If you need to take a new medication, it’s overwhelming to look at the possible side effects. Sometimes, a prescribed drug can improve one condition, worsen another, or create a new problem. It can be concerning if you need blood pressure (or hypertension) medication and have tinnitus. There have been cases of some blood pressure medication that was associated with tinnitus.
Tinnitus is the phantom noise (a buzzing, ringing, or chirping sound) only a person affected can hear. Tinnitus and hearing loss often go hand-in-hand, but other causes of tinnitus may include ototoxic medications. Work on Controlling High Blood Pressure The American Heart Association revealed that almost half of all American adults experience high blood pressure. When a person has high blood pressure, the force of blood against the blood vessel walls is persistent. The average blood pressure is under 120 mmHg (the upper number) and 80 mmHg (the lower number). If you don’t get proper treatment for high blood pressure, it can lead to heart attack, kidney damage, stroke, and vision loss. Medication and lifestyle changes are helpful. Your healthcare provider can treat high blood pressure with at least one type of prescription drug. There are possible side effects. It’s currently uncertain why some blood pressure medications can induce tinnitus more than others. Some studies have suggested that tinnitus is caused by reduced cochlear blood flow, which happens when medication is taken to lower blood pressure. Blood Pressure Medications and Tinnitus According to a published piece from the National Library of Medicine, the following types of blood pressure medications are generally associated with tinnitus. Angiotensin-converting enzyme inhibitors (ACEIs) Inhibitors like benazepril, captopril, enalapril, fosinopril, lisinopril, ramipril, and quinapril are related to tinnitus/ototoxicity. Beta-blockers Some beta-blockers are associated with tinnitus or other types of ototoxicity, including bisoprolol and metoprolol. Diuretics All diuretics cause tinnitus, especially those in the thiazide and potassium-sparing categories. A well-known thiazide diuretics include hydrochlorothiazide (“HCTZ”) and chlorthalidone. Some potassium-sparing diuretics include spironolactone and triamterene. Calcium channel blockers A common and possible cause of tinnitus is calcium channel blockers. These include amlodipine, diltiazem, nicardipine, and nifedipine. Discuss concerns with Healthcare Providers Tinnitus caused by blood pressure medication may not be permanent. The American Academy of Otolaryngology stated that tinnitus usually subsides within 1-2 weeks after a patient stops taking the blood pressure medication. Talk to your primary care physician or cardiologist before you refrain from taking the medication. A high dosage can worsen symptoms of tinnitus caused by medication usage. A lower dosage may be prescribed to reduce tinnitus symptoms. Talk to your provider before lowering your dosage and listen to what is recommended. Blood Pressure Medications that have not been linked to Tinnitus Although there are exceptions, here are some blood pressure medications that are not linked to tinnitus: Angiotensin II receptor blockers (ARBs) When these are taken on their own, without any other blood pressure medications, they do not induce tinnitus. Examples of ARBs:
There have been some reports of tinnitus when taking ARBs, but usually when combined with diuretics. These include:
Just as some beta blockers can be linked to tinnitus, others are not. Usually, beta blockers don’t cause tinnitus. These include carvedilol and labetalol. What if changing Blood Pressure Medication is Not an Option? Medication is specifically prescribed based on a patient’s heart symptoms. Sometimes you can’t substitute it with another drug. Complete a hearing test and consultation with a hearing healthcare provider. Hearing aids may be a treatment option to mask tinnitus and improve hearing. If you, or a loved one, experiences hearing loss or tinnitus, please contact Pure Sound Hearing for a complimentary hearing test and consultation. Our hearing aid providers offer hearing aid options that can be custom fit and programmed for your specific hearing needs. Comments are closed.
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