Is CBD Bad For Tinnitus?

Tinnitus, often described as a ringing, buzzing, or humming noise in the ears, is a condition that affects millions of people worldwide. It's a symptom rather than a disease in and of itself, typically resulting from underlying conditions like age-related hearing loss, ear injury, or a circulatory system disorder. Though it is most commonly characterized by the perception of noise or ringing in the ears, tinnitus can also manifest as hissing, clicking, or even roaring sounds, varying significantly from person to person in terms of pitch, volume, and frequency.

While for some, tinnitus is a minor annoyance, others experience it as a debilitating condition that can negatively affect the quality of life, causing difficulties with concentration, sleep disturbances, and emotional distress. There is currently no universally effective cure for tinnitus, though various treatments and therapies can help manage the condition. 

How Does CBD Work?

Cannabidiol, or CBD, is a natural compound found in the Cannabis sativa plant. It is one of over a hundred cannabinoids within the plant, but unlike its cousin THC, it does not produce a "high" or altered state of consciousness. Instead, CBD has been recognized for its potential therapeutic properties, including anti-inflammatory, analgesic, and anxiolytic effects, which are particularly promising in the realm of pain and stress management.

CBD works primarily by interacting with the body's endocannabinoid system (ECS), a complex cell-signaling system responsible for maintaining biological homeostasis. By influencing the ECS, CBD can potentially regulate a wide range of physiological and cognitive processes, including mood, sleep, pain perception, and immune response.

When CBD is ingested, it interacts with CB1 and CB2 receptors found throughout the body, mainly in the brain and immune system. The interaction doesn't directly stimulate these receptors but rather influences them to enhance the body's natural ability to produce endocannabinoids, thereby helping to balance the body's internal systems. 

Can CBD Make Tinnitus Worse?

One of the key inquiries around the use of CBD and tinnitus is whether this compound can exacerbate the symptoms of this condition. The debate arises from the complex interaction between cannabinoids and the auditory system.

In certain animal studies, cannabinoids have been found to potentially exacerbate tinnitus symptoms. However, it's important to note that these studies typically involve cannabinoids as a whole, not CBD specifically, and often involve high doses of THC, the psychoactive compound in cannabis. This does not necessarily translate to the same effect with CBD.

On the flip side, many anecdotal reports suggest that CBD may help alleviate some of the anxiety and stress associated with tinnitus. CBD might indirectly aid in managing tinnitus symptoms by potentially reducing these exacerbating factors.

Research on Tinnitus and CBD

Scientific research on the relationship between tinnitus and CBD is still in its infancy, with much of it based on animal models and anecdotal reports. Thus, any conclusions drawn must be treated with a degree of caution.

A 2015 study published in the journal "Hearing Research" suggested that cannabinoids could exacerbate tinnitus in mice. However, the study used synthetic cannabinoids, which behave differently than plant-derived cannabinoids like CBD, and it also relied heavily on THC, which differs significantly from CBD in its effects and interactions with the body. 

In contrast, a 2020 survey conducted by the American Tinnitus Association found that out of over 1,000 respondents who had tried CBD for tinnitus, around 10% reported improvement in their symptoms, while 26% reported no change, and 2% found that their symptoms worsened. 

Clearly, more rigorous, human-centered research is needed to definitively understand CBD's effects on tinnitus. It's also essential to keep in mind that individual responses to CBD can vary greatly, and what works for one person may not necessarily work for another.

How Do You Deal With Severe Tinnitus?

Managing severe tinnitus can be challenging, but a multifaceted approach can often provide the most beneficial results. Here are a few commonly recommended strategies:

1. Therapy and Support Groups: Cognitive behavioral therapy (CBT) can be useful in changing the way you think about and react to tinnitus, thereby helping to reduce its impact on your life. Similarly, joining a support group can offer emotional comfort and shared coping strategies.

2. Sound Therapy: This can involve simple measures such as listening to soft background music or white noise to help distract you from the sound of tinnitus.

3. Mindfulness and Relaxation Techniques: Practices like meditation, deep breathing, yoga, or progressive muscle relaxation can help reduce stress, which can exacerbate tinnitus symptoms.

4. Hearing Aids: For those with hearing loss, using a hearing aid can sometimes help mask tinnitus by improving your ability to hear actual sounds around you.

5. Healthy Lifestyle Choices: Regular exercise, a balanced diet, adequate sleep, and limiting consumption of alcohol and caffeine can contribute to overall health and wellness, which in turn can help manage tinnitus symptoms.

It's important to remember that while these methods may not cure tinnitus, they can significantly improve quality of life by minimizing the condition's impact.

The Bottom Line

In summary, the relationship between CBD and tinnitus is complex and still not fully understood. Some research indicates that cannabinoids could potentially worsen tinnitus symptoms, but these studies are not specific to CBD and often involve synthetic cannabinoids or THC. Meanwhile, anecdotal reports suggest that CBD may help manage tinnitus-associated anxiety and stress.

Given the current state of research, it's difficult to definitively answer whether CBD is bad or good for tinnitus. What is clear is that individuals react differently to CBD, and what might work for one person may not work for another.

If you're considering CBD for tinnitus, it's crucial to consult with a healthcare professional familiar with your personal medical history and the latest research on CBD. This can ensure a safe and informed approach to incorporating CBD into your tinnitus management strategy. Also, due to the lack of regulation in the CBD industry, it's important to source your CBD products from reputable suppliers that provide third-party lab testing to verify product purity and potency.

Ultimately, it's essential to understand that managing tinnitus often requires a multi-faceted approach, incorporating various therapies and lifestyle changes to minimize the condition's impact on your life. While CBD may be one tool in the arsenal, it should not be considered a standalone solution. A comprehensive strategy that considers your personal needs and circumstances will always be the most effective way to manage tinnitus and improve your quality of life.

Headshot of Steven Fiore, MD

This article has been reviewed by Steven Fiore, MD.

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