproate, lamotrigine, gabapentin, vigabatrin and oxcarbazepine] (even in therapeutic drug doses) may result in tinnitus, phonophobia, sensorineural hearing loss, dizziness, ataxia, disequilibrium We report a patient with acute renal failure who developed hearing loss, myoclonus, and confusion with hallucinations in the presence of elevated gabapentin concentrations. Due to rapid improvement after hemodialysis and discontinuation of gabapentin, we believe that these symptoms were probably due Areas covered: This article review the evidence that long-term treatment with some antiepileptic drugs (AEDs) [e.g. carbamazepine, phenytoin, valproate, lamotrigine, gabapentin, vigabatrin and oxcarbazepine] (even in therapeutic drug doses) may result in tinnitus, phonophobia, sensorineural hearing loss, dizziness, ataxia, disequilibrium Hearing impairment and tinnitus pitch in patients with unilateral tinnitus: Comparison of sudden hearing loss and chronic tinnitus. Laryngoscope , 113, 427–431. Google Scholar There were substantive within-study clinical heterogeneities with regard to the baseline tinnitus handicap scores, duration of tinnitus, and severity of hearing loss in the included double-blind RCTs. Conclusion: The authors of both studies reported that gabapentin was not superior to placebo in their primary outcomes. However, following the Clinical Therapeutics/Volume 30, Number 9, 2008 Case Report A Probable Case of Gabapentin-Related Reversible Hearing Loss in a Patient with Acute Renal Failure Dwayne A. Pierce, PharmD1; Shea R. Holt, MD2; and Amber Reeves-Daniel, DO2 1Department of Pharmacy, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina; and 2Department of Internal Medicine, Wake Forest
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