Tinnitus: Is Increased Sound Normal After Medication?

Medication consultation

Hello doctor, I started experiencing persistent tinnitus in one ear at the end of July.
I have been to the hospital for examinations and had a CT scan, but the cause could not be determined.
Two weeks ago, a neurosurgeon prescribed me a medication called Huangjiasuangli for peripheral blood circulation disorders.
After taking it, my tinnitus became louder.
I reported this to the neurosurgeon, but he said it was because my circulation had improved and suggested increasing the dosage.
Is it normal for tinnitus to become louder? Can I continue taking the medication?

Judy, 30~39 year old female. Ask Date: 2022/10/21

Dr. Zheng Jueyi reply Otolaryngology

Hello, if the physician recommends continued use of the medication, you may return for a follow-up appointment after one week to assess whether symptoms have improved.
However, if symptoms continue to worsen, it is advised to discontinue the medication and return to the physician for further evaluation.

Reply Date: 2022/10/21

More Info

Tinnitus, or ringing in the ears, can be a perplexing and distressing condition, particularly when it seems to worsen after starting a new medication. In your case, it appears that the tinnitus in your ear has intensified after taking a medication prescribed for peripheral blood circulation issues. This situation raises several important considerations regarding the nature of tinnitus, the effects of medications, and the management of your symptoms.

Firstly, it is essential to understand that tinnitus can have various underlying causes, including exposure to loud noises, ear infections, earwax buildup, and even certain medications. The fact that your tinnitus began in July and has persisted despite medical evaluation suggests that it may be related to an underlying condition that has not yet been identified. The CT scan you underwent was a good step in ruling out structural abnormalities, but it is not uncommon for the cause of tinnitus to remain elusive even after thorough investigation.

Regarding the medication you were prescribed, it is not unusual for some patients to experience an increase in tinnitus when starting new treatments. This can occur for several reasons. One possibility is that the medication is affecting the auditory system in a way that temporarily exacerbates the perception of sound. In your case, the doctor suggested that the increase in sound might be due to improved circulation, which could be enhancing the auditory nerve's responsiveness. However, this explanation can vary from patient to patient, and not everyone will experience the same effects from the same medication.

It is crucial to communicate openly with your healthcare provider about the changes you are experiencing. If the tinnitus has become significantly louder and is causing you distress, it is important to discuss this with your doctor. They may consider adjusting your medication or exploring alternative treatments. Additionally, it is essential to weigh the benefits of the medication against the side effects you are experiencing. If the tinnitus is intolerable, it may be worth considering discontinuing the medication, but this should always be done under the guidance of your healthcare provider.

In terms of managing tinnitus, there are several strategies that may help alleviate the symptoms. These include:
1. Sound Therapy: Using background noise, such as white noise machines or soft music, can help mask the tinnitus and make it less noticeable.

2. Cognitive Behavioral Therapy (CBT): This therapeutic approach can help you develop coping strategies and reduce the distress associated with tinnitus.

3. Hearing Aids: If you have hearing loss in addition to tinnitus, hearing aids can amplify external sounds, which may help mask the tinnitus.

4. Relaxation Techniques: Stress can exacerbate tinnitus, so practices such as mindfulness, meditation, or yoga may be beneficial.

5. Avoiding Triggers: Identifying and avoiding potential triggers, such as caffeine, alcohol, and loud noises, can help manage symptoms.

In conclusion, while it is not uncommon for tinnitus to worsen after starting a new medication, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. They can help determine the best course of action, whether that involves continuing the medication, adjusting the dosage, or exploring alternative treatments. Remember, managing tinnitus often requires a multifaceted approach, and what works for one person may not work for another. Your well-being is paramount, so do not hesitate to seek further evaluation and support as needed.

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