Tamoxifen? Cialis? Aspirin?

Hi, I'm a 40 year old male who has been experiencing constant tinnitus since November 2018. It's very noticeable any time I'm in a quiet environment.

I'm really not sure of the cause. I'm on Testosterone Replacement Therapy, a fairly low dose to restore my T levels to "high normal". The symptoms started when I began taking low-dose Tamoxifen, a SERM (Selective Estrogen Reuptake Modulator), typically used in breast cancer patients. I had pubescent gynecomastia due to obesity and I took this to prevent it flaring up again in response to TRT.

I also take low-dose daily aspirin, and occasionally cialis.

In the literature, there is a study on rats and Tamoxifen, showing that it induced hearing damage, but the dose was incredibly high - so many mg per gram of bodyweight. I took 10mg per day, less than half the therapeutic dose. Same deal for Aspirin, all studies I've seen related to hearing damage involve high dosages - I took a baby aspirin every day.

I've stopped all of these medications as of 3 months ago, with no improvement in symptoms. I think I'm stuck with this.

Anyway, here to learn and to find ways to mitigate this as much as possible.

 

The testosterone replacement therapy I don't think is a cause... I believe research has shown that testosterone can help alleviate tinnitus. I receive Testopel implants every 4 to 5 months. For me I used Cialis 3 weeks ago and think I just used too much... even though I followed directions.

I think my ear ringing is getting better gradually after 3 weeks.