Tinnitus
Rx
Ear wax
Otitis Media
Stop drugs: aminoglycosides, cisplatin, NSAIDs, loop diuretics
Unilateral > ?retrocochlear pathology e.g. acoustic neuroma > refer to ENT
?related to hearing loss > audiometry > hearing aids
?related vertigo > Meniere's Disease
otherwise left with Idiopathic
Rx
NO pharmacological agent has been shown to work
Non-drug therapies: tinnitus retraining therapy, CBT or masking devices (produce sound to cover tinnitus)
Australian Tinnitus Association for support
Monitor for depression, anxiety and insomnia
Ear wax
Otitis Media
Stop drugs: aminoglycosides, cisplatin, NSAIDs, loop diuretics
Unilateral > ?retrocochlear pathology e.g. acoustic neuroma > refer to ENT
?related to hearing loss > audiometry > hearing aids
?related vertigo > Meniere's Disease
otherwise left with Idiopathic
Rx
NO pharmacological agent has been shown to work
Non-drug therapies: tinnitus retraining therapy, CBT or masking devices (produce sound to cover tinnitus)
Australian Tinnitus Association for support
Monitor for depression, anxiety and insomnia