Hi, I have mild to no pain hyperacusis but I wanted to make a post regarding a supplement I have tried, which is also supported by positive lab data, which to me has been effective in reducing inflammation. I fully admit pain hyperacusis is not my primary complaint but I feel for you guys and wondered if anyone has tried Palmitoylethanolamide in case it might actually help. A few articles: Palmitoylethanolamide for the treatment of pain: pharmacokinetics, safety and efficacy Therapeutic utility of palmitoylethanolamide in the treatment of neuropathic pain associated with various pathological conditions: a case series PEA for Nerve Pain and Inflammation (PDF) It seems to work by reducing the inflammation and pain response, regardless of the type of pain, in a way similar to a cannabinoid, but more selectively and potentially more powerfully. I have been taking it just to see if it could reduce general inflammation and for me it seems effective, but I wondered if anyone with pain hyperacusis has tried it. I'd love it if this helped someone! I have very bad tinnitus and this has not worsened it at all, in fact it seems to help a smidge if anything.