Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Preventing ear trauma during hyperbaric oxygen therapy with pseudoephedrine

Official title: Pseudoephedrine Prophylaxis for Prevention of Middle Ear Barotrauma in Hyperbaric Oxygen Therapy

Run by John Muir Health · NCT05697328 · Data updated 2026-11-12

This study is testing if taking pseudoephedrine can help prevent ear problems in people receiving hyperbaric oxygen therapy.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorJohn Muir Health
Academic / other
Locations1 site (Walnut Creek, California)
StatusRecruiting
StartedJanuary 31, 2023
Main results expectedJuly 2026
Study endsJuly 2026
Registry record updatedAugust 27, 2025
Trial IDNCT05697328 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are new patients aged 18 to 80 who require hyperbaric oxygen therapy and can swallow a pill.

Probably not a fit

Patients with contraindications to pseudoephedrine or those requiring immediate hyperbaric therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research investigates whether pseudoephedrine can prevent middle ear trauma in patients undergoing hyperbaric oxygen therapy (HBOT). Participants will take either a pseudoephedrine pill or a placebo before their HBOT session. Their ears will be examined before and after the therapy, and they will report any ear pain experienced. The study aims to determine the effectiveness of pseudoephedrine in reducing ear-related complications during HBOT.

Why it matters

Potential benefit: If successful, this study could help reduce the incidence of ear trauma in patients receiving hyperbaric oxygen therapy.

How similar studies have gone: While the use of pseudoephedrine in this context is novel, similar studies on preventing barotrauma have shown varying degrees of success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* New patient requiring HBOT (either inpatient or outpatient)
* Age greater than or equal to 18 years and less than 80 years
* Fluent in English
* Full decision capacity
* Able and medically cleared to swallow a pill

Exclusion Criteria:

* Enrollment would delay hyperbaric therapy more than 30 minutes in patients with emergent indications (example: Central Retinal Arterial Occlusion, Carbon Monoxide, Air Gas Embolism)
* Contraindication to pseudoephedrine (monoamine oxidase inhibitors (MAOI) use, pregnancy, glaucoma, heart disease, allergy to drug class)
* Systolic Blood Pressure \>160
* Diastolic Blood Pressure \> 90
* Heart Rate \>100
* Decongestant/antihistamine/pseudoephedrine/nasal steroid/oxymetazoline use within 12 hours.
* Prisoner
* Intubated
* Unable to swallow oral medications

Where it's running

  • John Muir Health
    Walnut Creek, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    This will test whether doing a series of Eustachian tube equalization maneuvers during the first hyperbaric oxygen session can prevent middle ear barotrauma in patients who can perform the maneuvers.

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.