Dealing With Tinnitus

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*Updated occasionally
Originally published Oct. 18, 2021

Tapping back of head
Pulling ear (eustachian tubes)
White noise
Noise
Remeron Mirtazapine  (sleep anti depresent one study did nortriptyline (pamelor), remeron might be better (32% reduction in loudness) (do not use this)

Tone that cancels tone in my brain (noise cancelling
Melatonin
Hearing aide that masks the tinnitus and habituates your mind (30% improvement to Tinnitus Severity Index Score (large variations), 20% placebo) (see drive)
Activated b1 (eustachian tubes) tinnitustalk
Botox tmj
Physio tmj exercise youtube
Neck exercises
Maritime pine park extract helps tinnitus caused by low blood flow in inner ear
L thianine. Gaba neurotransmitter sleep help anti axiety depression.
Supplementing GABA may help tinnitus (studies show tinnitus sufferers have low GABA) (likely works similar to a benzo (clonazepam best benzo for tinnitus (not a recommendation))) (Using clonazepam there was a 14% tinnitus handicap score reduction, loudness went from 5 to 1 (in this study gingko biloba had a larger reduction in tinnitus handicap score than clonazepam(1))) (50-80% improvement in another study with clonazepam(2)) (32% saw some degree of improvement in another study (clonazepam) (more saw improvement with Xanax)(3))
(3)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136369/#!po=40.8497 (list of pharma treatments)
Keto diet
Taurine helps rats with tinnitus. Helps restore calcium ion flow in ear. Works in 12% of people lifeextension
https://www.lifeextension.com/magazine/2013/6/the-forgotten-longevity-benefits-of-taurine
https://pubmed.ncbi.nlm.nih.gov/20868734/
Sleeping pills
Lenire Electric stimulation to tongue with music (14 point reduction 30% more reduction in more severe cases, average reduction was 30%, didn't help a small minority) or tapping back of head (less effective
https://www.lenire.com/
Metro link for stopping neuroinflammation pill (more research needed) PLOS Biology, suggests it is caused by a molecule called TNF-A (tumour necrosis factor alpha) that disrupts communication between neurons. 3,6′-dithiothalidomide (dTT) helpful pill after exposure
https://scholar.google.ca/scholar?q=plos+biology+tnf-a+tinnitus&hl=en&as_sdt=0&as_vis=1&oi=scholart#d=gs_qabs&u=%23p%3DqOt10pIJyPEJ
Humira reduces TNF-A, rituximab also reduces TNF-A (worth looking into)
(See drive humira)
Biofeedback
Sulpiride and melatonin
Based on the subjective grading, tinnitus perception diminished by 56% in patients treated with sulpiride, by 40% in patients treated with melatonin, by 81% in patients treated with sulpiride plus melatonin (don't use sulpiride)
https://pubmed.ncbi.nlm.nih.gov/17942035/
Xanax (NO) Benzodiazepines are bad not as effective
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136369/#!po=40.8497

More supplements
Zinc promising (42% reduction in subjective tinnitus severity, loudness of tinnitus didn't change) they used 50mg zinc for 2 months, this is likely to much zinc, could try 25mg for 6 to 8 weeks.
https://pubmed.ncbi.nlm.nih.gov/12544035/
https://drive.google.com/folderview?id=1RwfFGQmFhE06WZzNxDv8YyBWjW5ZlP1i
Reducing zinc right after a loud noise event however reduces hearing damage in mice (zinc chelation could potentially help (after noise exposure))
https://doi.org/10.1073/pnas.2310561121 (needs more research)
Coenzyme Q10 nope
Magnesium prevents hearing damage after noise 60% effective or more (80% for DPOAE) magnesium taken post noise exposure for 10 days 122mg in study once a day. Not free radical pathway but mitochondria effect
https://pubmed.ncbi.nlm.nih.gov/15533151/
See Google drive
Fish oil reduces age related hearing loss 1.2 decibel over 3 years difference, no difference high frequency
https://pubmed.ncbi.nlm.nih.gov/20424800/
B12 almost 50% reduction in damage after noise exposure if it's in your system
See Google drive link
https://drive.google.com/folderview?id=1RwfFGQmFhE06WZzNxDv8YyBWjW5ZlP1i
B12 reduces tinnitus in the ~50% of tinnitus sufferers who are deficient (~28% reduction in loudness of tinnitus)
https://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2016;volume=18;issue=81;spage=93;epage=97;aulast=Singh
Folate deficiency has long term correlation in age related hearing loss and so does B12 (those effect homocysteine levels, causing more free radicals)
See Google drive link
Lipoic acid helps 30% of people by 10 - 25% used with Vitamin C and rebamipide in older adults
See Google drive
Vit E (5 days post exposure max) and NAC (4 hours post exposure max) reduce damage to ear if taken after noise exposure
So does deferoxamine mesylate (not sure if it works post exposure)
More than 50% in each case protection but was even better preexposure (in case of vit E)
See Google drive
Acetyl L carnitine helps post noise exposure even better then NAC, should be taken 1 to 4 hours after exposure like NAC. (50% plus protection from damage) (may work differently than antioxidants) (mitochondria effects, may be different than magnesium)
See Google drive
Exercises for tinnitus
Garlic may help after a infection if the infection caused tinnitus.

Mindfulness based meditation, with a focus on sounds, led to a 40% reduction in tinnitus symptoms. (Results persisted 6 months after the intervention) (intervention was 8, 2 hour sessions (done weekly))
 
"Fifteen dietary factors were examined. Fruit intake, dietary fibre, caffeine and dairy product consumption were negatively correlated with tinnitus incidence (OR=0.649x (95% CI 0.532, 0.793), p<0.0001), (OR=0.918x (95% CI 0.851, 0.990), p=0.03), (OR=0.898x (95% CI 0.862, 0.935), p<0.00001), (OR=0.827x (95% CI 0.766, 0.892), p<0.00001), respectively." (margarine had a positive correlation with tinnitus 1.2x, meat 1.1x, vegetables 1.1x)

Red and infrared laser therapy low level (applied to ears) helps tinnitus (35% reduction)

Gushen pian (chinese herb) 59.5% reduction in tinnitus (double blind) (85% reduction in trouble sleeping) (with no patients having severe insomnia (in the study)) (unpurchaseable?)
(See drive)

Yokukansan (japanese herbal mixture), likely cures tinnitus according to researcher

Electronic stimulation device USA (50% improvement)

Tinnitus Bot (talk therapy) 42% improvement (no control though)

Bojungikgitang and banhabaekchulchonmatang (korean herbs used for tinnitus) (no studies, it is approved for this use by the korean government though)

Read their references for their supplement , works by zinc, dont try

explore



Effects of Low Energy Emission Therapy in Chronic Psychophysiological Insomnia

Acupuncture 10 to 50% (20% placebo) reduction 

DPOAE can test for tinnitus, (see drive) one study showed that tinnitus was medium impairment to DPOAE while more severe hearing loss had severe DPOAE but an absence of tinnitus (thus further impairing your hearing may cure tinnitus)


Impact of tinnitus on people

Passion flower for sleep?

vit d?
Ginkgo biloba more blood flow?
Apple cider vinager (anti bacterial)
Basal (anti bacterial

Vinpocetine after damage helps

~Tinnitus costs the UK economy 1.08% of total GDP (not well studied, in UK, US or Netherlands)

~Tinnitus costs the US economy 0.1% of total GDP

~Tinnitus costs the Netherlands economy 1.75% of total GDP
6,000 euro per patient, 2.5 million people have it.
Economy is 856.36 billion euros




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