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Eric

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 #1 
Hello Doctor Nagler,

I will undergo an upper endoscopy next week. The drugs likely to be used for sedation are Fentanyl and Versed.

I suppose that if these were known to worsen tinnitus, then they would be listed in your "Drugs to Avoid" post. But, since I am already nervous about the procedure itself, I am going to ask you anyway. Should I be concerned about these drugs causing a temporary or permanent increase in tinnitus loudness? Anything anecdotal you can tell me?

Thanks again,

Dr. Nagler

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 #2 
You ask about anecdotal reports, Eric, and there are anecdotal reports regarding just about everything under the sun. I suspect that Fentanyl and Versed would be no exception.

But from a practical standpoint, I would have no specific concerns about those two drugs. Don't give it another thought.

Hope this helps.

Stephen M. Nagler, M.D.

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The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
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David McCullough quoting Wilbur Wright
Eric

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 #3 
Thank you. A brief update: There is a possibility that I will be treated for H. pylori. Clarithromycin is often used used—in combination with a PPI and another antibiotic. My understanding is that clarithromycin is a macrolide antibiotic, not an aminoglycoside.

Should I avoid the clarithromycin if another combination is deemed acceptable by my doctor?
(I ask because of your concern about erythromycin.)

Thanks again.
Dr. Nagler

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 #4 
Quote:
Originally Posted by Eric
Should I avoid the clarithromycin if another combination is deemed acceptable by my doctor? (I ask because of your concern about erythromycin.)

My concern about erythromycin is only when it is administered intravenously.

I suspect you'll be just fine.

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
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Dr. Nagler's Tinnitus Corner is provided for education and information only. It is not intended for the purpose of providing medical care and should in no way substitute for appropriate in-person consultations with qualified healthcare professionals. By using this site, participants agree to hold Dr. Nagler and Atlanta Tinnitus Consultants, LLC harmless with respect to any loss, injury, claim, liability, or damage arising from following the postings herein.