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Tinnitus is usually a symptom of a deeper problem. The cause may lie in the ear, brain or other organs.
If the problem is not severe and the sufferer tends to have tinnitus off and on treatment may not be sought.
The condition however needs to be evaluated by an ear, nose, and throat surgeon or an otolaryngologist.
Tinnitus therapy includes two specific approaches (1) –
Treatment of tinnitus that reduces the cause and intensity include (1-6) :–
Antiepileptic medication Gabapentin or another drug Acamprosate may also be prescribed.
Other alternatives like Ginkgo biloma has also been tried in tinnitus.
The only beneficial agents in tinnitus are antidepressants like nortriptyline, amitriptyline and anti anxiety agents like alprazolam, clonazepam, and oxazepam.
If there is associated depression or anxiety, antidepressants or antianxiety drugs are also prescribed.
Similarly Transcutaneous electrical nerve stimulation may be attempted around the ear to reduce tinnitus.
Treatment that reduces the annoyance caused by tinnitus include (1-6) –
It is done by a psychotherapist who has had special training in CBT.
Patients are informed that it is unlikely that their condition will improve dramatically.
They are informed about the usefulness of tinnitus groups and helped to reduce activities that may aggravate their condition.
A repeated heard stimulus is given to habituate to the tinnitus and reduce discomfort.
Electromagnetic stimulation or ear magnets are small electrical devices that send electromagnetic pulses through the ear and may help tinnitus.
The aim is to increase the flow of oxygen to the ears and brain. It may help a person with hearing loss as well as tinnitus