Hearing loss and thyroid medication: Is there a connection?

Posted by ainsleigh @ainsleigh, Apr 20, 2021

My Endocrinologist decreased my Synthroid medication and since then my hearing loss has increased. I am trying to connect with her to discuss it. Has anyone had
a similar experience? Would appreciate input.
Thanks,
Ainsleigh

Interested in more discussions like this? Go to the Hearing Loss Support Group.

@colleenyoung

@ainsleigh, I'm wondering if you've had a chance to talk to your endocrinologist about the possible connection between your thyroid condition, the medication and worsening hearing loss?

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Yes I did speak to her but she did not seem to think there is a connection.

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Hi, I'm now in my 50s, and I've been on thyroid meds since I was age 30. I've never experienced hearing loss from the meds. I had Graves Disease, my thyroid was removed.

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@julieo4

Here's a resource with information about ototoxic medications, along with a list of ototoxic drugs/medications. They are not all prescription drugs; many over the counter medications are on the list.

List of Ototoxic Drugs that Cause Tinnitus

Certain prescription drugs can, over time, have an ototoxic effect on your hearing, causing hearing loss and ear ringing from tinnitus. Ototoxicity may be reversible or may be permanent, depending on the type of medication used, dosage and duration of treatment. There are many medications that have been listed as potentially ototoxic drugs, including antidepressants, antibiotics, and many painkillers.

What are ototoxic drugs?
Ototoxic medications have a toxic effect on the nerve cells of your inner ears. Over time, long-term usage of certain prescription medications can result in tinnitus or hearing loss.

Please speak with your doctor before discontinuing or reducing your intake of any medication.

Here is a list of medications that can potentially cause tinnitus.

Salicylates – Aspirin and aspirin containing products
Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) – Advil, Aleve, Anaprox, Clinoril, Feldene, Indocin, Lodine, Motrin, Nalfon, Naprosyn, Nuprin, Poradol, Voltarin.
Antibiotics – Aminoglycosides, Erythromycin, Vancomycin
Aminoglycosides – Streptomycin, Kanamycin, Neomycin, Gantamycin, Tobramysin, Amikacin, and Netilmicin
Erythromycin – EES, Eryc, E-mycin, Ilosone, Pediazole and new derivatives of Erythromycin, Biaxin, and Zithromax
Vancomycin – Vincocin
Loop Diuretics – Lasix, Endecrin, and Bumex
Chemotherapy Agents – Cisplatin, Nitrogen Mustard, and Vincristine
Quinine – Aralen, Atabrine (for treatment of malaria), Legatrin, and Q-Vel Muscle Relaxant (for treatment of night cramps)

Ototoxic drugs that worsen tinnitus
Many prescription and nonprescription medicines can worsen ringing in the ears (tinnitus).

Starting a new medication or increasing your dose of ototoxic prescription drugs can make symptoms of tinnitus more pronounced.

Medicines that commonly cause tinnitus or make tinnitus worse include some of the following:

Antibiotics
Antidepressants.
Anti-inflammatory medicines
Blood pressure medicine
Heart medicines
Local anesthetic agents
Medicines used to treat cancer
Medicine used to treat Parkinson’s disease
Radiation therapy to the head or neck.
Some vitamins or mineral supplements, such as niacin or vitamin A.
Water pills (diuretics)
The signs of ototoxicity, in order of frequency
Symptoms of ototoxic drug reaction include:

a) Development of tinnitus in one or both ears.

b) Intensification of existing tinnitus or the appearance of a new sound.

c) Fullness or pressure in the ears other than being caused by infection.

d) Awareness of hearing loss in an unaffected ear or the progression of an existing loss.

e) Development of vertigo or a spinning sensation usually aggravated by motion which may or may not be accompanied by nausea.”

It is strongly suggested that if any of these symptoms develop while taking any medication, call your doctor immediately.

Antioxidants help with tinnitus
If you must take ototoxic medications, it is a good idea to also take antioxidants, in order to lower your chances for developing tinnitus.

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@julieo4 This is terrific and really valuable information -- thanks for posting it. Colleen - Would it be possible to set this info in a separate thread on Ototoxic Medications under the hearing group discussion so it isn't lost in this thread and is available for everyone to find? John Bishop recently asked what sources people went to and relied on for good medical information. One of my go-to sites is Worst Pills/Best Pills, which is a project of Public Citizen. Their independent doctors and researchers evaluate medications and often point out problems years before the FDA and others issue warnings. If I find his post, I'll put this information there too. Thanks!
Nancy

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@nla4625

@julieo4 This is terrific and really valuable information -- thanks for posting it. Colleen - Would it be possible to set this info in a separate thread on Ototoxic Medications under the hearing group discussion so it isn't lost in this thread and is available for everyone to find? John Bishop recently asked what sources people went to and relied on for good medical information. One of my go-to sites is Worst Pills/Best Pills, which is a project of Public Citizen. Their independent doctors and researchers evaluate medications and often point out problems years before the FDA and others issue warnings. If I find his post, I'll put this information there too. Thanks!
Nancy

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That's a great idea, Nancy. @julieo4, would you mind starting a new discussion about Ototoxicity and Hearing Loss and reposting the information you posted here?

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I have hypothyroidism and have been on Synthroid for about 30 years. I developed tinnitus a good 15 years ago. I believe mine started shortly after attending a concert. We had front row seats. One of the speakers was to the right side of the stage in close proximity to our seats. Whether or not that was the cause, I’ll never know. My right ear was affected first then soon afterward both ears. Sometimes my tinnitus seems louder than other times. I have gotten use to the constant noise which sounds like cicadas 24/7. Interesting that some meds make the tinnitus worse. I haven’t experienced this as yet.

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@soledad02

I have hypothyroidism and have been on Synthroid for about 30 years. I developed tinnitus a good 15 years ago. I believe mine started shortly after attending a concert. We had front row seats. One of the speakers was to the right side of the stage in close proximity to our seats. Whether or not that was the cause, I’ll never know. My right ear was affected first then soon afterward both ears. Sometimes my tinnitus seems louder than other times. I have gotten use to the constant noise which sounds like cicadas 24/7. Interesting that some meds make the tinnitus worse. I haven’t experienced this as yet.

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...don't take this this the wrong way please, but "what if" they changed an ingredient in the Synthroid? I agree about the speakers, always did hate loud noise but hard to get away from, even as a typist for many years with the older fashioned bang bang band in an office with 20 typewriters on the go? Mystery.

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@lacy2

...don't take this this the wrong way please, but "what if" they changed an ingredient in the Synthroid? I agree about the speakers, always did hate loud noise but hard to get away from, even as a typist for many years with the older fashioned bang bang band in an office with 20 typewriters on the go? Mystery.

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It’s very possible.

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Yes very possible I just did a fast search and in France, albeit a few years ago, another company did change the ingredients in the thyroid medication and people rebelled; its too long to put here but at the end of the story they mention other countries where the manufacturer altered the ingredients; apparently not the main medical one but fillers etc. I am sure many big pharma companies change the ingredients in their medications over a period of 30 to even 60 years on the market... also getting the meds made in countries cheaper.
Partial quote:
France brings back a phased-out drug after patients rebel against its replacement
By Yves SciamaSep. 27, 2017 , 3:07 PM
In an unprecedented U-turn, the French government has asked drug manufacturer Merck to return to the market a thyroid hormone replacement drug named Levothyrox that the company had phased out and replaced with a new formulation just 6 months ago. The move, which overturns a decision by France's National Agency for Medicines and Health Products Safety (ANSM), comes after thousands of patients complained about side effects from the new drug, creating a media storm and a political problem for the French government.

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For what its worth: Quote:
Acella Pharmaceuticals, LLC is voluntarily recalling one lot of 15-mg and one lot of 120-mg NP Thyroid®, Thyroid Tablets, USP [levothyroxine (T4) and liothyronine (T3)] to the consumer level. The products are being recalled because testing has found these lots to be sub potent.Sep. 17, 2020
- just to say that we really don't always know exactly what is in our meds!

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@soledad02

I have hypothyroidism and have been on Synthroid for about 30 years. I developed tinnitus a good 15 years ago. I believe mine started shortly after attending a concert. We had front row seats. One of the speakers was to the right side of the stage in close proximity to our seats. Whether or not that was the cause, I’ll never know. My right ear was affected first then soon afterward both ears. Sometimes my tinnitus seems louder than other times. I have gotten use to the constant noise which sounds like cicadas 24/7. Interesting that some meds make the tinnitus worse. I haven’t experienced this as yet.

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It's very possible that the loudness at that concert started your tinnitus. I'm curious. Do you also have hearing loss? They tend to go together, although not always. My tinnitus, which rarely occurs anymore, sounded like the crickets I remember hearing in the summertime at my grandparent's lake cabin. I didn't bother me, except for not having any idea what was going on. My HL was diagnosed over 50 years ago.

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