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Study aim
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Comparing of Gabapentin and Cinnarizine effect on tinnitus in patients with Sensorineural Hearing Loss and Ability to provide a safe, non-invasive, effective and economical treatment for patients with Tinnitus
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Design
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Two arm parallel group randomized trial with 114 patients,
Randomization with a table of random numbers on an online site
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Settings and conduct
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114 patients who referred to the ENT clinic of Imam Khomeini Hospital in Urmia with a complaint of Tinnitus and have sensorineural hearing loss and have entry condition and do not have the non-entry condition of the study after completing the consent form by the patients for participation In this study, taking a complete history and performing examinations, and if needed, performing audiometry and necessary tests, the THI questionnaire will be completed for them. Patients are randomly divided into two groups, A and B (A: Gabapentin, B: Cinnarizine), and are treated for 6 weeks, and after the completion of the treatment period, they return to complete the THI questionnaire.
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Participants/Inclusion and exclusion criteria
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Entry condition:
Age:18-75 years old,
Having persistent and pulseless Tinnitus for at least one year,
Having Sensorineural Hearing Loss,
Obtaining a score of 38 and above in the Tinnitus Handicap Inventory (THI) questionnaire,
Non-entry condition:
Having an active Meniere's disease,
Being pregnant or breastfeeding,
Having any one of the following: Glaucoma, Urinary Retention, Prostatic Hypertrophy, Epilepsy, and Liver disease,
Having a health condition that prohibits the use of gabapentin for the patient and other contraindications
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Intervention groups
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A: Gabapentin 100mg/d 1st week, 300mg/d 2nd week, 900mg/d 3rd and 4th weeks, 300mg/d 5th week, 100mg/d 6th week
B: Cinnarizine 25mg/d 1st week, 50mg/d 2nd week, 75mg/d 3rd and 4th weeks, 50mg/d 5th week, 25mg/d 6th week
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Main outcome variables
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Tinnitus severity