Yes long term no doubt. I'm hoping this hasnt caused permanent damage. My sensitivity to sounds is off the charts right now. I only deal with the public when it's a must cause I'm so quick to get mad at someone else's ignorance, not bothering to think they didnt have the same upbringing I did. Its amazing they give these drugs out and have no cure or help with withdrawal from them. Ive been tapering since April this year...or as i like to say the 1st day of the rest of My life.