My 56 yr old husband has been on tramadol HCL 150 mg 2x daily for about 3 years for chronic knee pain he started to have ringing in both ears about 2 months ago and now takes a sleep aid to get to sleep. worried about the tramadol overall health effect.
Can long term use of tramadol HCL cause tinnitus?
Question posted by Tara65 on 26 Jan 2015
Last updated on 26 December 2021
I have had mild to moderate tinnitus for almost 30 years. I started taking tramadol for post surgical chronic pain about a year year ago. In that time my tinnitus has gotten so loud I can hardly stand it. It interferes with every thing I do. After adapting to my tinnitus for 30 years this new level is making me very stressed and yes depressed. I have been trying to figure out why. It is not listed as a side effect and even googling it doesn't talk about this issue. Happened to see this site and confirm I'm not the only one. This needs to be on their list of side effects rather then each of us struggling to figure out what's going on.
While I cannot answer this question for everybody I can weigh in on my personal experience. I have been using tramadol for 2 1/2 years now & developed ringing in both of my ears. Definitely an issue when a person wants to go to sleep at night. There are some 'self-help' things to try (suggest Googling it) & sometimes I can get the intensity to decrease a bit.
I've been taking Tramadol for anxiety for 1 year and 7 months and Tinnitus started in my right ear few months ago, it was low pich at the beginning but now its really loud and annoying, I went to the doctor to check my ears and there was nothing wrong, I told him that it might be the Tramadol and he said it's unrelated!!! What's wrong with these doctors??
I take tramadol for back pain and have a ringing in my ears. I’ve been on it for 2 years. Strange thing is, I took it about 20 years ago and had no problems
On 10/ 28/2019 I had total hip replacement and while in the hospital and at home
I was taking no more than six tables a day until today. On 11/6/20196I have stopped and will be taking Extra Strength 8 hr Tylenol, as I have developed ear noise. The noise is like a strong breeze or a lawn sprinkler.
Ototoxicity is now listed on the 'rare' side effects and certainly has been as long as I've had the drug. I avoid it now because the auditory side-effects are terrible. I feel a terrible fullness in my ears (which has never gone away after the last time I used it, over two years ago) and my hearing has deteriorated substantially which affects my job. My chronic pain is preferable to the auditory effects of tramadol, sadly.
I also wanna add that the ringing in both ears has NOT stopped since stopping taking tramadol in March 2019.
I was taking tramadol and ibuprofen together for about 4 years total and just stopped in March. I went to an ENT at the end of last year and they said it was probably from the ibuprofen, which I do believe, but I also believe the tramadol could be the culprit too, especially after seeing all these responses. They gave my amitriptyline to help me fall asleep, but it didn’t work and made me feel depressed, so I stopped taking it. I wish they would just recognize that it can be a side effect and put it on their list of possible ones.
I have been on tramadol several years and it did a good job. I had a accident and fractured my back. I selected to stay on tramadol and not a stronger drug. About a mounts ago ringing started in both ears. After about a week I need to refill my Tramadol and did not take any several days and ringing stoped. Once I had them refilled ringing started back about two hours after starting back. I will stop and talk with Dr.
It has happen to me! I have no other reason for my tinnitus or hearing loss and have been on tramadol for 10+ years. I now wear hearing aids but still cannot hear correctly
No one can rightly say that one's tinnitus is definitely caused by tramadol. There are too many variables involved. Beware of "post hoc ergo propter hoc" thinking, i.e., "after this therefore because of this." I've been taking tramadol for fifteen years. For awhile I was taking 400 mg/day but have tapered usage since retirement. Tinnitus is often caused by a normal loss of hearing due to age. Relax. Your head isn't about to explode. Avoid rushing to conclusions.
I have tinninitis in both ears that started about three years ago (2016). Interestingly, I have been taking tramadol since 2001. I never made the connection until I read this question. However, the cause of the ear ringing might well be caused by one of the other, numerous, generic medications I take on a daily basis.
I have had tinnitus for at least 8 years that I can remember for sure. I went to an ENT twice over that time and there's not much you can do about it although you learn how to cope by having bird and nature sounds playing all the time around you. Anyway, I recently started taking tramadol 100 er because I had knee replacement surgery, and my ringing takes off to a higher level an hour or so after taking the pill and then settles down to the usual ringing. There's definitely a connection.
I have been using tramadol for 10 + years and I also am experiencing ringing or static as the ENT's call it. I have noticed that when I take fewer or am off completely for a period of time the "noise" dissipates, so yes I do believe it is coming from the tramadol. They do help my pain though without all the other negative side effects.
Anecdotal evidence really proves nothing. Beware of post hoc ergo propter hoc. It is a logical fallacy and means in Latin, "After this, therefore because of this." There are too many variables to take into consideration besides one's taking Tramadol, and there is no way to prove that one's tinnitus or hearing loss wouldn't have happened had one not taken Tramadol to begin with. It's like going for a swim in the pool and two days later you have a cold. So the swim is responsible for your cold? Who can say? Have a great day.
- Tramadol uses and safety info
- Tramadol information for Healthcare Professionals (includes dosage details)
- Side effects of Tramadol (detailed)
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