Tinnitus and Amitriptyline 10mg.: Hello. My Gp... - Tinnitus UK

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Tinnitus and Amitriptyline 10mg.

DiegoDiegales profile image
20 Replies

Hello. My Gp proscribed Amitriptyline 10mg. I took the first dose in the evening & the following day I woke up without tinnitus. However it gradually appeared during the day & it was even louder than before so I stopped the medication as I do not want to risk making it worse.

My question is for those who have tried low dose of Amitriptyline, is is normal to get worse before it gets better ? How long would I need to wait to notice the effect/improvement? Not sure if give it another try.

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DiegoDiegales profile image
DiegoDiegales
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rabbits65 profile image
rabbits65

I was prescribed this medicine for anxiety last year. Think it's used to control pain too. As far as I know there isn't any medication for tinnitus itself. I was also prescribed medicine for dizziness last year that can happen with ear troubles. You need to go back to your GP to ask questions because none of us on here have any qualifications to answer medical stuff. Good luck.

Happyrosie profile image
Happyrosie

Regardless of what Rabbits has said, with which I sort of agree, it might be worthwhile persisting with the medication. I expect you’ve read the leaflet inside the pack, it should give you plenty of information to digest.

doglover1973 profile image
doglover1973

I've been offered amitryptiline for cfs / me but I've not taken it because it states clearly on the leaflet that it can cause tinnitus in 1 out of 100 people. I don't want to be the unlucky one and add to my tinnitus woes.

bridgeit profile image
bridgeit

I was prescribed low-dose amitriptyline for migraine. It was effective, but a nasty side effect was screeching tinnitus on top of the engine-like head noise that I had already developed. The screech was unbearable. At no time was amitriptyline suggested to me as a treatment for tinnitus; quite the opposite!

I dropped amitriptyline on advice from my GP. As others have said, best advice is for you to have a word with yours.

rabbits65 profile image
rabbits65 in reply to bridgeit

Bridgeit . Gosh I had no idea that amitriptyline was that bad and caused tinnitus . I was prescribed it for anxiety and I’ve got awful tinnitus now , wonder if that’s the culprit , I’ve little faith in medicines I prefer not to take anything

bridgeit profile image
bridgeit in reply to rabbits65

Yes, same with me. I wasn't forewarned about the tinnitus side effect, but my GP was well aware. She wasn't in the least surprised that I'd had a 'noisy' reaction, that it was deeply unpleasant and that I couldn't cope with it. Definitely let your GP know if you're not coping with tinnitus side effect. Chances are GP will find an alternative med for you; there are plenty out there.

I do hope they can sort something out for you.

Note: I was able to drop amitriptyline immediately because I was on 10mg daily, i.e. low dose. Higher doses need carefully managed withdrawal/changeover under GP supervision.

DiegoDiegales profile image
DiegoDiegales in reply to bridgeit

So concerning. What I do not understand is why the British Tinnitus association recommends low dose of Amirtryptaline. It does not make sense.

bridgeit profile image
bridgeit in reply to DiegoDiegales

That's interesting.

My understanding is that amitriptyline is primarily an anti-depressant. My experience is that low dose amitriptyline is prescribed (and highly effective) for neuralgia or migraine relief.

I also know from experience that GPs may offer anti-depressants if a tinnitus patient is highly distressed as the belief is that distress makes tinnitus worse.

I've read that neuralgia in certain areas might result in tinnitus.

I know that amitriptyline has a known side-effect of tinnitus for some patients.

This might be a case of join the dots, but it's certainly a puzzle.

Yogijo profile image
Yogijo in reply to DiegoDiegales

They don’t recommend it for curing tinnitus they recommend it for depression tinnitus.org.uk/tinnitus-an...

I’ve been taking low dose (10mg) of amitriptyline for nerve pain for 4 months and already had tinnitus. Although tinnitus is listed as a possible side effect it hasn’t made mine any worse.

rabbits65 profile image
rabbits65 in reply to bridgeit

Thank you Bridgeit, I rarely take it now , like I said I worry about medicines . I was given Stemetil too and others for vertigo and dizziness . I’ve stopped everything now . Need painkillers only at times. Arthritis in back and feet.

rabbits65 profile image
rabbits65 in reply to bridgeit

Thankyou bridgeit ,Very kind of you , it’s nice to know we have some support and communication on this forum at a very difficult time in our lives . Good luck to you too x

bapvd profile image
bapvd in reply to bridgeit

Amitryptiline recommended by ENT at 25mg then later at 50mg to reduce tinnitus, but didn't help me other than making it a little easier to sleep. Can be used up to 75mg and does help some people with T and very few have the increased ringing side effect.

DiegoDiegales profile image
DiegoDiegales in reply to bapvd

Did at the beginning of taking Amitriptyline make your tinnitus worse?

bapvd profile image
bapvd in reply to DiegoDiegales

No, no change

amelie123 profile image
amelie123

I was prescribed amitriptyline by an ENT Consultant but didn’t want to take it because of it also used to be given as an antidepressant. It is also prescribed for nerve conditions such as shingles.

Suzysunday profile image
Suzysunday

No, I wouldn't touch it. GP's hand that stuff out for anything.

hopesalligot profile image
hopesalligot

Hi all, I am new here just joined 10 minutes ago. I am here to see what others with tinnitus are doing to alleviate your problem. I have tinnitus from a "head phone accident". I put on the head phone before playing the clip not knowing that my PC volume was set to max. Tinnitus didn't happen straightaway but about 8 hours later. I have been having tinnitus on my leaf ear for 4 years now. Have seen a number of doctors and was on medication for months, no improvement at all. A few things make it worse: alcohol, food with lots of MSG , exposure to loud music, going to bed late and not having enough sleep. In fact, my doctors warned me as much about these things.

I want to respond to this post. I don't know the medication (Amitriptyline) you took so I can't comment. But ... thus far in the last 4 years the only thing that has been able to reduce the noise noticeable for me is to take Stilnox before I go to bed, a kind of sleeping pill. I strongly suggest you speak with you doctor before taking it yourself. Having said that, you will still have to avoid the few things I mentioned above to see results. I Hope this helps and if you have any good experience please share.

Currylover100 profile image
Currylover100

Don’t go near it, my Doctor gave me 10mg of Amitrip and after 10 days it sent my Tinitus in overdrive, lot louder and secondary sounds. 6 months later I still have the tinitus spike even though I only took the tablet for 10 days.

Faffmeister profile image
Faffmeister

My GP prescribed this for a chronic nerve issue and I've been taking it for 10 days only. Started super low by cutting the tablet in half, so 5mg for 4 nights and then upped it to 10mg for 3 nights as that was the recommended dose. Wasn't getting much relief so GP suggested taking double (20mg) but I decided on 15mg for 2 nights and this was when I noticed the high pitched ringing in my ears. I've suffered with tinnitus on and off for 3 yrs+ and usually only have to deal with the pulse beat in my right ear as the ringing had subsided a long time back. However, since this medication I have the ringing in both ears as well as the pulsing and currently waiting on a response from my GP as to whether or not to stop taking it and try a different medication. Last night (night 10) I lowered the dose back to 10mg as I didn't want to stop taking it until I've heard from the GP, and I can still hear the ringing, albeit not quite as loud, but loud all the same.

I have been off the amitryptilan now for 5 days and still have very powerful tinnitus for months month, I am pretty sure I had it before starting the medication but I’m hoping it will calm down. When did the ringing stop for the people who did stop taking it? ENT say I have Mild hearing loss for mid and high frequency’s not caused by load music so no idea how that has happened but they say the damage is permanent and I get another test in 6 months if the tinnitus does not calm down I may need hearing aids. My tinnitus is so loud most things are muffled. Mine is a high pitched eeeeweeee constant and never stops.

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