Summary
We assessed the value of tocainide in the treatment of tinnitus by performing a double-blind controlled trial in which each of 48 patients with annoying tinnitus received either tocainide HCl 900 mg/day or a placebo. Before the trial, the effect of intravenous lidocaine was evaluated in each patient so that both lidocaine and tocainide could be compared in altering tinnitus. We found that tocainide appeared to have no better effect than the placebo, whereas lidocaine suppressed tinnitus in 81% of the patients treated. The mechanisms of action of both drugs as well as their influence on tinnitus are discussed, as are the side effects of tocainide.
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References
Anonymous (1981) Guidelines for recommended procedures in tinnitus testing. In: Evered D, Lawrenson G (eds) Tinnitus. Ciba Found Symp 85: 303–306
Cathcart J-M (1982) Assessment of the value of tocainide hydrochloride in the treatment of tinnitus. J Laryngol Otol 96: 981–984
Documents Geigy (1968) Wissenschaftliche Tabellen. Geigy, Basel
Emmett JR, Shea JJ (1980) Treatment of tinnitus with tocainide hydrochloride. Otolaryngol Head Neck Surg 88: 442–446
Hulshof JH, Vermeij P (1984) The effect of intravenous lidocaine and several different doses oral tocainide HCl on tinnitus. Acta Otolaryngol (Stockh) 98: 231–238
Israel JM, Connelly JS, McTigue ST, Brummett RE, Brown J (1982) Lidocaine in the treatment of tinnitus aurium. Arch Otolaryngol 108: 471–473
Lyttkens L, Larsson B, Wästerström S-A (1984) Local anaesthetics and tinnitus. ORL 46: 17–23
Martin FW, Colman BH (1980) Tinnitus: a double-blind cross-over controlled trial to evaluate the use of lidocaine. Clin Otolaryngol 5: 3–11
Smith ER (1981) The development of tocainide. In: Pottage A, Ryden L (eds) Workshop on tocainide. AB Hässle, Mölndal, Sweden, pp 18–23
Strichartz GR (1981) Pharmacological properties of sodium channels in nerve membranes. In: Waxman SG, Ritchie JM (eds) Advances in neurology, vol 31. Raven Press, New York, pp 343–356
Vassallo H (1972) The local anesthetic activity of W-36092, W-52121, W-36023 and W-36095 in comparison with Xylocaine® and procainamide in the isolated frog sciatic both in intact and desheated nerve. Astra Report 410W4
Vernon JA (1977) Attempts to relieve tinnitus. J Am Audiol Soc 2: 124–131
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Hulshof, J.H., Vermeij, P. The value of tocainide in the treatment of tinnitus. Arch Otorhinolaryngol 241, 279–283 (1985). https://doi.org/10.1007/BF00453701
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DOI: https://doi.org/10.1007/BF00453701