4. Medications (Ototoxicity)
Over 200 medications are known to be ototoxic—meaning they can damage the inner ear and cause tinnitus. In some cases, the tinnitus is temporary. In others, it’s permanent.
Common culprits:
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High doses of aspirin (8-12 pills daily)
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Nonsteroidal anti-inflammatory drugs (NSAIDs like ibuprofen, naproxen)
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Certain antibiotics (gentamicin, neomycin, erythromycin)
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Loop diuretics (furosemide, bumetanide)
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Chemotherapy drugs (cisplatin, carboplatin)
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Quinine (used for malaria, also in tonic water)
What you can do: If you notice tinnitus after starting a new medication, ask your doctor about alternatives. Never stop a prescribed medication without medical guidance.
