Severe Tinnitus : hydroxycarbamide vs interferon - MPN Voice

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Severe Tinnitus : hydroxycarbamide vs interferon

Gabrielle79 profile image
17 Replies

Hello everybody, I hope some of you can help me with an answer...

I have had PV for over 30 years, JAK2 positive, clopidogrel, flebotomies. Seven years ago I got tinnitus which then was at a very disturbing but livable level: the last month it has increased to a quite unbearable. Since also my hematocrit and platelets have been going up the last two years I will have to start cytoreduction.

Unfortunately both Hydroxycarbamide and Interferon might have tinnitus as side effect. My specialist is not sure which one to chose.

Is there anyone who has tinnitus which became worse after taking hydroxy or interferon?? Is there anybody who did initially did not have tinnitus but got it after taking Hydrea or Interferon ??

thank you so much for your help.

Kind regards , Gabrielle

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Manouche profile image
Manouche

healthunlocked.com/mpnvoice...

Gabrielle79 profile image
Gabrielle79 in reply to Manouche

thank you so much for your answer Manouche.. although I find it quite bad news: I wanted interferon ( in Holland we are waiting for Besremi to be accepted by health

insurance) because of my age and the results of interferon compared to hydroxy...

Manouche profile image
Manouche in reply to Gabrielle79

You’re welcome Gaby. In my opinion you shouldn’t hesitate and choose Pegasys if possible. It may take a few years before Besremi is available everywhere in Europe.

Gabrielle79 profile image
Gabrielle79 in reply to Manouche

In holland Besremi is accepted but they are arguing about the cost... if not for the tinnitus i would not doubt for one second to start with Pegasys.. a big dilemma .. I still have two month to think about it..thank you again for you help...

all the best from Gabrielle

Manouche profile image
Manouche in reply to Gabrielle79

Gabrielle, it seems clear that the longer one take it the better it gets:

Time on Pegasys when people have Tinnitus *:

< 1 month: 11.11 %

1 - 6 months: 63.25 %

6 - 12 months: 17.95 %

1 - 2 years: 6.84 %

2 - 5 years: 0.85 %

5 - 10 years: 0.0 %

10+ years: 0.0 %

ehealthme.com/ds/pegasys/ti...

Gabrielle79 profile image
Gabrielle79 in reply to Manouche

this is a great overview ! the most extensive one on tinnitus I have seen so far. I will also print it for my specialists. ( at first glance I do wonder if the time on pegasys when people have tinnitus is multi interpretable: fe that the people who get it/ have it stop taking pegasys ( unless it is mild ) so that it you get decrease in time...)

thank you so much for sharing this!

Snagglepus profile image
Snagglepus

Hi Gabrielle.

I did not have tinnitus before taking Hydroxycarbamide now I have terrible tinnitus! Started seven months after I started Hydroxycarbamide. I also had problems with my sinuses. Went to ENT who said that it was through the HU. My consultant wasn’t convinced. Was taken off aspirin as that can cause tinnitus and put on Clopidogrel.

I was taken off Hydroxy last August as the tinnitus was so bad and I felt so ill. In January was put on Angrelide which made the tinnitus worse within 30 mins of taking it!

As my platelets had risen again my consultant put me back on a low dose HU to see if I could tolerate it. The Tinnitus again has been highlighted and is constantly there.

I’m now waiting to go and see an MPN specialist.

Take care.

Karen.

Gabrielle79 profile image
Gabrielle79 in reply to Snagglepus

Hi Karen.. thank you so much for answering.... I am really very sorry to read your post.For me tinnitus is worse than all my other symptoms of PV together: fatigue, erythromelalgia -severe- itching, weightloss and several more... i was hoping there would be nobody taking hydrea with tinnitus problems but your story is very clear... I have changed since three days from clopidogrel to aspirin ( despite the fact that I know that aspirin can cause tinnitus ) because I noticed an increase in my erythromelalgia (and tinnitus). I have to be tested for CYP2C219, a mutation which causes ( in 25-30% of Caucasian people) an liver enzym not to metabolize clopidogrel sufficiently... after taking aspirinI felt immediate change in my erythromelalgia symptoms but not in my tinnitus ( that is often irreversible).I fear that after a while it might worse the tinnitus I have the feeling that almost all the medication for mpn have a possible bad effect on tinnitus. I am waiting for tinnitus specialist opinion but that is now postponed because of corona. If any valuable information comes out of it I will let you know.

all the best for you, Gabrielle

Snagglepus profile image
Snagglepus in reply to Gabrielle79

All the best to you Gabrielle. Hope you’re coping with this lockdown.

Gabrielle79 profile image
Gabrielle79 in reply to Snagglepus

Thank you Karen.. the most complicating thing about lock down right now is that is interferes with looking for a solution for my tinnitus problem...I called the tinnitus clinic ( that is not seeing patients during lock down) to ask them if I could write some of my questions to the specialist per mail so i might have some answers before seeing my MPN specialist and deciding what to do...and isolation is certainly not favorable for tinnitus.. distraction and being busy is best but now very difficult...but i am sure you know what I am talking about...

take care, all the best for now...

Snagglepus profile image
Snagglepus in reply to Gabrielle79

I know exactly what you mean.

I read somewhere that if you put the palms of your hands over your ears (fingers pointing to the back) and tap the back of your head for thirty seconds it’s supposed to help.

I’m going to try and see if it works.

I’ll let you know.

Might be useless information (there’s a lot around at the moment) but worth a try.

Karen.

Cyclemore profile image
Cyclemore

Hello Gabrielle

I was diagnosed with MPN in May 2017, I am 62, JAK2 +ve, have ET & PV and take 1g hydroxy per day.

I started with tinnitus 15+ years ago; convinced it started when I was doing a night school course in a workshop where someone was sawing metal making a hideously loud screech. My tinnitus has not changed at all before or since medication and I tend only to be aware of it if I think about it, like now!! Otherwise my hearing is pretty good except for where there is a lot of background noise like a busy pub but alas that won't be an issue for some time...

Regards

Dudley..

Gabrielle79 profile image
Gabrielle79 in reply to Cyclemore

Hi Dudley,

thank you very much for answering.

i find it hopeful to read that hydroxy had not changed your tinnitus ...and I also hope that I can get used to my new level of tinnitus, just like you....

kind regards Gabrielle

Threelions profile image
Threelions

Hi, I started getting bouts of tinnitus after going on Interferon.

I can honestly say they are short spells and, whilst annoying, don’t hinder me day to day.

(ET Jak2+)

Gabrielle79 profile image
Gabrielle79 in reply to Threelions

thank you for your reply threelions, I will take it into account concerning my decision...

just one more question: how long have you been taking interferon and have the bouts been the same in intensity since the beginning?

Threelions profile image
Threelions in reply to Gabrielle79

Hi,

I have been on for about 10 mths. I noticed tinnitus (as it was something new) almost straight away. Bouts of about 3-5 mins a handful of times a day.

To be honest I’m not sure I really pay much attention to the daytime bouts now as they aren’t severe and are infrequent. They are more noticeable at night before I go to sleep but don’t last long and, as I say, they don’t really affect me at all now.

In short I would say it’s got better but it really wasn’t that significant earlier in the Interferon treatment. As a side effect of Interferon it’s very minor in my case.

Hope this helps & wish you all the best.

PS, talk about tinnitus always makes me remember my days (many years ago) when I played bass in a heavy rock band. We used to turn the amps up way too loud and the tinnitus afterwards was really loud😀 , ahhh to remember our youth......when life was much less complicated 😀

Stay Safe x

Gabrielle79 profile image
Gabrielle79 in reply to Threelions

yes.. I think a lot about those days lately..they were the best...

thank you for your info., it all helps... and I am glad for you that it is minor in your case.. mine was before but now definitely not.. so I am anxious what to chose.

take care, all the best from Gabrielle

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