March 11, 2025
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Rheumatoid arthritis (RA) is a chronic inflammatory disorder affecting many joints, including those in the hands and feet. Managing RA often involves the use of disease-modifying antirheumatic drugs (DMARDs) like Methotrexate, which help in reducing symptoms and preventing joint damage. However, these medications can sometimes have side effects that concern patients.
Case in Point
A 36-year-old female with rheumatoid arthritis, who has been on Methotrexate for about three years, reached out with concerns about experiencing ringing in her left ear. The ringing occurs 1-2 times a day, lasting for about 3-8 seconds each time. Understandably, she wondered if this could be a contraindication of her DMARD treatment.
Expert Advice
Dr. I Phani Bhushan, from Hyderabad, provided valuable insights regarding this condition. He explained that experiencing ringing in the ear for such short durations and infrequently is not typically a severe problem. He reassured the patient that she could continue her treatment with Methotrexate, as it is essential for managing her RA.
However, Dr. Bhushan emphasized that if there is any associated hearing loss, it is crucial to undergo audiological investigations. Hearing loss could indicate other underlying issues that need to be addressed separately from the RA treatment.
Understanding Tinnitus and DMARDs
Tinnitus, commonly referred to as ringing in the ear, can be caused by various factors, including prolonged exposure to loud noise, ear infections, or certain medications. While Methotrexate is not commonly known to cause tinnitus, each patient’s experience with medication can differ. Monitoring any new or worsening symptoms while on DMARDs is essential to ensure comprehensive care.
What to Do If You Experience Similar Symptoms
Monitor Symptoms
Keep track of the frequency and duration of the ringing in your ears. Note any additional symptoms, such as hearing loss or dizziness.
Consult Your Doctor
Always discuss any new or concerning symptoms with your healthcare provider. They can determine whether these symptoms are related to your medication or another underlying condition.
Audiological Investigations
If you notice any hearing loss, it is essential to undergo audiological tests to rule out other potential causes and ensure appropriate treatment.
Continue Medication
Unless advised otherwise by your healthcare provider, continue taking your DMARDs as prescribed. Managing RA effectively is crucial for maintaining joint health and preventing long-term damage.
Conclusion
Experiencing occasional ringing in the ear for a few seconds is not usually a cause for alarm, especially in patients managing rheumatoid arthritis with DMARDs like Methotrexate. However, staying vigilant about any changes in your symptoms and consulting your doctor is vital for ensuring comprehensive care. As Dr. Bhushan, Hyderabad, advises, unless there is associated hearing loss, continuing your treatment is recommended.
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