From the Guidelines

The treatment for tinnitus typically involves a combination of therapies to manage symptoms and improve quality of life.

Cognitive Behavioral Therapy (CBT): This is a recommended first-line treatment for tinnitus, aiming to help patients manage their perception of the condition and reduce its impact on daily life 1.
Sound Therapy: Exposure to soothing sounds, such as white noise, nature sounds, or music, can help mask the tinnitus and provide relief.
Medications: In some cases, medications like amitriptyline or nortriptyline may be prescribed off-label to help manage tinnitus symptoms, particularly if they are associated with depression or anxiety, although clinicians should not routinely recommend these for a primary indication of treating persistent, bothersome tinnitus 1.
Transcranial Magnetic Stimulation (TMS): This is a non-invasive procedure that may help reduce tinnitus symptoms in some patients, but clinicians should not recommend it for the routine treatment of patients with persistent, bothersome tinnitus 1. It's essential to consult a healthcare professional for a personalized treatment plan, as the effectiveness of these treatments can vary depending on the individual and the severity of their tinnitus. Education and counseling about management strategies are also crucial for patients with persistent, bothersome tinnitus 1.

From the Research

Counseling and psychotherapy are commonly used strategies for managing tinnitus 2, 3
Pharmacological approaches, such as antidepressants, may help with associated symptoms like mood disorders 3
Masking devices and individualized sound stimulation are also used to treat tinnitus, although evidence for their effectiveness is limited 2, 4
Cognitive behavioral therapy (CBT) has been shown to have a definite improvement effect on tinnitus in a large randomized controlled trial 2, 3
Sound therapy and tinnitus retraining therapy are treatment options, but evidence is inconclusive 3
Melatonin may help with sleep disturbance, and cognitive training may help with cognitive impairments 3

Experimental treatments, such as lamotrigine, an antiepileptic drug, have been investigated for their potential in treating tinnitus, but results are mixed 5
Other experimental treatments are currently underway, offering hope for the future 6

Avoidance of noise exposure may help prevent the development or progression of tinnitus 3
Providing information about the natural progression of tinnitus and being familiar with the causes that warrant additional evaluation, imaging, and specialist involvement are essential to comprehensive care 3
A comprehensive audiologic evaluation should be performed for patients who experience unilateral tinnitus, tinnitus that has been present for six months or longer, or that is accompanied by hearing problems 3