| CHAPTER 
                                        TWELVEMedications, Supplements and Alternative 
                                        Medicines to Treat Tinnitus
 Claudia 
                                        Barros Coelho, MD, PhD
  This chapter is organized in the following 
                                        manner. First, I'll review classes 
                                        of medications and describe a few specific 
                                        medications that have been tried for tinnitus. Next, 
                                        I'll review some "alternative treatments" 
                                        that have been considered for treatments. Then 
                                        I'll review some classes of medications 
                                        that have been used to treat tinnitus 
                                        reactions. I'll also mention drugs that 
                                        might cause tinnitus. In rare cases, 
                                        stopping the intake of these might eliminate 
                                        your tinnitus. You'll not find me recommending 
                                        a treatment to cure your tinnitus. Classes 
                                        of Prescription Medications to Treat Tinnitus Many medications 
                                        have been studied to treat tinnitus. I'm 
                                        going to describe them according to their 
                                        probable mechanism of action. Some of 
                                        them require special care and clinical 
                                        follow up. For example, anticonvulsants 
                                        and antidepressants require gradual increase 
                                        in the dosage to reach adequate concentration. 
                                        They also require a gradual decrease in 
                                        the dosage at the end of treatment. This 
                                        is because there are possible withdrawal 
                                        symptoms which might occur, such as sleep 
                                        loss, nausea, dizziness and headaches. This 
                                        is why it's important to carefully titrate 
                                        down your meds under medical supervision. 
                                        Some general principles on drug therapy 
                                        are described in Table 12-I.
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