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I just flew from Amsterdam to Bangkok, about 12 hours. When going to the bathroom, I used earmuffs and foam earplugs. They did hurt, but they were all I had, and they worked. I popped Valium for the occasion, which provided sleep and eased my flying discomfort. I watched Dune with subtitles...

My tinnitus is severe. I use Peltor X5A. They are what the people outside the plane use. They are massive. They let very little noise in. That is indisputable for me. Everybody is different and has a different sweet spot. Just come prepared so you feel safe.

Earmuffs alone are fine. Foam earplugs for going to the bathroom. I take 13-hour flights once a year and maybe a couple of short ones. This has worked for me.