It has been normal for doctors to switch people off of Cisplatin immediately upon these kinds of problems to Carboplatin. As you can see, many here have had that experience and are doing fine. I have searched the medical databases that I have access to (all the major ones) and can find 0 zero articles that speak to dealing with this by reducing dosage. I don't know your particular situation, I am not a doctor, but if I were you I would not do this.

I see the possible ramifications as possibly being incomplete primary treatment, and or loss of hearing completely. Not everyone that takes Cisplatin has issues with it, but every doctor I have ever discussed this with say that they remove their patients immediately as soon as the ringing in the ears issue comes up. If there were not a suitable alternative, then I could understand the doctors insistence. In this case I do not.

Remember that you are the controller of your treatments, though we all know less than our treating doctors as a rule, and like it or not have to put our faith in them. But that does not mean that they know everything. If your doctor has a peer reviewed scientific article that he would like to share with the foundation substantiating his treatment idea, I would be most interested in reading it and adding it to our datable of relevant articles on the OCF web site.