Is Gabapentin effective for treating tinnitus?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 13, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Effectiveness of Gabapentin for Tinnitus

  • The effectiveness of gabapentin for treating tinnitus is a topic of ongoing research, with studies yielding mixed results 1, 2, 3, 4, 5.
  • A 2017 study published in the Iranian journal of otorhinolaryngology found that gabapentin was effective in reducing tinnitus severity in patients with acoustic trauma, with 89% of patients in the gabapentin group responding to treatment 1.
  • In contrast, a 2011 systematic review published in the American journal of audiology found insufficient evidence to support the use of gabapentin for tinnitus, citing substantial within-study clinical heterogeneities and a lack of superiority to placebo in primary outcomes 2.
  • A 2021 network meta-analysis published in EClinicalMedicine suggested that gabapentin may be effective in improving tinnitus severity and response rate in patients without specific or treatable origin, although the evidence was not conclusive 3.
  • Other studies have found no significant difference between gabapentin and placebo in treating tinnitus, although some patients with concomitant conditions such as hypertension, diabetes, and/or dyslipidemia may benefit from gabapentin 4.
  • A 2022 systematic review published in The Annals of otology, rhinology, and laryngology concluded that there is insufficient evidence to recommend the use of gabapentin for patients with tinnitus 5.

Key Findings

  • Gabapentin may be effective in reducing tinnitus severity in certain patient populations, such as those with acoustic trauma 1.
  • The evidence for gabapentin's effectiveness in treating tinnitus is mixed and inconclusive, with some studies finding no significant difference between gabapentin and placebo 2, 4, 5.
  • Further research is needed to fully understand the potential benefits and limitations of gabapentin for tinnitus treatment 3.

Related Questions

What is the likely cause and best treatment for persistent pressure headaches with associated balance issues, dizziness, and tinnitus, despite normal imaging studies and lack of response to gabapentin?
What is the best course of treatment for new daily persistent headache with associated symptoms, including intense pressure, balance issues, and tinnitus, unresponsive to gabapentin (neurontin)?
What are the best management options for a 73-year-old woman with anxiety and tinnitus, currently treated with Lexapro (escitalopram) 25 mg daily, with a recent tinnitus flare-up correlated with stress levels, and who has tried gabapentin without relief?
What medications are used to treat tinnitus?
What are the treatment options for tinnitus, specifically regarding pharmacological interventions like amitriptyline (tricyclic antidepressant)?
What is the treatment for urosepsis?
What is the most likely diagnosis for a 61-year-old male with a history of mild constipation, presenting with severe abdominal cramps, inability to pass stool, and air-fluid levels in the small bowel and colon on computed tomography (CT) scan, who responded well to treatment with Miralax (polyethylene glycol) and Senna, and magnesium citrate?
Should asymptomatic vaginal candidiasis be treated?
What is the most likely diagnosis for a 61-year-old male with a history of mild constipation, presenting with abdominal cramps, inability to pass stool, and air-fluid levels in the small bowel and colon, who responded well to laxatives, including Miralax (polyethylene glycol) and Senna, along with magnesium citrate?
What is the management of hidradenitis suppurativa?
What is the differential diagnosis for a 59-year-old female presenting with right lower back pain?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.