Sulpiride plus hydroxyzine decrease tinnitus perception

The aim of the study is to confirm the effectiveness of sulpiride and hydroxyzine in tinnitus patients. The administration of sulpiride, a D2 antagonist of dopamine receptors, together with hydroxyzine, a subcortical sedative, covers the areas of tinnitus perception. A prospective, randomized, singl...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2007-03, Vol.34 (1), p.23-27
Hauptverfasser: Lopez-Gonzalez, Miguel A., Moliner-Peiro, Fernando, Alfaro-Garcia, Jorge, Esteban-Ortega, Francisco
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container_issue 1
container_start_page 23
container_title Auris, nasus, larynx
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creator Lopez-Gonzalez, Miguel A.
Moliner-Peiro, Fernando
Alfaro-Garcia, Jorge
Esteban-Ortega, Francisco
description The aim of the study is to confirm the effectiveness of sulpiride and hydroxyzine in tinnitus patients. The administration of sulpiride, a D2 antagonist of dopamine receptors, together with hydroxyzine, a subcortical sedative, covers the areas of tinnitus perception. A prospective, randomized, single blinded, placebo-control study was done in general otorhinolaryngology consultations for 2002–2004 in Seville and Zaragoza (Spain). One hundred and fifty patients consulted for subjective tinnitus. They were included randomly in three groups of 50. A group took sulpiride (50 mg/8 h) alone, other the same dose of sulpiride plus hydroxyzine (25 mg/12 h), and the third placebo (lactose), for 1 month. One hundred and twenty-two patients completed the study. Clinical history, tonal audiometry, tympanometry, and tinnitometry were done in the beginning and end of the study. Subjective Grading of Tinnitus Perception and visual analogical scale (0–10) were done for result evaluation. Based on the Subjective Grading of Tinnitus Perception, tinnitus perception diminished by 56% in patients treated with sulpiride and by 81% in patients treated with sulpiride plus hydroxyzine. Based on the visual analogical scale, tinnitus perception diminished from 7.8 to 6.3 in the patients treated with sulpiride, and from 7.8 to 5.1 in those treated with sulpiride plus hydroxyzine. Sulpiride plus hydroxyzine decreases tinnitus perception. Tinnitus auditolimbic dopaminergic pathway opens wide therapeutical implications.
doi_str_mv 10.1016/j.anl.2006.09.021
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subjects Adult
Aged
Aged, 80 and over
Dopamine
Dopamine Antagonists - administration & dosage
Dopamine Antagonists - therapeutic use
Drug Administration Schedule
Drug Therapy, Combination
Female
Histamine H1 Antagonists - administration & dosage
Histamine H1 Antagonists - therapeutic use
Humans
Hydroxyzine
Hydroxyzine - therapeutic use
Male
Middle Aged
Neurotransmitters
Prospective Studies
Single-Blind Method
Sulpiride
Sulpiride - administration & dosage
Sulpiride - therapeutic use
Tinnitus
Tinnitus - drug therapy
Tinnitus - physiopathology
title Sulpiride plus hydroxyzine decrease tinnitus perception
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