Medications for Eustachian Tube Dysfunction
Other names: ETD
Eustachian tube dysfunction (ETD) occurs when there is a chronic blockage of the eustachian tube with ongoing symptoms of feeling of fullness of the ear, clicking or crackling sounds in the ear, hearing may become muffled and there may be ear pain or discomfort.
The eustachian tube joins the middle ear to the back of the throat, normally it is closed and it opens when we chew, yawn or swallow. The role of the eustachian tube is to keep the pressure within the middle ear the same as the pressure in the environment. When the eustachian tube is blocked negative pressure occurs within the middle ear, this can cause the eardrum to pull inwards which results in pain, pressure sensations and hearing loss. The eustachian tube also acts as a drain for mucus that is produced from the middle ear lining. A blockage can lead to fluid accumulation in the middle ear which adds to the pressure and hearing issues.
The cause of eustachian tube dysfunction can be irritation or inflammation in the area. Often this is due nasal allergies, the common cold or influenza, pollution or cigarette smoke. These cause swelling of the eustachian tube and blockage of the passageway. Infrequently, ETD can be due to local pressure on the tube causing a blockage for example pressure from nasal polyps or other structural abnormalities.
Treatment options for ETD are dependant on the cause. If appropriate any allergies should be treated with antihistamines, nasal sprays, allergy desensitization or allergen avoidance. Often decongestants are useful to help reduce swelling of the nasal tissue. Further options for treatment can be sought through an otolaryngologist (Ears, Nose and Throat specialist, ENT).
Drugs Used to Treat Eustachian Tube Dysfunction
The following list of medications are in some way related to, or used in the treatment of this condition.
|Drug name||Rx / OTC||Pregnancy||CSA||Alcohol||Reviews||Rating||Popularity|
Generic name: acetaminophen systemic
Drug class: miscellaneous analgesics
Generic name: ibuprofen systemic
Drug class: Nonsteroidal anti-inflammatory drugs
|cetirizine Off Label||Add review||Rate|
Generic name: cetirizine systemic
Drug class: antihistamines
Off Label: Yes
Generic name: diphenhydramine systemic
For professionals: Prescribing Information
Generic name: diphenhydramine systemic
Brand name: Benadryl
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IBM Watson Micromedex
|OTC||Over the Counter|
|Rx/OTC||Prescription or Over the Counter|
|Off Label||This medication may not be approved by the FDA for the treatment of this condition.|
|A||Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).|
|B||Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.|
|C||Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.|
|D||There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.|
|X||Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.|
|N||FDA has not classified the drug.|
|Controlled Substances Act (CSA) Schedule|
|N||Is not subject to the Controlled Substances Act.|
|1||Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision.|
|2||Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.|
|3||Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.|
|4||Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.|
|5||Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4.|
|X||Interacts with Alcohol.|
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