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fellfromthesun

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Question: does anyone know of any connection between opioid use and an ncrease in hyperacusis or tinnitus?

I've been taking MS Contin (morphine) for about three months now due to Trigeminal neuralgia and other nerve pain brought on by hyperacusis which had brought me to the brink of suicide, it was that bad. The opioids managed to ramp down the pain just enough to get by, but for the past two months I have noticed that my tinnitus is louder than at any point in the past year, consistently loud, and pulsatile, which I hadn't had since last fall when it first began. Similarly, my sound sensitivity has been inching its way back to levels t I haven't seen in a while. Again, there are no other particular incidents I can point to that would increase the T and H.

Any thoughts? I found some people talking about opioids and tinnitus, but mostly Vicodin and OxyContin, have not been able to find anything specific about morphine. It would be great to just stop it for a couple days and see if there's a change, but the dosage means that I'm going to be facing a long protracted withdrawal. If it's ototoxic though, I need to know that now.
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DrNagler

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Morphine is not ototoxic.

stephen nagler

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No bird ever soared in a calm. Adversity is what lifts us.

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fellfromthesun

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Thanks, doc. Good to know.

Trying to put my finger on this long, sustained spike in T and H though.


I have also been on Etizolam, nightly at 1.5 mg. i had been on 1 mg for several months with no side effects before ramping up to 1.5, so not aure that's the culprit. But I'm unable to identify any other daily lifestyle changes or incidents that would account for a continually higher, pulsatile T level, and gradual increase in H, T had been lower from initial outset, and increases were primarily connected with sound exposure and temporary, So I'm baffled.
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Rob

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Reply with quote  #4 
fellfromthesun -

Tinnitus can get louder or softer for its own reasons that have no apparent connection to anything we are doing.  It may not be due to anything you are doing or taking. 

We can become more sensitive to sound for any number of reasons - from the side effects of medication, exposure to loud sound, or sound that is too loud for us, or from therapy that isn't suited to our particular needs. 

Rob
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fellfromthesun

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>Tinnitus can get louder or softer for its own reasons that have no apparent connection to anything we are doing. It may not be due to anything you are doing or taking.

Right. But the urge is to look for patterns. Just trying to rule out a few things.

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Rob

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Reply with quote  #6 
I guess I'd suggest that looking for patterns, or explanations, serves to keep us invested in tinnitus and that another approach to consider is to take steps to become disinterested in what tinnitus is doing and why it is doing it.  Have you considered looking into any of the available strategies to help manage tinnitus?

Rob
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jirimenzel

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Reply with quote  #7 
Maybe the muscles that were targeted by the opioids have acquired a resistance.
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fellfromthesun

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Rob,

I got Tinnitus three separate times in the 90s, and was able to habituate quite well. I continued making music and went on with my career for a good 20 years after that. So I know how to deal with tinnitus. But in all my past experience, I have rarely seen spikes this loud without some sort of loud volume occurrence. Thus I'm looking for other factors. .

My tinnitus now its much louder than anything I've experienced in the past. Louder than normal volume conversation, I can hear it over TV or radio volume. But having said that, the hyperacusis is a bigger problem by far.. The amount of pain it causes, physical pain, and it's ability to make normal volume levels intolerable is the major problem for me. Again, I'm wondering if the increase in tinnitus and the increase in hyperacusis sensitivity are coming from the same cause or not.
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DrNagler

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Quote:
Originally Posted by fellfromthesun
But the urge is to look for patterns.

The only predictable thing about tinnitus is its unpredictability. In looking for a pattern ... once you think you have an answer, your tinnitus will change the question.

stephen nagler

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No bird ever soared in a calm. Adversity is what lifts us.

- David McCullough quoting Wilbur Wright
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jirimenzel

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Reply with quote  #10 
Quote:
Originally Posted by fellfromthesun
Again, I'm wondering if the increase in tinnitus and the increase in hyperacusis sensitivity are coming from the same cause or not.


Yes, this happened with me. Tinnitus on its own is piss easy to deal with, if its continuous, if its discontinous I'd bet it would be like chinese water torture. Hyperacusis is the real deal, and comes on a higher level of tinnitus, I suspect it comes with a higher amount of either low pitched or high pitched tinnitus or both, as the muscles get tensed so much they both emit louder sounds and have a lower threshold for reactivity to sound.
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