Please provide more details about the medication issue you would like to inquire about?
Hello, doctor.
I have mild tinnitus and dizziness.
The doctor prescribed me Flunarizine and Alprazolam, but I heard that Flunarizine can cause side effects similar to Parkinson's disease.
Is that true? Will there be side effects from long-term use of these two medications? Thank you.
JH, 40~49 year old female. Ask Date: 2013/12/02
Dr. Zheng Jueyi reply Otolaryngology
Hello: Both of these medications are commonly used to treat vertigo and tinnitus.
Each medication has its own effects and side effects.
If you experience any discomfort after taking them or if you need to use them long-term, you can discuss this with your clinician.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2013/12/02
More Info
Flunarizine and Alprazolam are both medications that can be prescribed for conditions such as tinnitus and dizziness. However, they come with their own set of potential side effects, and understanding these is crucial for anyone considering or currently using these medications.
Flunarizine is a calcium channel blocker that is primarily used to prevent migraines and treat vestibular disorders, including dizziness and tinnitus. One of the notable concerns with Flunarizine is its potential to cause extrapyramidal side effects, which can resemble symptoms of Parkinson's disease. These side effects may include tremors, rigidity, bradykinesia (slowness of movement), and postural instability. This risk is particularly significant in individuals who may be predisposed to such conditions or those who are on long-term therapy. The extrapyramidal symptoms are thought to be due to the drug's action on dopamine receptors in the brain, which can disrupt normal motor function.
In terms of long-term use, while many patients tolerate Flunarizine well, it is essential to monitor for any signs of these side effects, especially if the medication is taken for extended periods. Regular follow-ups with your healthcare provider can help manage any emerging side effects and adjust the treatment plan as necessary.
Alprazolam, on the other hand, is a benzodiazepine commonly used for anxiety and panic disorders. It works by enhancing the effect of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain. While Alprazolam can be effective for managing anxiety-related symptoms, it also carries a risk of dependence and withdrawal symptoms, especially with long-term use. Other side effects may include drowsiness, dizziness, confusion, and impaired coordination. In some cases, prolonged use can lead to cognitive impairments or memory issues.
When considering the combination of Flunarizine and Alprazolam, it is crucial to be aware of the potential for additive sedative effects, which could increase the risk of dizziness and impaired motor function. This is particularly important for individuals who may already be experiencing dizziness due to their underlying conditions.
In summary, both Flunarizine and Alprazolam can be effective for treating tinnitus and dizziness, but they come with potential side effects that warrant careful consideration. It is essential to have open communication with your healthcare provider about any concerns regarding these medications, especially regarding the risk of Parkinson-like symptoms with Flunarizine and the potential for dependence with Alprazolam. Regular monitoring and adjustments to your treatment plan can help mitigate these risks and ensure that you receive the most effective care for your symptoms. Always consult your physician before making any changes to your medication regimen.
Similar Q&A
Can Psychiatric Medications Help Treat Tinnitus Symptoms?
I have been experiencing tinnitus for a year and a half. I have seen all the ENT specialists and both public and private clinics, and they all say that there is no treatment for tinnitus at this time. As a result, I was referred to a psychiatrist and prescribed psychiatric medica...
Dr. Ye Dawei reply Otolaryngology
These three types have no adverse side effects.[Read More] Can Psychiatric Medications Help Treat Tinnitus Symptoms?
Managing Tinnitus: Antidepressants and Anxiety Relief Options
Hello! I am currently experiencing significant anxiety due to tinnitus, which is affecting my daily life and causing sleep difficulties. I am considering using antidepressants along with sedatives, but I have read articles stating that antidepressants can worsen tinnitus (https:/...
Dr. Wang Yaoting reply Psychiatry
Hello: Chronic tinnitus is often accompanied by symptoms such as depression, anxiety, stress, or insomnia. Antidepressant medications are more likely to help improve these accompanying emotional symptoms, and typically, when mood improves, tolerance for tinnitus also increases. H...[Read More] Managing Tinnitus: Antidepressants and Anxiety Relief Options
Understanding Unilateral Tinnitus: Causes, Treatments, and Concerns
Hello: On the evening of November 20th, I suddenly experienced tinnitus in my left ear, a low-frequency buzzing sound, which was particularly noticeable before sleep and indoors, but I did not have any dizziness. On November 27th, I went to the hospital for an examination, and th...
Dr. Zheng Jueyi reply Otolaryngology
Hello, the examination results indicate inner ear edema. If there are no significant symptoms of dizziness or anxiety-related insomnia, some medications can be discussed with your physician regarding the need for continued use. Regarding tinnitus, it is related to inner ear edema...[Read More] Understanding Unilateral Tinnitus: Causes, Treatments, and Concerns
Understanding Tinnitus: Causes, Risks, and Management Strategies
Hello, I have a problem with autonomic nervous system dysfunction and have been taking Lexapro and Lyrica for two and a half years. Due to long-term nasal discomfort, including dryness, swelling, and some post-nasal drip, I have been taking one Loratadine and using a nasal spray ...
Dr. Zheng Jueyi reply Otolaryngology
Hello, 1. If there are no significant changes in hearing and the tinnitus has persisted for over 10 years, you may observe it on your own. However, if you have concerns, it is advisable to consult an otolaryngologist for an examination. 2. Nasal irrigation and medications can hel...[Read More] Understanding Tinnitus: Causes, Risks, and Management Strategies
Related FAQ
(Otolaryngology)
Medication Side Effects(Otolaryngology)
Tinnitus(Family Medicine)
Dizziness(Otolaryngology)
Sudden Deafness(Otolaryngology)
Tinnitus(Traditional Chinese Medicine)
Headache(Otolaryngology)
Inner Ear Imbalance(Otolaryngology)
Ear Noise(Neurology)
Medication Side Effects(Neurology)