Looking for Antibiotic Recommendations for Tooth Infection That Are Safer for Long-Term Tinnitus Sufferers

willkrafty1970

Member
Author
Aug 12, 2025
1
Tinnitus Since
2012
Cause of Tinnitus
Cipro autotoxicity
Hello Friends,

I hope everyone is doing their best today.

I have had tinnitus for many years and I am doing okay with it. I believe it was caused by the antibiotic Cipro.

The reason for my post is that I currently have an infected tooth (ewe, I know). The dentist wants me to take an antibiotic, and she prescribed a Z-Pak. I have not picked it up yet because I know it can be troublesome, to say the least. I was hoping some of you might have suggestions for antibiotics that are less likely to make tinnitus worse.

I looked through similar posts but was a little confused by some of the content. If anyone has suggestions based on their own experience, I would really appreciate it. I know we are not doctors, but I still value any feedback you can share. I will also do my best to contribute now that I have joined the group.

Thank you.

Stay strong,
Will
 
Antibiotics to AVOID (Ototoxic):
  • Fluoroquinolones (e.g., ciprofloxacin, levofloxacin)
  • Macrolides (e.g., erythromycin, azithromycin)
  • Aminoglycosides (e.g., gentamicin)
  • Tetracyclines (e.g., doxycycline)
Safest Choices (Low Ototoxicity):
  1. Penicillin-based antibiotics (e.g., amoxicillin, amoxicillin-clavulanate "Augmentin")
  2. Cephalosporins (e.g., cephalexin, cefuroxime)
  3. Clindamycin (if penicillin-allergic)
Clindamycin carries a higher risk of causing C. diff (Clostridioides difficile) infections compared to many other antibiotics.

I've personally taken Doxycycline with no issue, but I'm still wary of taking it again.
 

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