Do you take multiple medications or are you considering medical treatment options requiring them?

Chief among the marvels of modern medicine is how pharmaceutical therapies can help manage acute or chronic conditions. Whatever one’s personal opinion, who would have imagined Covid-19 vaccines would be developed so quickly?

It is remarkable that most drug ads seen on television spend so much time explaining side effects as compared to potential quality of life advantages. To be well-informed healthcare consumers, how many read and understand the fine print of our Rx informational pamphlets? To be sure, it is important to evaluate potential benefits and risks of treatment plan pathways.

Speaking of which, ototoxicity is the manner in which certain drugs can cause side effects such as ringing in the ears (tinnitus), hearing loss or dizziness. By definition, oto means ear and toxic indicates poison. While expertly guided treatment decisions are primary, awareness and management of related concerns is relevant.

it is estimated that over 100 classes of drugs commonly used to treat pain and infections, as well as cancer, heart or kidney disease can damage inner ears? ¹

From pain relievers such as aspirin to NSAIDS such as ibuprofen, from antibiotics to diuretics and chemotherapy drugs, exposure to these potentially ototoxic medications can damage inner ear sensory hair cells, often on a permanent basis. ²

¹ American Academy of Audiology Position Statement and Clinical Practice Guidelines Ototoxicity Monitoring. audiology.org 2009 

² Ototoxic Medications, Drugs that can cause hearing loss and tinnitus. League for the Hard of Hearing 2000

Whether currently taking them or considering doing so, it is crucial to understand the tradeoffs of potentially ototoxic medications and get a baseline hearing evaluation for future comparison. For those receiving chemotherapy treatments, earlier referrals to hearing care professionals can facilitate faster identification of ototoxic hearing loss, evidence-based diagnostics, empathetic counseling and discussion of personalized hearing solutions. In fact, closer collaboration of your health care team may reduce ototoxic risks and improve quality of life outcomes. Further, as some insurance policies cover your essential exam, please review benefits carefully.

For a comprehensive list of potentially ototoxic medications, click here.

To assist in identifying various pills, please see this handy resource:

While discussing Ototoxicity and particularly chemotherapy treatments, cancer awareness and prevention cannot be emphasized enough. For easy reference, here is a reputable resource on cancer screening guidelines by age and information on healthy lifestyle choices. Click the ACS logo below.

Especially with social distancing and daily challenges associated with taking multiple medications or caring for loved ones who do, optimal communication ability is vital. From experience, we recognize those not hearing and understanding effectively may suffer anxiety in stressful ways that are not mentally or physically healthy.

Beyond talking with your primary care doctor, oncologist or pharmacist, please see us and encourage your loved ones to get periodic evaluations which accurately assess type and degree of hearing loss. These personal consultations will enable us to get key baseline information and provide useful information on possible side effects of treatment-related medications. You should know and we will share.