Pharmacotherapy of acute and chronic tinnitus
Reiss, M.; Reiss, G.
Medizinische Monatsschrift für Pharmazeuten 35(11) 396-406; Quiz: 407-408
2012
ISSN/ISBN: 0342-9601 PMID: 23213709 Document Number: 663766
The aetiology of acute tinnitus is mostly idiopathic like sudden sensorineural hearing loss or caused by noise and rarely infectious or vascular. Therefore there is currently no causal and effective drug therapy available. Although there is a low level of evidence, treatment with glucocorticoids and initially plasma expanding infusions (HES) is recommended for acute tinnitus if there is no spontaneous remission. Intratympanic glucocorticoid therapy can be used as an alternative if there is severe hearing loss together with tinnitus. In chronic tinnitus there is really no indication for pharmacotherapy. Sometimes