Long-Term Tinnitus Treatment: Can Cerenin Help?

Regarding the long-term treatment of tinnitus... and Cerenin (Sertraline)?

Hello, Vice Dean Hsu.
I have been experiencing tinnitus for about three years.
Previously, on your recommendation, I was hospitalized and underwent long-term treatment for over a year, during which I took three types of medications to promote blood circulation and vitamin B complex.
However, due to work commitments, I have been unable to return for follow-up appointments.
I have also been taking vitamin B complex on my own for almost a year now.
Although my tinnitus has not worsened, there has been no improvement, which is quite distressing for me.
A couple of days ago, a friend mentioned that I could take Cerenin (from Dr.
Willmar Schwabe, Germany).
May I request you to prescribe Cerenin during my next visit to your clinic? Or can I purchase Cerenin over the counter at a pharmacy? Since Cerenin is a prescription medication, I am concerned about potential side effects from improper use.
I would appreciate your professional advice.
Thank you!

Luffy, 40~49 year old female. Ask Date: 2011/03/14

Dr. Xu Jiazhen reply Otolaryngology

Cerenin has been used clinically for a long time and is considered a relatively safe medication, so you can rest assured about that.
At the same time, with advancements in medicine over the years, there are now more options available for treatment, and many new-generation medications are continuously being developed.
Therefore, I suggest evaluating whether the treatment can truly address your issues.
I often use an analogy: a broken bowl can be glued back together, but it will never be as good as a new one.
Unfortunately, our bodies cannot simply "replace" each organ.
So, if your symptoms persist without improvement, in addition to reconsidering medication options, sometimes it may be worth considering whether to coexist peacefully with the condition.
Of course, the purpose of medication is not only to restore the damaged parts but also to prevent the condition from worsening.
This is why, even if a hypertensive patient’s blood pressure appears normal, caution is still warranted regarding the risk of stroke.
The reasoning is the same.

Reply Date: 2011/03/14

More Info

Cerenin, a medication often used to improve blood circulation in the inner ear, has been a topic of interest for individuals suffering from long-term tinnitus. Tinnitus, characterized by a persistent ringing or buzzing in the ears, can be a challenging condition to manage, especially when it has persisted for several years without significant improvement. Your experience of having tried various treatments, including blood circulation enhancers and vitamin B supplements, reflects a common journey for many tinnitus sufferers.
Firstly, it’s important to understand that tinnitus can have various underlying causes, including hearing loss, exposure to loud noises, ear infections, and even stress. In some cases, the exact cause remains elusive, making treatment more complicated. Cerenin, which is derived from ginkgo biloba, is thought to enhance blood flow to the brain and inner ear, potentially alleviating symptoms for some individuals. However, its efficacy can vary significantly from person to person.

Regarding your question about the possibility of obtaining Cerenin, it is indeed a prescription medication in many regions, including the United States. This means that it should ideally be prescribed by a healthcare professional who can assess your specific condition and medical history. While you may be tempted to purchase it over the counter, it is crucial to consult with your physician first. Self-medicating can lead to unintended side effects, especially if you have underlying health conditions or are taking other medications.

In terms of long-term use, while some patients report improvements with Cerenin, it is essential to set realistic expectations. The medication may help improve symptoms for some, but it is not a guaranteed cure for tinnitus. The improvement you experienced with other treatments, although not complete, indicates that your condition may be somewhat stable, which is a positive sign.
Moreover, the duration of treatment can also play a role in its effectiveness. Some studies suggest that it may take several weeks to months of consistent use before significant improvements are noted. However, if after a reasonable period (such as three to six months) you do not see any further improvement, it may be worth discussing alternative treatment options with your healthcare provider.

In addition to medication, consider exploring other therapeutic options that have been shown to help manage tinnitus. These can include sound therapy, cognitive behavioral therapy (CBT), and lifestyle changes such as stress management techniques. Many patients find that a combination of approaches yields the best results.

Lastly, it is crucial to maintain regular follow-ups with your healthcare provider. They can monitor your progress, adjust medications as necessary, and provide additional support. If you are considering Cerenin, bring this up during your next appointment, and discuss your concerns about potential side effects and the appropriateness of this treatment for your specific situation.

In summary, while Cerenin may offer some benefits for tinnitus, it is essential to approach its use cautiously and under the guidance of a healthcare professional. Your ongoing management of tinnitus should be comprehensive, addressing both the physical and psychological aspects of the condition.

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