Flunarizine: When and How to Take It for Ear Symptoms - Otolaryngology

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Fluzine


Hello, doctor.
Recently, I visited the hospital due to pulsatile tinnitus in my right ear.
The doctor prescribed me Flunarizine (Fluzine tab) to take one tablet at bedtime for two weeks.
After receiving the medication, I'm unclear whether I should take it only when I have symptoms or if I should take it continuously for the full two weeks.
Since my symptoms are occasional and not constant or daily, I would appreciate your guidance.
Thank you!

evon, 50~59 year old female. Ask Date: 2023/10/25

Dr. Zheng Jueyi reply Otolaryngology


You can return for a follow-up appointment after using the medication for two weeks to assess its effectiveness.

Reply Date: 2023/10/25

More Info


Flunarizine is a medication primarily used as a calcium channel blocker and is often prescribed for various conditions, including migraine prevention and certain types of vertigo. In the context of ear symptoms, particularly those related to vestibular disorders or tinnitus, flunarizine can help alleviate symptoms by improving blood flow and reducing the excitability of neurons in the inner ear.

When it comes to taking flunarizine for your ear symptoms, it is essential to follow your doctor's instructions closely. Since your doctor prescribed flunarizine to be taken at bedtime for two weeks, it is likely intended for you to take it consistently, rather than only when symptoms arise. This approach allows the medication to build up in your system and exert its effects more effectively over time.
Flunarizine is typically taken once daily, and taking it at night can help minimize potential side effects, such as drowsiness or fatigue, during the day. It is crucial to adhere to the prescribed dosage and duration, even if your symptoms are intermittent. Stopping the medication prematurely or taking it sporadically may not provide the desired therapeutic effect and could lead to a recurrence of your symptoms.

In terms of understanding the mechanism of flunarizine, it works by blocking calcium channels, which helps to stabilize neuronal activity and improve blood flow to the inner ear. This can be particularly beneficial for conditions like pulsatile tinnitus, where the perception of sound is linked to blood flow issues. By taking flunarizine as prescribed, you may experience a reduction in the frequency and intensity of your ear symptoms.

If you notice any side effects or if your symptoms do not improve after the two-week course, it is essential to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments or further investigations to determine the underlying cause of your symptoms.

In addition to medication, there are several lifestyle modifications and preventive measures you can take to manage ear symptoms effectively. These include:
1. Avoiding Loud Noises: Protect your ears from exposure to loud sounds, which can exacerbate tinnitus and other ear-related issues.

2. Managing Stress: Stress can worsen ear symptoms, so incorporating relaxation techniques such as meditation, yoga, or deep-breathing exercises can be beneficial.

3. Staying Hydrated: Proper hydration supports overall health and can help maintain optimal ear function.

4. Regular Check-ups: Keep up with regular visits to your healthcare provider to monitor your condition and adjust treatment as necessary.

5. Avoiding Allergens: If you have allergies, managing them effectively can help reduce ear congestion and related symptoms.

In conclusion, take flunarizine as prescribed by your doctor for the full two-week duration, even if your symptoms are not constant. This approach will maximize the medication's effectiveness in managing your ear symptoms. If you have any concerns or experience side effects, do not hesitate to reach out to your healthcare provider for guidance.

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