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Can Tadalafil affect inner ear blood flow and cause cochlear hydrops?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a sensation of fullness in both ears approximately 12 hours after taking 2.5 mg of Tadalafil, which lasts up to three days. How can I determine whether it is eustachian tube dysfunction or cochlear hydrops? I do not take any other medications, but I encounter the same sensation in my ears when exposed to loud noise. Should I be concerned that these symptoms could lead to sudden hearing loss? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

Eustachian tube dysfunction and cochlear hydrops are two distinct conditions that can cause a sensation of fullness or pressure in the ears. Here is how to differentiate between the two:

  1. Eustachian tube dysfunction: This condition occurs when the eustachian tubes, which connect the middle ear to the back of the throat, become blocked or irritated. It can lead to a sense of fullness, popping, or muffling in the ears, especially when swallowing, yawning, or changing altitude. Eustachian tube dysfunction is typically temporary and triggered by allergies, colds, sinusitis, or ear infections.
  2. Cochlear hydrops: This condition arises from an accumulation of fluid in the inner ear, resulting in a feeling of fullness or pressure in the ears. Cochlear hydrops are often associated with hearing loss and tinnitus (ringing in the ears) and may be caused by medications like Tadalafil, which can sometimes impact blood flow to the inner ear.

To determine whether your symptoms stem from eustachian tube dysfunction or cochlear hydrops, consult an audiologist or an ear, nose, and throat (ENT) specialist if you have not already. They can help evaluate your ears and hearing to identify the underlying cause of your symptoms and suggest appropriate treatment options. Meanwhile, consider avoiding loud noises and using earplugs or noise-canceling headphones to alleviate your symptoms.

I hope I have answered your question.

Thank you.

Medically reviewed byiCliniq medical review team

Published At March 15, 2024
Reviewed AtMarch 15, 2024

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