Evidence-Based Pulsatile Tinnitus Treatment

Pulsating tinnitus is the presenting symptom for a number of different diseases ranging from benign to life-threatening conditions. One should refer to a medical practitioner to differentiate the condition between subjective and objective tinnitus in order to formulate further testing and make appropriate recommendations in terms of management. Even with the recent medical advances, no treatment has been found to be consistently effective in the treatment of tinnitus. It is practical to deal with each patient separately and converse the risks and benefits of each pulsatile tinnitus treatment option through a strong doctor-patient relationship.

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Once a serious medical condition has been ruled out, the treatment of tinnitus should be aimed at symptom relief. Approximately 10% of patients with tinnitus have a severe manifestation which interferes with their quality of life. Since tinnitus is a chronic condition in most patients, pulsatile tinnitus treatment can be separated into two categories. Those intended at directly reducing the intensity of tinnitus and those aimed at relieving the annoying sound associated with tinnitus. The former method includes pharmacologic drugs needed to cure or alleviate the causes of this condition.

Many drugs such as psychopharmacological agents are routinely employed in the pulsatile tinnitus treatment. Such drugs could be prescribed as both a potential therapy for tinnitus or just to patients with psychopathological problems. It is also offered to those who might present tinnitus signs or with patients who may develop as possible iatrogenic phenomenon.

Pulsatile tinnitus treatment may occasionally support in easing the noise even if no cause have been discovered. Overall, we are not at all responsive about drug treatment as the side effects can be significant and the outcomes are not expected. Medications such as antidepressants and anti-anxiety medications target the psychological affectation of tinnitus. In addition, they are customarily useful and can be very successful.

Pharmacologic therapy helps in the treatment of pulsatile tinnitus for the 80% of patients who endure related depression. Benzodiazepines (BDZ) and other sedative or hypnotic agents are among the most prescribed drugs worldwide. The pivotal role of BDZ receptor in chronic pulsatile tinnitus is eradicating the symptoms.

Benzodiazepines and tricyclics probably will change emotional responses to tinnitus. Any sort of relief, however, is important. There have also been studies that report some patients get relief from other antidepressants including the SSRI family. Selective serotonin reuptake inhibitors are considered to have a better safety profile compared with tricyclic antidepressants.

Aside from benzodiazepines and selective serotonin reuptake inhibitors are pharmacological pulsatile tinnitus treatment. There are also placebo drugs that can be used in relation with this condition. These drugs provide relief of the symptoms but does not directly treat and cure a specific disease. Drugs and food supplements such as Zinc, Gingko Biloba, Carbamazepine, Dexamethansone, Gabapentin and Tocainamide are only a few of those as treatment of pulsatile tinnitus.

Yet, there is no exact evidence or proof that supports that these drugs can cure pulsatile tinnitus. People should take precaution in taking these placebo drugs since they may result to ototoxicity or aggravation of the condition. Some of this pulsatile tinnitus treatment may be worth considering depending on one�s personal situation. The ones with the least adverse effects would seem most logical. If one understands the mechanism of one's tinnitus, it seems more likely that a drug like this might work.

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