my tinnitus 3 years ago spiked, due to having dental crown installed. it was so bad, that the sound of my own voice would make it spike. i thought i was going to be dead very soon. i could tolerate no sound what so ever. i thought my career was shot. gradually, i persevered, and it slowly slowly got better, little by little. i followed the advice of the ATA support people. also needed quite a pile of meds to be able to get to sleep. I was on quite a bit of imovance at one time, which i cut back little by little, so i wouldn't get hooked. also used pink noise all the time. also made sure i was NEVER exposed to any loud noise. i still consider myself a cripple, but 3 years ago i thought i was going to be dead very soon. sometimes, it was so bad, that in the evening, i would just cry and cry and cry. the crying did no good, but made me exhausted. the last time i got a spike, my doctor prescribed clonazepam for me, which IMMEDIATELY killed the spike. i reserve clonazepam as just an emergency med. i take lyrica, mirtazapine, and thc, in reasonable doses. My thc is by prescription, i buy it, and my dose is about one ounce per 2 months. i also put some of it in the oven the convert the THC to CBN. i also buy the CBD rich cannabis. i take it as an edible. true enough, the thc will cause the tinnitus to get louder, but it is temporary, and i am used to it. i believe it is also beneficial, because the brain now has a louder tinnitus, that it needs to deal with, and then the thc effect wears off, the tinnitus actually get quite a bit less. the thc induced tinnitus has a completely different character to it, which tells me something good is going on in the brain. i use "music therapy" - quiet music played at night, which i believe combined with thc is beneficial. that is just a theory of mine, but so far it seems to be working. don't expect just thc to cure you up, it needs to be balanced with other meds, like tegretol and lyrica. just thc on its own, doesn't do the trick for me. but i do find since taking the thc, my health has been considerable better.