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Ear protection, masking, medication

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Hi Dr. Nagler,

I had three questions that I was hoping you could provide your opinion on. I am in month three of tinnitus, hearing tests came back in normal ranges though I did have some exposure (twice) to uncomfortably loud noise in earbud headphones in the months/weeks prior (only thing I can think of) as well as a very stressful period of months.

1) Do you recommend avoiding all medications, particularly pain relievers or the occasional ativan/other sleep aid due to ototoxic effects?

2) I love to fish and have been invited to go out on the boat but am concerned of the noise exposure to the outboard motor. Would over the head noise cancellation headphones be all that is needed or should I avoid the boat altogether in the early stages?

3) The noise can be quite distracting and I was considering wearing headphones and playing some sort of white noise or music while working. I am scheduled to begin trt in September and wanted to see if this would affect the outcome in any way or if I should choose a different method of noise enrichment? I currently use a fan but it just doesn't blend in enough with the sound to provide relief.

Thank you for your advice and support!

Category: Questions and Answers


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