{
  "schema_version": 1,
  "kind": "condition",
  "id": "sudden-hearing-loss-referral",
  "name": "Sudden sensorineural hearing loss (emergency ENT referral)",
  "category": "chronic",
  "sources": "AAO-HNS Sudden Hearing Loss Clinical Practice Guideline 2019",
  "review_status": "reviewed",
  "verified_against": "AAO-HNS Sudden Hearing Loss Clinical Practice Guideline 2019",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1678,
      "generic": "Prednisolone",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 5.0,
      "adult_dose": "60 mg once daily in the morning with breakfast for 7-14 days, followed by a 5-day taper (e.g. 50, 40, 30, 20, 10 mg daily)",
      "adult_duration": "12-19 days total",
      "dose_source": "AAO-HNS Sudden Hearing Loss Clinical Practice Guideline 2019",
      "rationale": "OTOLOGIC EMERGENCY: high-dose oral corticosteroids must be initiated within 72 hours of symptom onset for maximum hearing recovery potential",
      "cautions": [
        "REQUIRES URGENT SAME-DAY ENT REFERRAL for audiometry and consideration of intratympanic steroid injection.",
        "Monitor blood glucose closely (high risk of acute steroid-induced hyperglycemia).",
        "Co-prescribe PPI gastroprotection during high-dose steroid therapy.",
        "Contraindicated in active systemic fungal infections."
      ],
      "peds_mgkg_low": 1.0,
      "peds_mgkg_high": 2.0,
      "peds_max_mg": 60.0,
      "peds_basis": "day",
      "peds_unit": "mg",
      "peds_note": "Child: 1-2 mg/kg once daily in morning (max 60 mg daily); urgent pediatric ENT emergency referral mandatory",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": [
        {
          "weight_kg": 10,
          "low_mg": 10,
          "high_mg": 20,
          "capped": false
        },
        {
          "weight_kg": 20,
          "low_mg": 20,
          "high_mg": 40,
          "capped": false
        },
        {
          "weight_kg": 30,
          "low_mg": 30,
          "high_mg": 60,
          "capped": false
        },
        {
          "weight_kg": 40,
          "low_mg": 40,
          "high_mg": 60,
          "capped": true
        }
      ],
      "brands": [
        {
          "trade_name": "HOSTACORTIN H 5MG 30 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SANOFI",
          "price_egp": 12.0,
          "pack_count": 30,
          "unit_price": 0.4,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PREDNISOLONE 5 MG 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ARAB DRUG COMPANY (ADCO)",
          "price_egp": 24.0,
          "pack_count": 20,
          "unit_price": 1.2,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PREDILONE 5MG 10 TAB. (25 STRIPS PACK)",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA",
          "price_egp": 250.0,
          "pack_count": 10,
          "unit_price": 25.0,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "EPICOPRED 5 MG 30 ORODISPERSIBLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EIPICO",
          "price_egp": 69.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PREDNISOLONE-EVA 5 MG 30 ORODISPERSIBLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EVA PHARMA",
          "price_egp": 79.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DISPRELONE-OD 5 MG 30 ORODISPERSABLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ANDALOUS PHARMA",
          "price_egp": 84.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SOLUPRED ORO 5 MG 30 ORODISPERSIBLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SANOFI WINTHROP > SANOFI",
          "price_egp": 84.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ACETASEE 1% EYE DROPS (SUSP.) 5 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RAMEDA",
          "price_egp": 7.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PREDNIS 5MG/5ML SYRUP 100 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 9.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "sudden-hearing-loss-referral"
    }
  ]
}