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) 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 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 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. Moreover similar to lidocaine, gabapentin can inhibit voltage-activated Na + channels . 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 . 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 For healthcare professionals. Applies to gabapentin: compounding powder, oral capsule, oral solution, oral tablet, oral tablet extended release. General adverse events. The most common adverse reactions associated with the use of this drug were dizziness, somnolence, and peripheral edema. The Gabapentin Story – As an Example. 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. 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 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). 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 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 But Gabapentin (Neurontin) has far more reports of ototoxic side effects such as hearing loss and tinnitus than Paclitaxel, so it is more likely that you are correct in assuming that the Neurontin is the culprit causing your hearing loss. Gabapentin can lead to reversible hearing impairment, especially in renal-impaired individuals. Mechanisms include toxic effects on cochlear hair cells and interference with neurotransmitter release. Risk factors include impaired renal function, prolonged high-dose use, and acute renal failure. Tinnitus, phonophobia, sensorineural hearing loss, dizziness, ataxia, disequilibrium, imbalance are not uncommon with chronic AEDs therapy. Abnormalities in brainstem auditory and nystagmography are sensitive in detecting subclinical hearing or vestibular deficits.
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |