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Hello @Former newyorker. Sorry to hear of your tinnitus difficulties, compounded by the Covid-19 challenges we all face these days. You asked:...

Hello @Roger79 - Thank you for your question. There are around a gazillion drugs that have been reported to potentially temporarily aggravate...

Before going further, I just want to be clear that ideally you want your tinnitus to be eliminated or at least significantly mitigated. So I...

Hello @Aaaron8 - Thank you for your question. There are innumerable things that can cause tinnitus. The reason most folks try to figure out what...

Hello Jacqueline - Thank you for your interesting question. I am sorry that it has taken me so long to get around to responding. I have been (and...

Hello @jb998 - Thank you for your question. With your history of boxing the first thing that comes to mind would be a structural problem - like...

Hello @lleyah - Perhaps I am missing something, but I do not see any clear connection between your four-year history of pulsatile tinnitus that...

Hello @Wheella - Thank you for your interesting question. I apologize for taking so long to respond. There are three issues to be addressed:...

Hello @AfroSnowman. Having tinnitus (regardless of cause) does not make you more susceptible to noise-induced auditory damage than anybody else....

Hello @Watasha - It's really a personal decision ... If I were infected with coronavirus, and my doctor prescribed...

Hello @monkey124 - I can well-understand your concern. As I see it, tinnitus loudness as one perceives it is a multifactorial phenomenon (see,...

Hello @Missmia87 - Diphenhydramine can cause tinnitus, but the incidence is *very rare*. In fact, diphenhydramine is one of the most frequently...

I am well indeed, @kitanakahn. Thanks for your good wishes! Excellent question. So here are my thoughts. The usual dose of aspirin for a...

Hello @Air23 - With regard to relapse it helps to keep in mind that habituation is a process rather than a state - and that rather than being a...

Glad to help. Anxiety has been described as a side effect of either drug, but it is rare in my experience. More likely than not there are other...

Glad to be back. It required a good bit of faith, a good bit of flexibility, and a good bit of determination - on the part of a number of people....

Hello again @Lilah - Your questions are excellent. Unfortunately the answers are a bit complicated because it all depends on exactly what you are...

Hello again @Roger79 - Mirtazapine is an antidepressant. It is not ototoxic in the sense that it does not cause auditory damage. Like around a...

Hello again @AlbertJ - What you describe might indeed be a variation of exploding head syndrome - but in your reading I am sure that you have...

Hello again @Shelbylynn - None of the vaccines available today can cause auditory damage. A few contain tiny amounts of an aminoglycoside...

Hello again, @East - To answer your last question first, hyperacusis is a condition wherein sounds that are well-tolerated by others sound...

Hello again, @ANDREWCHARLES - It might help to view habituation as a process rather than as a state. And in that context, it would be more...

Hello again @Indra - So that's quite a story you have there. I am sorry that you have had to deal with so many health challenges. Taking your...

Hello again, @Erin Jeanne - Thank you for your inquiry ... and for your patience while I was away. You asked: Most tinnitus resolves on its...

Hello @Lilah - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will respond...

Hello @Roger79 - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will respond...

Hello @AlbertJ - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will respond...

Hello @Shelbylynn - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will...

Hello @East - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will respond...

Hello @ANDREWCHARLES - Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will...

Hello @Indra. Thank you for your inquiry. I am away taking care of a family matter and will be unable to respond by 3/3 (today) as requested. I...

Hello @Erin Jeanne. Thank you for your inquiry. I am away taking care of a family matter. I should be back in Atlanta by next week and will...

Hello @Beng50 - The half-life of escitalopram (Lexapro) is on the order of 30 hours. Most should be completely out of your system within a week...

Hello @Gerbit - Interesting question about yelling. I had to do a bit of research! So it turns out that the loudest yell ever measured was...

Hello @Shelbylynn - Thank you for your question. You may know this already, but in order for my response to make sense I want to review some...

Hello @AshD - Nothing you have written above makes me think that you have put yourself in a situation that can cause auditory damage....

Continuing ... I am glad that you hesitate "to blindly accept this as scientific evidence" since it isn't scientific evidence at all. It is...

Hello @Jaka - Thank you for your very interesting question. It would take a book chapter to do it justice - but I'll give it a shot in just a...

You are welcome. Glad to help. In terms of damaging your auditory system, you should be just fine shooting occasionally wearing high quality...

Glad to help. My apologies for not responding sooner. I've had some "stuff" going on, Goes with being into my 70s, I guess. My mother used to say...

@Bartoli, some of the wording in my original response may have been unclear. I have cleaned it up a bit, and I hope it now makes more sense....

Hello @Bartoli - Thank you for your interesting question. Let me first address the issues surrounding your 20dB SL tinnitus loudness match. You...

Hello @Susan C. Thank you for your interesting question. I can completely understand your frustration. You wrote: My question is if you have...

Hello @Deniseh ... and thank you for your question. Cabin pressure and noise are two separate issues. And in each instance the rules for those...

Well actually I started the Doctors' Corner with Markku's help way back in March 2014. I was away for a while but returned a few months ago. Good...

Addendum - Sorry, @analilia, I forgot to address your concern about pain in my initial response. In the absence of any ENT findings to account...

Hello @analilia. Very sorry to hear of your difficulties. I realize this information comes a bit too late for you - but for those who are...

Glad to help. All the best with it. Stephen M. Nagler, M.D.

Hello @Eloy Resendez Jr. Goodness, with all those "-ologists," it's enough to make your head spin. So let me try to tease it out for you. You...

Hello @Katy2707. Sorry to hear that you are having a difficult time of it. Thank you for your questions. I hope I can be of some help. The...

Hello @Harfang. I am sorry to hear that you are going through a rough patch with your tinnitus. First of all, regarding damage: There is...

I feel the need to add an important clarification to my post above. I wrote [in part]: "So probably it is plain old ordinary tinnitus that...

Welcome, @Not Sure. Sorry you had need to find this place, but glad we could be here for you! Then I guess I will start by telling you the same...

So, @MusicTeacher Tom, to pick up where I left off yesterday ... The simplest guideline for when and when not to use ear protection would be the...

OK @MusicTeacher Tom. I'm going to at least get started with my response and see how far I get. You wrote: So if you are normal, that means you...

Hello @MusicTeacher. Thank you for your question. I sense some urgency on your part, and I just wanted you to know that you haven't fallen off my...

I am. Thank you for asking. Well, everybody has hearing loss. Even people with normal audiograms have hearing loss. We lose 0.5% of our hair...

@LanaK, I have had a chance to give your situation a bit more thought. I think it is important to have your Loudness Discomfort Levels (LDLs)...

Hello @LanaK. Thank you for your interesting question. It appears that with both tinnitus and hyperacusis, you are walking a tightrope. I would...

Glad to help any way I can. Not to change the subject, @Capstan, but if you have been reading through my prior posts, somewhere I suspect you...