Therapeutic effects of Rosa canina, Urtica dioica and Tanacetum vulgare herbal combination in treatment of tinnitus symptoms: A double-blind randomised clinical trial.
Rosa canina; Tanacetum vulgare; Tinnitus Handicap Inventory; Tinnitus and Neurotec; Urtica dioica; subjective tinnitus; Male; Female; Humans; Adult; Middle Aged; Aged; Audiometry, Pure-Tone; Visual Analog Scale; Tinnitus/diagnosis; Rosa; Tinnitus; Otorhinolaryngology
Abstract :
[en] [en] OBJECTIVE: To evaluate the effect of Neurotec® herbal capsule (100 mg twice a day for 3 months) on the tinnitus symptoms in comparison with the placebo.
DESIGN: A double-blind randomised clinical trial.
SETTING: Otolaryngology clinic of Baqiyatallah Hospital.
PARTICIPANTS: Patients suffering from subjective tinnitus.
MAIN OUTCOME MEASURES: Pure tone audiometry was measured at .5, 1, 2, 4 and 6 kHz frequencies before and after the third month of intervention. In addition, Tinnitus Handicap Inventory (THI) questionnaire as well as visual analogue scale (VAS) for tinnitus loudness, daily annoyance, daily life or sleep disturbance, daily perception and mood alteration were evaluated.
RESULTS: Finally, 103 (69 males and 34 females) patients with a mean age of 51.33 ± 13.91 years were analysed. In contrast with control group, patients in intervention group showed a remarkable decrease in THI score after 3 months of treatment (p < .05). Although both groups had improvements in VAS scores, mood disturbance, daily tinnitus perception and daily life alteration scores were only improved in the intervention group. The mean pure tone air and bone conduction were not significantly different between the control and the intervention group at baseline and 3 months after the intervention at .5, 1, 2 and 4 kHz (p > .05).
CONCLUSION: A 3-month treatment with Neurotec capsules in addition to patient education is of benefit for managing symptoms in patients with chronic tinnitus.
Disciplines :
Otolaryngology
Author, co-author :
Khosravi, Mohammadhossein ; Université de Liège - ULiège > GIGA ; Department of Research, Arka Education and Clinical Research Consultants, Tehran, Iran
Atefi, Amirhomayoun ; Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Mehri, Afsaneh ; Faculty of Pharmacy, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Sodeifian, Fatemeh ; Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran
Yousefi, Jaleh ; Department of Otorhinolaryngology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
Bagheri Hagh, Ali ; Department of Otorhinolaryngology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
Sohrabpour, Saeed ; Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
Kazemi, Fatemeh ; Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
Ajalloueian, Mohammad ; New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Saeedi, Masoumeh ; New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Language :
English
Title :
Therapeutic effects of Rosa canina, Urtica dioica and Tanacetum vulgare herbal combination in treatment of tinnitus symptoms: A double-blind randomised clinical trial.
We would like to thank the Baqiyatallah otolaryngology clinic secretary, Mr. Abbaspour, for his nice cooperation upon the management of visit sessions. In addition, we appreciate the efforts of the audiology team at Baqiyatallah otolaryngology clinic for this project.
Haider HF, Hoare DJ, Costa RFP, Potgieter I, Kikidis D, Lapira A, et al. Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review. Front Neurosci. 2017;11:207.
Langguth B, Kreuzer PM, Kleinjung T, De Ridder D. Tinnitus: causes and clinical management. Lancet Neurol. 2013;12(9):920–30.
Rief W, Weise C, Kley N, Martin A. Psychophysiologic treatment of chronic tinnitus: a randomized clinical trial. Psychosom Med. 2005;67(5):833–8.
Han BI, Lee HW, Kim TY, Lim JS, Shin KS. Tinnitus: characteristics, causes, mechanisms, and treatments. J Clin Neurol. 2009;5(1):11–9.
Atik A. Pathophysiology and treatment of tinnitus: an elusive disease. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):1–5.
Luetzenberg FS, Babu S, Seidman MD. Alternative treatments of tinnitus: alternative medicine. Otolaryngol Clin North Am. 2020;53(4):637–50.
Vafaee F, Zangiabadi N, Pour FM, Dehghanian F, Asadi-Shekaari M, Afshar HK. Neuroprotective effects of the immunomodulatory drug Setarud on cerebral ischemia in male rats. Neural Regen Res. 2012;7(27):2085–91.
Daneshmand P, Saliminejad K, Dehghan Shasaltaneh M, Kamali K, Riazi GH, Nazari R, et al. Neuroprotective effects of herbal extract (Rosa canina, Tanacetum vulgare and Urtica dioica) on rat model of sporadic Alzheimer's disease. Avicenna J Med Biotechnol. 2016;8(3):120–5.
Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Keyhani MR, Rahimi F, et al. Persian language version of the “Tinnitus Handicap Inventory”: translation, standardization, validity and reliability. Int Tinnitus J. 2011;16(2):93–103.
Khosravi MH, Saeedi M, Yousefi J, Bagherihagh A, Ahmadzadeh E. Herbal medicine in the management of tinnitus. Management of tinnitus: the enriching views of treatment options. London: IntechOpen; 2018.
Xiang T, Zhong J, Lu T, Pu J-m, Liu L, Xiao Y, et al. Effect of educational counseling alone on people with tinnitus: meta-analysis of randomized controlled trials. Patient Educ Couns. 2020;103(1):44–54.
Ghasemi S, Moradzadeh M, Hosseini M, Beheshti F, Sadeghnia HR. Beneficial effects of Urtica dioica on scopolamine-induced memory impairment in rats: protection against acetylcholinesterase activity and neuronal oxidative damage. Drug Chem Toxicol. 2019;42(2):167–75.
Patel SS, Udayabanu M. Effect of Urtica dioica on memory dysfunction and hypoalgesia in an experimental model of diabetic neuropathy. Neurosci Lett. 2013;552:114–9.
Abu Almaaty AH, Mosaad R, Hassan M, Ali E, Mahmoud G, Ahmed H, et al. Urtica dioica extracts abolish scopolamine-induced neuropathies in rats. Environ Sci Pollut Res Int. 2021;28(14):18134–45.
Erfani M, Ghazi Tabatabaei Z, Sadigh-Eteghad S, Farokhi-Sisakht F, Farajdokht F, Mahmoudi J, et al. Rosa canina L. methanolic extract prevents heat stress-induced memory dysfunction in rats. Exp Physiol. 2019;104(10):1544–54.
Farajpour R, Sadigh-Eteghad S, Ahmadian N, Farzipour M, Mahmoudi J, Majdi A. Chronic administration of Rosa canina hydro-alcoholic extract attenuates depressive-like behavior and recognition memory impairment in diabetic mice: a possible role of oxidative stress. Med Princ Pract. 2017;26(3):245–50.
Wang K, Tang D, Ma J, Sun S. Auditory neural plasticity in tinnitus mechanisms and management. Neural Plast. 2020;2020:1–17.
Noreña AJ. Revisiting the cochlear and central mechanisms of tinnitus and therapeutic approaches. Audiol Neurotol. 2015;20(Suppl. 1):53–9.
Pienkowski M. Rationale and efficacy of sound therapies for tinnitus and hyperacusis. Neuroscience. 2019;407:120–34.
Gunjawate D, Ravi R. Effect of yoga and meditation on tinnitus: a systematic review. J Laryngol Otol. 2021;135:284–7.
Mehdi M, Dode A, Pryss R, Schlee W, Reichert M, Hauck FJ. Contemporary review of smartphone apps for tinnitus management and treatment. Brain Sci. 2020;10(11):867.
Huang K, Liang S, Chen L, Grellet A. Acupuncture for tinnitus: a systematic review and meta-analysis of randomized controlled trials. Acupunct Med. 2021;39(4):264–71.
Deklerck AN, Marechal C, Pérez Fernández AM, Keppler H, Van Roost D, Dhooge IJ. Invasive neuromodulation as a treatment for tinnitus: a systematic review. Neuromodulation. 2020;23(4):451–62.