Ototoxicity of Ethacrynic Acid and Aminoglycoside Antibiotics in Uremia

Abstract
THE ototoxic effects of aminoglycosides such as streptomycin, kanamycin and neomycin are well established. Since renal failure increases the hazard of ototoxicity from these drugs, it can be expected that, in the presence of azotemia and delayed drug excretion, other agents thought to be minimally ototoxic may exhibit an enhanced capacity for this adverse effect.1 Before the report of Schneider and Becker2 ethacrynic acid was not considered an ototoxic drug. They described the induction of acute transient hearing loss by ethacrynic acid in five patients with marked impairment of renal function.Others3 4 5 6 have alluded to single cases of similar effects. . . .

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