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Drug treatments

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Drugs have not been widely used for tinnitus, and there are no drugs that are specifically licensed for the condition. Drugs that have been tried include:

  • lignocaine:
    • i.v. lignocaine infused over three to four minutes may give relief in cases of acoustic trauma and endolymphatic hydrops where cochlea damage exists
    • continuous infusion may rarely be indicated

  • benzodiazepines:
    • a single night-time dose is effective in patients who have difficulty in falling asleep because of tinnitus
    • in prescribing, one must also weigh up the likelihood of long-term dependence

  • anticonvulsants:
    • rarely used, but may be indicated in those with intolerable tinnitus who respond to a test injection of lignocaine

  • frusemide: yet to be confirmed as effective on a large scale

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