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. 2023 Jul 19;13(4):528–545. doi: 10.3390/audiolres13040047

Table 2.

Studied medications for the treatment of tinnitus [81,87,88,89,90,91].

Medication Dosage Results
Lidocaine 1–2 mg/kg of body weight IV for 3–4 min Complete or partial suppression
Amitriptyline 50–100 mg/day for 6 weeks Decreased intensity and subjective relief
Nortriptyline 50–150 mg/day for 6 weeks Decreased loudness
Sertraline 25–50 mg/day for 16 weeks Decreased loudness and severity
Gabapentin 2400 mg/day for 20 weeks *** Decreased annoyance
Alprazolam 0.25–0.5 mg/day for 1 week. Max 1 mg/day *** Decreased loudness
Clonazepam Not applicable Decreased annoyance and intensity
Acamprosate 333 mg TID for 3 months *** Improvements
Neramexane 25–75 mg/day for 16 weeks Decreased annoyance
Betahistine 48 mg/day for 3 months Slight improvement in loudness and tinnitus handicap inventory
Cilostazol 200 mg/day for 4 weeks Decreased Visual Analogue Scale score
Melatonin 3 mg/day for 30 days Decreased tinnitus intensity in patients with insomnia
Misoprostol Increasing dosage for 4 months Decreased loudness
Ondansetron 16 mg/day for 4 weeks Improvements in tinnitus severity index score
Oxytocin 16 IU single dose Decreased Clinical Global Impressions score
Pramipexole Max dose of 0.7 mg TID for 4 weeks Decreased annoyance
Vitamin B12 2500μg weekly for 6 weeks *** Improvements in patients with vitamin B12 deficiency
Paroxetine, Trimipramine, Carbamazepine, Lamotrigine, Baclofen, Diazepam, Memantine, Cyclandelate, G. biloba, Piribedil, Vardenafil No significant difference

*** No significant difference at lower doses and with shorter duration of treatment.