Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Side Effects Of Cialis
Question: Hello!
I have been taking 5mg cialis about once per week for the past 3 months to help with prostatitis.
After each time taking it I would usually notice some mild symptoms such as hearing things differently, and sometimes some pressure inside the ears. I assumed those were temporary and they did usually subside over time.
Two weeks ago I took a pill and had worse symptoms this time, mostly I had pain and discomfort inside my ears. I threw out the pills. My hearing was a little affected until 3 days ago, where is started getting worse, and has gotten worse in the last 3 days. My hearing is about 80% of normal, I have some pain and feel fullness in my ears, it is very uncomfortable overall.
I have started researching this 2 days ago and found out that cialis can cause permanent hearing loss, which is very scary. I also read that two things could potentially prevent some of the permanent loss of hearing, prednisone and hyperbaric oxygen, but only if they are given within about a month of the problem occuring.
Today I went to the hospital to get checked, the doctor checked my ears and said he couldn't see anything wrong, he gave me a referral to a ENT (which could take weeks or months to see where I live) and told me to go, I was however able to convince him to prescribe me prednisone 60mg a day due to the time-sensitivity of this issue.
Other than that, what should I do now? I have seen places that do hyperbaric oxygen where you go in a room for 2h, but I'm not sure if those are legitimate and would work in my case. Is this also something that can be done in a hospital and would then be given differently? It doesn't seem like that would happen however due to how time sensitive this is and how difficult it is to access healthcare where I am, the 1 month window will be gone way before I get to see an ENT.
Please let me know as I really want to avoid permanent hearing loss at my age.
I have been taking 5mg cialis about once per week for the past 3 months to help with prostatitis.
After each time taking it I would usually notice some mild symptoms such as hearing things differently, and sometimes some pressure inside the ears. I assumed those were temporary and they did usually subside over time.
Two weeks ago I took a pill and had worse symptoms this time, mostly I had pain and discomfort inside my ears. I threw out the pills. My hearing was a little affected until 3 days ago, where is started getting worse, and has gotten worse in the last 3 days. My hearing is about 80% of normal, I have some pain and feel fullness in my ears, it is very uncomfortable overall.
I have started researching this 2 days ago and found out that cialis can cause permanent hearing loss, which is very scary. I also read that two things could potentially prevent some of the permanent loss of hearing, prednisone and hyperbaric oxygen, but only if they are given within about a month of the problem occuring.
Today I went to the hospital to get checked, the doctor checked my ears and said he couldn't see anything wrong, he gave me a referral to a ENT (which could take weeks or months to see where I live) and told me to go, I was however able to convince him to prescribe me prednisone 60mg a day due to the time-sensitivity of this issue.
Other than that, what should I do now? I have seen places that do hyperbaric oxygen where you go in a room for 2h, but I'm not sure if those are legitimate and would work in my case. Is this also something that can be done in a hospital and would then be given differently? It doesn't seem like that would happen however due to how time sensitive this is and how difficult it is to access healthcare where I am, the 1 month window will be gone way before I get to see an ENT.
Please let me know as I really want to avoid permanent hearing loss at my age.
Brief Answer:
Sudden SensoriNeural HearingLoss(SSNHL)is a medical emergency.Confirm first
Detailed Answer:
Hi,
Thank you for your query.
1. Sudden SensoriNeural Hearing Loss (SSNHL) is a medical emergency. You should insist on immediate medical attention.
2. It is good to hear that you have managed to start on Prednisolone (60 mg/ day). However, the initial management is with higher doses (1000 mg /day). The tadalafil (Cialis) should be discontinued.
3. HyperBaric Oxygen Therapy (HBOT) has a synergistic effect when used with steroids.
4. There are other medications that can also be used, but high dose steroids, HBOT and trans-tympanic steroid injections are the mainstay of treatment. It is also true that the best time window for treatment is within the first four weeks, however some patients recover even after three to six months.
5. It is also important to note that your diagnosis must be confirmed by Audiometry and Tuning Fork Tests as soon as possible. In SSNHL, spontaneous recovery is also seen in up to half of the patients in the initial few weeks.
6. If you are not given timely medical intervention, I recommend that you travel to a place where this is possible.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Sudden SensoriNeural HearingLoss(SSNHL)is a medical emergency.Confirm first
Detailed Answer:
Hi,
Thank you for your query.
1. Sudden SensoriNeural Hearing Loss (SSNHL) is a medical emergency. You should insist on immediate medical attention.
2. It is good to hear that you have managed to start on Prednisolone (60 mg/ day). However, the initial management is with higher doses (1000 mg /day). The tadalafil (Cialis) should be discontinued.
3. HyperBaric Oxygen Therapy (HBOT) has a synergistic effect when used with steroids.
4. There are other medications that can also be used, but high dose steroids, HBOT and trans-tympanic steroid injections are the mainstay of treatment. It is also true that the best time window for treatment is within the first four weeks, however some patients recover even after three to six months.
5. It is also important to note that your diagnosis must be confirmed by Audiometry and Tuning Fork Tests as soon as possible. In SSNHL, spontaneous recovery is also seen in up to half of the patients in the initial few weeks.
6. If you are not given timely medical intervention, I recommend that you travel to a place where this is possible.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I am seeing stuff like this for the prednisone:
Immediate treatment of patients with unilateral idiopathic sudden hearing loss and additional symptoms (dizziness or tinnitus) with a 14-day course of 60 mg prednisone (with taper) is recommended.
This is close to what I was prescribed, except it was 10 days. For the 1000mg (that seems very high) is that an IV ?
For HyperBaric Oxygen Therapy, there are clinics in my city that do this, without requiring a doctor appointment. Should I just go to these? Or is it a different treatment if I get it done at a hospital? I'm not sure exactly how that treatment happens, on the clinics they say they put you in a room for 2h with higher oxygen, is that what I need?
Thanks
Immediate treatment of patients with unilateral idiopathic sudden hearing loss and additional symptoms (dizziness or tinnitus) with a 14-day course of 60 mg prednisone (with taper) is recommended.
This is close to what I was prescribed, except it was 10 days. For the 1000mg (that seems very high) is that an IV ?
For HyperBaric Oxygen Therapy, there are clinics in my city that do this, without requiring a doctor appointment. Should I just go to these? Or is it a different treatment if I get it done at a hospital? I'm not sure exactly how that treatment happens, on the clinics they say they put you in a room for 2h with higher oxygen, is that what I need?
Thanks
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, the high dose steroids are given IV. Strict monitoring of blood sugar levels and blood pressure is required. Usually, this requires the patient to be admitted in a hospital.
2. The HBOT treatment will be the same as in the hospital. 60 to 90 minute sessions are enough.
3. Refer to this link for more information: http://journals.sagepub.com/doi/full/10.1177/0000
I hope that I have answered your query. If you have any further questions, I'll be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, the high dose steroids are given IV. Strict monitoring of blood sugar levels and blood pressure is required. Usually, this requires the patient to be admitted in a hospital.
2. The HBOT treatment will be the same as in the hospital. 60 to 90 minute sessions are enough.
3. Refer to this link for more information: http://journals.sagepub.com/doi/full/10.1177/0000
I hope that I have answered your query. If you have any further questions, I'll be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
