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Tinnitus Library

Ask Barry: April 2010

Do you have questions about tinnitus, our products or specific treatments? Ask Barry. Arches President Barry Keate will select the most representative questions each month publication. Regardless all questions will receive a personal reply from Barry.

ASK BARRY Tinnitus expert, Barry Keate, answers your questions about Tinnitus Send your question to:  Ask Barry

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NOTE: Ask Barry is pleased to be able to answer your questions based upon the information we have available. Our answers to your email inquiries are not substitutes for a physician's advice nor are they reviewed by a physician. If you are under a physician's care, please share with your doctor any suggestions you have received from Ask Barry.

Breast Cancer Treatment and Tinnitus
Dear Barry,
I've had constant ringing, buzzing, hissing in my ears for at least six years, which really drives me crazy sometimes because the pitch of the ringing changes a lot. This happened around the time I was treated for breast cancer. I had four treatments of chemotherapy and radiation. I was told from my ear doctor that the ringing could be caused from this. What is your opinion about Neuromonics? I can't believe I have to deal with this for the rest of my life. I'm only 51. Do you have any hopeful advice for me?
Thank you,
Dear Lynne,
I’m sorry this happened to you. Many chemotherapy drugs are ototoxic and cause damage to the cochlea and a person’s hearing. I think I have some hopeful advice for you.
There are many therapies that can reduce tinnitus and Neuromonics is one of these. No single tinnitus therapy works for everyone, but according to tinnitus authority, Michael Seidman, MD, about 90% of people with tinnitus can find something that will work to reduce the sound level.
Neuromonics works in reducing tinnitus in about 70% of a select group of patients. The word select is very important because it does not work for 70% of all patients. There is in-depth article on this in this month’s newsletter. Neuromonics costs about $5,000 for the device and the full treatment of 6 months, so it is an expensive therapy.
Arches Tinnitus Formulas are effective for about the same percentage of people. Inner ear specialist and surgeon, Dr. Seidman, states that 50% of his tinnitus patients have a significant reduction and require no further treatment. Another 25% will have less than a significant reduction but a reduction nonetheless. The total cost to find out how much of a reduction you will achieve will be $150 for a three month supply of our Combination Pack. This may be a good place to start. If you are among the 50% that responds well, you won’t need the Neuromonics treatment.
There are other treatment options available. Please see Dr. Seidman’s complete treatment protocol for tinnitus. Somewhere in here there should be a therapy that can help reduce your tinnitus.
Wishing you quiet times,
Barry Keate
Wisdom tooth extraction and Tinnitus
Hi Barry,
I have tinnitus. I am concerned about other people in my family getting it, especially my children. My 13 year old is in the midst of orthodontic treatment and her mouth is very small. She needs to have both of her upper first bicuspid teeth extracted. Logically this seems to be the best option, and could possibly prevent her from having impacted wisdom teeth in the future.
I have read on the internet that many people get tinnitus after having wisdom teeth extracted. Is there any evidence that having bicuspids extracted could cause tinnitus? Would I be correct in thinking that if she needs wisdom teeth pulled out in the future, there would be less of a risk of her getting tinnitus if they are not impacted versus impacted? Or does it not make a difference?
Dear Jane,
There is not a lot of clinical information on this subject. Most dentists say that an impacted wisdom tooth does not cause tinnitus. However, others say that it can, especially as an impacted wisdom tooth can add pressure on the jaw. This can cause or worsen TMJ (temporo-mandibular joint) dysfunction, a condition where the lower jaw does not hinge into the skull properly. TMJ dysfunction is characterized by popping and clicking sounds in the jaw, sometimes jaw pain, and frequently tinnitus.
So, in most cases, removing an impacted wisdom tooth should lower the possibility of TMJ dysfunction. However, I have read that in some cases, extraction of a wisdom tooth can injure nerves and cause tinnitus.
I have not been able to find a single reference to removing bicuspids as a cause of tinnitus. Perhaps this is because they are further forward in the jaw and farther away from the temporo-mandibular joint and the cochlea. I would think that removing the bicuspids now would be preferable to removing the wisdom teeth later.
Personally, I have not heard from anyone that removing teeth has caused tinnitus. I have had all four wisdom teeth removed along with several others. My tinnitus started long before the extractions and was not changed by them.
Wishing you quiet times,
Barry Keate
Premarin Cream and Tinnitus
Hi Barry,
I am thinking about starting your formula for tinnitus. Before I start I need to know two things. My doctor put me on Premarin cream for a stage one prolapsed bladder and shortly afterward I got tinnitus. Could the hormone cream have started it and will your tinnitus formula still help me if I am on the hormone cream? By the way, I don't approve of and have never taken hormone prescriptions before. I am 77 years of age. Need an answer soon.
Thank you so much,
Martha C.
Dear Martha,
I could find no reports that Premarin cream causes or worsens tinnitus. However, hormone changes are a known cause of tinnitus and it may well have brought yours about. It's impossible for me to know. If your tinnitus started at the same time, Premarin should be suspected.
Whatever the cause, I recommend bio-identical hormones over Premarin and the like. The very name Premarin comes from Pregnant Mare's Urine. It is a horse hormone and not intended for human consumption. Bio-identical hormones are plant based, they are identical to human hormones, and there are absolutely no side-effects. You can ask a compounding pharmacist how to obtain a prescription.
Arches Tinnitus Formulas should be very helpful for you. Especially since your tinnitus is early onset. All the clinical evidence shows that our products are helpful for most people but more so for those who have experienced tinnitus for less than one year.
Wishing you quiet times,
Barry Keate
NOTE: "Ask Barry" is pleased to be able to answer your questions based upon the information we have available. Our answers to your email inquiries are not substitutes for a physician's advice nor are they reviewed by a physician. If you are under a physician's care, please share with your doctor any suggestions you have received from Ask Barry.