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Nati (Anonymous, 93.159.154.) Warszawa 6 months ago

What pain relievers are not ototoxic?

Are there any over-the-counter (headache) pain relievers that are not ototoxic? For a person with hearing loss who does not want to risk worsening their hearing loss. Until now, ordinary Ibuprom or Apap have helped.

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Joanna Dunajska Pharmacist, Editor

5 months ago

All non-steroidal anti-inflammatory drugs (NSAIDs), salicylates and paracetamol can affect hearing and labyrinth, causing tinnitus (auditory ototoxicity) and dizziness (vestibular ototoxicity). Tinnitus was reported least frequently (with a very rare frequency, i.e. less than 1 in 10,000 people) with diclofenac and dexketoprofen.
According to currently available knowledge, ototoxic symptoms during the use of salicylates and NSAIDs appear mainly at high doses of drugs and take the form of transient bilateral, symmetrical hearing loss and tinnitus. The risk of ototoxicity is increased by regular use of analgesics. In the case of hearing disorders, it is worth consulting a specialist in this field (laryngology) about the safest preparation for the patient.

I've attached materials that you may find interesting:

https://www.gdziepolek.pl/artykuly/czy-bac-sie-dzialan-niepozadanych-lekow

https://www.gdziepolek.pl/artykuly/jakie-leki-przeciwbolowe-stosowac

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