Is Paxlovid (Ritonavir/Nirmatrelvir) Ototoxic? Can It Make Tinnitus Worse?

Discussion in 'Support' started by Alexandor, Mar 8, 2022.

    1. Alexandor

      Alexandor Member

      Tinnitus Since:
      07/2013
      I've been prescribed Paxlovid, the Pfizer COVID-19 Antiviral treatment, which is a combo of Ritonavir and Nirmatrelvir.

      I've done some digging and can't find anything about either of these two drugs causing tinnitus or being ototoxic in any way.

      I wanted to check here and ask if anyone else has experience taking Paxlovid and, if so, did it have any impact on your tinnitus levels?

      I'd also love any additional input any of you all can offer.
       
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    2. DebInAustralia
      No Mood

      DebInAustralia Member Benefactor Hall of Fame Advocate

      Location:
      Geelong, Victoria
      Tinnitus Since:
      12/2013
      I'm sorry I can't advise.

      But I can point you towards Nigella Sativa, which is thought to be protective against COVID-19... I've had no issues taking it.
       
    3. Julie5022

      Julie5022 Member

      Tinnitus Since:
      09/2021
      Cause of Tinnitus:
      Unknown
      I tested positive for COVID-19 this morning and have been prescribed Paxlovid. Did it worsen your tinnitus? I’m very nervous to take it.
       
    4. Lulu187

      Lulu187 Member

      Tinnitus Since:
      1 week ago
      Cause of Tinnitus:
      Unknown
      I've had COVID-19 3x and I didn't take any medication for it. Why risk the possible spike? I'd say don't take it unless 100% necessary in a life or death situation.
       
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    5. Julie5022

      Julie5022 Member

      Tinnitus Since:
      09/2021
      Cause of Tinnitus:
      Unknown
      Did your tinnitus spike any of the 3 times? Are you vaccinated?
       
    6. Lulu187

      Lulu187 Member

      Tinnitus Since:
      1 week ago
      Cause of Tinnitus:
      Unknown
      It didn't spike any of the 3 times which was strange, as I had lost my taste and smell for 3 weeks after my second infection with COVID-19.

      I am certainly, most definitely NOT vaccinated for COVID-19 and never will be.
       
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    7. Social Maven

      Social Maven Member

      Tinnitus Since:
      Jan. 2019
      Cause of Tinnitus:
      Ototoxic Drug
      I'm also wondering if Paxlovid had any effect on tinnitus. I will never get the vaccine (as it causes tinnitus in many), but if I ever get COVID-19, I am very afraid to take Paxlovid (which is what they prescribe where I live).

      I also wonder about monoclonal antibodies. The one they use where I live is Bebtelovimab.

      Since I got tinnitus in January 2019, I had to take a drug twice. BOTH TIMES they made my tinnitus louder. he last one screaming high-pitched loud. So I have never taken another medication since then. It's terrifying living this way.
       
    8. jennlee

      jennlee Member

      Tinnitus Since:
      07/2022
      Cause of Tinnitus:
      loud noise/history
      Did anyone take Paxlovid and have a tinnitus spike? If so, did the spike resolve?

      So hard to know if it's COVID-19 causing the spike, or the medication.
       
    9. Johan82

      Johan82 Member

      Tinnitus Since:
      2014
      Cause of Tinnitus:
      Infection or noise
      Why do you have to take Paxlovid? Is your COVID-19 severe?
       
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    10. Joe Cuber
      Angry

      Joe Cuber Member Benefactor

      Tinnitus Since:
      03/2022
      Cause of Tinnitus:
      Gradual hearing loss + a huge amount of stress
      @jennlee - I had COVID-19 back in May. I started taking Paxlovid after the 4th day. My tinnitus spiked while I had COVID-19 symptoms, but Paxlovid didn't cause me to spike any further. After COVID-19 subsided, my tinnitus went back to baseline.
       
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    11. Bill_
      Balanced

      Bill_ Member

      Location:
      Germany
      Tinnitus Since:
      04/1998
      Cause of Tinnitus:
      1. loud Concert | 2. loud club | 3. tympanometry
      I am not a doctor nor am I claiming to be able to give medical advice. But I used to work in the scientific field and consider myself somewhat „scientificically literate“ - from what I have read Paxlovid does not make any sense unless you have severe pre-existing conditions or your COVID-19 infection is very, very bad.

      Under any other circumstances I would not even think about taking it.
       
    12. Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      Dear Joe,

      This is a great result! Unfortunately my hearing was damaged by COVID-19. I researched that the virus affected the hair cells and unlocked the ACE2 receptors. Hair cells are similar to taste and smell cells... and a target of COVID-19. See attached scientific paper explaining how this works.

      I am now trying to get Paxlovid and, when I am COVID-19 positive again, I take Paxlovid immediately.

      Are there more Tinnitus Talk members who are trying to get Paxlovid in case of a COVID-19 infection?

      Kind regards,
      Jan
       

      Attached Files:

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    13. Joe Cuber
      Angry

      Joe Cuber Member Benefactor

      Tinnitus Since:
      03/2022
      Cause of Tinnitus:
      Gradual hearing loss + a huge amount of stress
      Intersting, I didn't realize that COVID-19 actually affected the hair cells @Jan64. I think if I caught COVID-19 again, I'd want to take Paxlovid again.
       
    14. Tina V.

      Tina V. Member

      Tinnitus Since:
      03/03/2015
      Cause of Tinnitus:
      Doxycycline
      I am just getting over COVID-19 and I am taking Paxlovid. My tinnitus has definitely been exacerbated. It was much less noticeable for quite awhile now, so I noticed the difference.

      However, COVID-19 itself can attack the stereocilia in the ear, so the question is, which is the culprit, the drug or the virus?

      I do not like so many other side effects of Paxlovid, like dizziness and strange dream. So many people I know said it would help me get better faster. Well, my doctor did not prescribe it to me when I had COVID-19 last year (which incidentally caused complete hearing loss in one ear, the same one that has the tinnitus) and she wasn't adamant about me taking it this time, either, but I felt that because my asthma often gets worse when I'm sick, I should give the Paxlovid a go. I have been quite sick for a week now, so it might have been much worse without the Paxlovid. Who knows? My asthma/bronchitis was not an issue.

      I don't think I will take it again the next time I get COVID-19, since I likely will. I had 3 total vaccinations, but reluctant to receive any more. I did so, because I am a Dental Hygienist and exposed to people in close proximity. But the vaccines obviously do not keep you from getting COVID-19!

      Anyway, the biggest help for my tinnitus is having a water fountain outside of the bedroom. My brain can focus on that vs. the rumbling in my ear.

      I won't give up my coffee, however!
       
    15. spedgas
      Scared

      spedgas Member Benefactor

      Tinnitus Since:
      09/2018
      Cause of Tinnitus:
      Unknown
      Yeah, I got COVID-19 for the first time in early August 2023. I'm a nurse so it's amazing it took that long. Eleven days after the positive test and 4 days after symptoms disappeared, I lost my decent habituation overnight. Not sure what to make of this. I will hit 3 week in spike status later this week. Stress, anxiety, and COVID-19 did a number on me. I had a hearing test and it was equal to or better than my last one from four years ago.
       
    16. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      Day 2 of symptoms here. Finally tested positive this morning. Started Paxlovid right away (i.e. around noon time).
       
    17. RocketJSquirrel

      RocketJSquirrel Member Benefactor

      Location:
      California, USA
      Tinnitus Since:
      08/1997
      Cause of Tinnitus:
      Rock concert
      I contracted COVID-19 some time between September 7th and 10th and started Paxlovid on the 13th.

      Paxlovid had no effect at all on my tinnitus.

      The only side effect I had was diarrhea, which was OK because I was isolating at home with toilets nearby. :depressed: I believe Paxlovid shortened my symptoms and I tested negative on the 19th.

      Just another one person anecdote.
       
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    18. Matchbox
      Wishful

      Matchbox Member

      Location:
      BC Canada
      Tinnitus Since:
      08/2020
      Cause of Tinnitus:
      Noise Induced, Prednisone (drones), Barotrauma (distortions)
      I also did Paxlovid. I was fine.
       
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    19. Rainer

      Rainer Member Benefactor

      Location:
      Germany
      Tinnitus Since:
      12/2020
      Cause of Tinnitus:
      Unknown
      Unfortunately I will be able to participate in this thread: I tested positive for COVID-19 on December 25, which is an inconvenient time to require Paxlovid. I got my hands on it not before today.

      OT: If I had had to pay the full price for it, it would've been €59.95. I find it bewildering that the US price for Paxlovid used to be 8 times higher than in Germany, and from now on it'll be 21 times higher.
       
    20. dd314

      dd314 Member

      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Acoustic Trauma + stress?
      Did Paxlovid have any effect on your tinnitus?
       
    21. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      No effect on tinnitus. But it did leave a horrible taste in my mouth.
       
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    22. 2noist

      2noist Member Benefactor

      Tinnitus Since:
      04/2015
      Did the horrible taste go away eventually?
       
    23. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      Yes, within a day or two of the last pills in the treatment.
       
    24. From9to<1

      From9to<1 Member

      Tinnitus Since:
      2021
      Cause of Tinnitus:
      Unknown
      Paxlovid doesn't work that way. It's prescribed for people who have an increased risk of severe outcomes from COVID-19, and is only effective if you take it early, before it gets bad. If you take the "wait and see" approach... it's not effective.
      Taking Paxlovid if your COVID-19 is "very, very bad" is exactly the condition in which it WON'T work. It's a drug meant to slow/stop replication of the virus in the very early stages. It is to be taken based on PREDICTION of risk... not severity of current symptoms.
       
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