Ambroxol for Treating Tinnitus / Hyperacusis

Discussion in 'Alternative Treatments and Research' started by beeeep, Mar 2, 2016.

    1. beeeep

      beeeep Member

      Location:
      Germany
      Tinnitus Since:
      ~2000, but real bad since 06/2015
      Cause of Tinnitus:
      Unknown
      Has someone here noticed any difference to their tinnitus when taking Ambroxol? It's the active ingredient of several cough medicines and seems to have pretty few side effects and is pretty cheap.

      Actually, it's available without prescription in Germany (and probably everywhere else).

      There is a patent mentioning that it "could" help against tinnitus (which does of course not mean anything).

      And there is "someone on the internet" claiming that he noticed a difference while taking it and probably getting a higher than usual dose (which is of course an even weaker evidence, there's always someone on the internet claiming something...).

      However, since there are probably some people here that took it as expectorant during a cough, I wonder if they noticed any difference in their tinnitus.
       
    2. Atlantis

      Atlantis Member

      Tinnitus Since:
      02/2014
      Where can you buy this? What's the proposed mechanism of action?
       
    3. linearb
      Psychedelic

      linearb Member Benefactor Hall of Fame

      Location:
      beliefs are makyo and reality ignores them
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      karma
      I bought some on eBay, I'll let you know if it does anything in 4-6 weeks :-p
       
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    4. AUTHOR
      AUTHOR
      beeeep

      beeeep Member

      Location:
      Germany
      Tinnitus Since:
      ~2000, but real bad since 06/2015
      Cause of Tinnitus:
      Unknown
      The patent states that it can be compared to Lidocaine, which seems to be useful (there's a discussion in the treatments section about it) but can cause quite severe side effects, whereas Ambroxol seems to be quite harmless.

      The proposed mechanism of action is, according to the patent:
      ————
      Ambroxol is the active ingredient in many cough medicines.

      According to Wikipedia, some brand names are:
      A quick search for Germany found an online pharmacy selling generic brand Ambroxol 75mg x 20 pills for around €2 EUR. For the UK, I found the same stuff for £2 GBP...

      However, it seems to be hard to find this stuff in the US. After quite some searching, I found one page selling this stuff. For $40 USD you get 100 pills, 30mg each. Not sure why this stuff isn't sold in the US.
       
    5. Twitch

      Twitch Member

      Location:
      Earth
      Tinnitus Since:
      2014
      Cause of Tinnitus:
      Unknown
      I couldn't find anything in the UK with the active ingredient Ambroxol. Can you link which product(s) you found and the one at £2 GBP?
       
    6. linearb
      Psychedelic

      linearb Member Benefactor Hall of Fame

      Location:
      beliefs are makyo and reality ignores them
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      karma
      I got some of this stuff on eBay. Seems trivially easy to source, it's a common OTC drug in large parts of the world.
       
    7. undecided
      Breezy

      undecided Member

      Location:
      Greece
      Tinnitus Since:
      04/2014
      Cause of Tinnitus:
      Unknown.
      Yeah, Ambroxol is about as common as dirt.

      If it did anything for tinnitus (or Parkinson's or diarrhea), I'm sure we'd know it by now.
       
    8. Cesar Franco

      Cesar Franco Member

      Tinnitus Since:
      June 2018
      Cause of Tinnitus:
      Wellbutrin/Bupropion 300 mg
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    9. ajc

      ajc Member Hall of Fame

      Tinnitus Since:
      11/2002; spike 2009; worse 2017-18
      Cause of Tinnitus:
      Loud music - noise damage
      Thinking of trying this since it's so easily available.

      Anybody getting good results?
       
    10. Lukee

      Lukee Member Podcast Patron Benefactor Ambassador

      Location:
      Toronto, Canada
      Tinnitus Since:
      01/2021
      Cause of Tinnitus:
      Wim Hof Breathing Exercises
      I started taking this a few days ago after getting recommended it for ETD type issues.

      I feel like I have fluid in my ears and it was suggested it might help as a mucolytic agent and anti-inflammatory. I can tell you that without a doubt it makes a difference in some of my symptoms and it’s noticeable in about 1-2 hours. As it wears off, I feel the symptoms get worse again. I can’t say for sure but it’s possible it has a bit of an effect on my tinnitus though mine is relatively mild and not my main concern.

      I would imagine that tinnitus caused by inflammation or ETD could possibly be helped by Ambroxol.

      I am taking 30 mg twice a day but not sure if I should up the dosage to 3x a day.
       
      • Like Like x 1
    11. FGG
      No Mood

      FGG Member Hall of Fame

      Tinnitus Since:
      01/2019
      Cause of Tinnitus:
      Multi-factorial
      It seems good for helping to clear out the Eustachian tube and is great for facial noxacusis pain, too (works on the same sodium and calcium channels as Lidocaine).
      It doesn't penetrate the BBB or presumably the blood cochlear layer well but if you had some middle ear stuff contributing to your tinnitus, it might help. Otherwise, my guess is it won't do much.
       
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    12. VeryUnfortunate
      Stressed

      VeryUnfortunate Member Benefactor

      Tinnitus Since:
      2020
      Cause of Tinnitus:
      Acoustic Trauma
      I wanted to bump this thread because I have seen some positive reports of Ambroxol among some hyperacusis users, particularly sufferers with Trigeminal Neuralgia symptoms.

      Has anyone tried Ambroxol recently? How was it and what dosage?
       
      • Good Question Good Question x 1
    13. Hottopic29

      Hottopic29 Member Benefactor

      Location:
      Niagara falls
      Tinnitus Since:
      11/2013
      Cause of Tinnitus:
      Zithromycin acoustic trauma 2022
      Ambroxol does help. I take it.
       
      • Informative Informative x 1
    14. Amv

      Amv Member Benefactor

      Tinnitus Since:
      07/2017
      Cause of Tinnitus:
      -
      Ambroxol is a mucolytic and antioxidant. If you have ETD, sinus or any mucus buildup, it is a good drug to make the mucus more liquid and easier to clean the respiratory airways.
       
      • Informative Informative x 1
    15. Fightthearmy

      Fightthearmy Member

      Tinnitus Since:
      2012
      Cause of Tinnitus:
      work-related
      At what dosage?

      The strongest dose which can be acquired in a local pharmacy without a prescription seems to be the 6mg/ml found in cold medicines and cough suppressants. Is this way too low?
       
    16. StoneInFocus
      Badass

      StoneInFocus Member

      Tinnitus Since:
      2012
      Cause of Tinnitus:
      Hearing damage, ear infections
      I have taken about 2/3 20mg orodispersible tablets per day for two weeks straight

      Didn't notice any effect, but couldn't hurt to try.
       
      • Informative Informative x 1
    17. StoneInFocus
      Badass

      StoneInFocus Member

      Tinnitus Since:
      2012
      Cause of Tinnitus:
      Hearing damage, ear infections
      This study investigates the neuroprotective and anti-nociceptive effects of Ambroxol in oxaliplatin induced neuropathic pain in rats.
      Too bad 1000 mg/kg in rats equates to about 161 mg/kg for humans, which would far exceed normal Ambroxol doses. Interestingly enough 1000 mg/kg Ambroxol has a similar effect to 100 mg/kg Carbamazepine in treating Oxaliplatin induced paw thermal hyperalgesia and tail cold hyperalgesia. 100 mg/kg equates to 16.1 mg/kg Carbamazepine, which is about 1100 mg in humans, which is a high but not unusual dose.
       
      • Like Like x 1
    18. Nick47

      Nick47 Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      2015
      Cause of Tinnitus:
      Viral/noise
      Does Ambroxol lower the tinnitus?
       
      • Good Question Good Question x 1
    19. Vadimus

      Vadimus Member

      Tinnitus Since:
      04, 2023
      Cause of Tinnitus:
      Otosclerosis, benzo withdrawal, SSRI
      I just took 3 tablets of 30 mg Ambroxol. It seems to make my tinnitus temporarily worse. :(
       
    20. StoneInFocus
      Badass

      StoneInFocus Member

      Tinnitus Since:
      2012
      Cause of Tinnitus:
      Hearing damage, ear infections
      From the patent:
       
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