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Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Hair Cells01:22

Hair Cells

Hair cells are the sensory receptors of the auditory system—they transduce mechanical sound waves into electrical energy that the nervous system can understand. Hair cells are located in the organ of Corti within the cochlea of the inner ear, between the basilar and tectorial membranes. The actual sensory receptors are called inner hair cells. The outer hair cells serve other functions, such as sound amplification in the cochlea, and are not discussed in detail here.
The Cochlea01:13

The Cochlea

The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
Sound Intensity Level00:53

Sound Intensity Level

Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
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CNS Stimulants: Cocaine, Amphetamines and Cannabinoids

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Updated: Jul 14, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
09:44

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Published on: January 25, 2016

Hydrocodone use and sensorineural hearing loss.

Tang Ho1, Jeffrey T Vrabec, Allen W Burton

  • 1Baylor College of Medicine, Houston, TX, USA.

Pain Physician
|May 26, 2007
PubMed
Summary

Chronic hydrocodone use may cause progressive hearing loss. Cochlear implantation offers successful auditory rehabilitation for affected patients, highlighting the need for further research into contributing factors.

Area of Science:

  • Otolaryngology
  • Neuroscience
  • Pharmacology

Background:

  • Hydrocodone/acetaminophen is a widely used analgesic.
  • Previous reports suggest a link between hydrocodone abuse and hearing loss.
  • This study investigates the clinical features of patients with hearing loss and hydrocodone use.

Observation:

  • Five patients with rapidly progressive bilateral sensorineural hearing loss and hydrocodone use were studied.
  • Hearing loss was asymmetric initially but rapidly progressed to profound levels.
  • No vestibular symptoms were reported, and steroid treatment was ineffective.

Findings:

  • Hydrocodone consumption varied from 10 to 300 mg daily.
  • Hepatitis C was a common comorbidity (60%).

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Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice
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Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice

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Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice

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  • All patients achieved satisfactory results after cochlear implantation.
  • Implications:

    • Chronic hydrocodone use may lead to progressive sensorineural hearing loss.
    • Cochlear implantation is an effective treatment for hydrocodone-induced ototoxicity.
    • Genetic factors and comorbidities like hepatitis C may influence ototoxicity, warranting further investigation.