**Understanding Hearing Risks Linked to Over-the-Counter Medications** Explore the potential auditory dangers associated with commonly used over-the-counter (OTC) drugs. Discover how certain medications may impact hearing health and what you can do to mitigate risks. Stay informed to protect your auditory wellbeing while utilizing OTC solutions.

Topics covered
In the realm of health, understanding the implications of medication usage is crucial. A recent warning from Dr. Leyla Hannbeck, chief executive of the Independent Pharmacies Association, highlights a concerning link between regular consumption of over-the-counter painkillers and an increased risk of hearing-related issues.
Specifically, frequent use of certain non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin could elevate the chances of developing problems like tinnitus or other forms of hearing loss.
Tinnitus, characterized by persistent ringing or buzzing in the ears without external sound, affects approximately 7.6 million individuals in the UK alone.
While this condition can arise from various causes, studies indicate that the risk is notably heightened with prolonged or excessive use of certain medications.
The connection between painkillers and hearing issues
Dr. Hannbeck elaborates that the correlation between medication and hearing impairment is primarily dose-dependent, meaning the frequency and amount consumed can significantly influence the likelihood of experiencing side effects.
For instance, research has shown that regular intake of products like paracetamol and NSAIDs, including ibuprofen, can increase the risk of developing tinnitus by nearly 20 percent.
Research findings on painkiller usage
A comprehensive study conducted in 2022 demonstrated that individuals who regularly take paracetamol, known as acetaminophen in the US, face an 18 percent heightened risk of experiencing tinnitus. Furthermore, those who consume NSAIDs regularly show a 17 percent increase in risk, while moderate doses of aspirin (around 100mg daily) lead to a 16 percent increase, according to the findings.
Interestingly, lower doses of aspirin, specifically those less than 100mg per day, did not correlate with an increased risk of tinnitus, suggesting that moderation plays a crucial role in mitigating potential side effects.
Insights from significant studies
Another important study published in the American Journal of Epidemiology tracked over 62,000 women and revealed that consistent usage of paracetamol or NSAIDs, even at regular dosages, could elevate the risk of hearing loss by up to 24 percent. Similarly, a related study published in the American Journal of Medicine focused on men and concluded that regular use (twice or more per week) of these medications, including aspirin, was associated with an increased likelihood of hearing impairment.
Potential mechanisms behind the risk
Researchers speculate that these medications might disrupt blood circulation to the cochlea, a critical structure in the inner ear responsible for hearing. Such disruptions could lead to detrimental changes in hearing ability over time, particularly in those who frequently consume these drugs.
While painkillers are readily available without a prescription, Dr. Hannbeck emphasizes that they may cause adverse effects in some individuals. Notably, the side effects often vary significantly from person to person and primarily arise when medications are taken in excess or for extended durations.
Other medications impacting hearing
The discussion around hearing health is not limited to painkillers alone. Dr. Hannbeck points out that various other medications, including certain antibiotics like aminoglycosides, can also lead to hearing loss. A commonly used aminoglycoside, gentamicin, is typically administered intravenously to combat severe infections. However, studies suggest that these drugs can harm the sensory cells in the ear necessary for maintaining balance and proper hearing.
British research indicates that more than 50 percent of patients receiving multiple rounds of intravenous aminoglycosides may experience some form of hearing loss. Alarmingly, even at recommended doses, these medications have been linked to rapid, profound, and irreversible hearing loss.
Consulting healthcare professionals
Tinnitus, characterized by persistent ringing or buzzing in the ears without external sound, affects approximately 7.6 million individuals in the UK alone. While this condition can arise from various causes, studies indicate that the risk is notably heightened with prolonged or excessive use of certain medications.0
Tinnitus, characterized by persistent ringing or buzzing in the ears without external sound, affects approximately 7.6 million individuals in the UK alone. While this condition can arise from various causes, studies indicate that the risk is notably heightened with prolonged or excessive use of certain medications.1




