How to Treat Insomnia on Top of Hyperacusis and Tinnitus?

[MasterFA]

First, thank you to this forum for providing a platform to seek help.

This is my first post, and I'm hoping to get advice from those with experience.

I've been habituated to low-level tinnitus for many years, but now I'm facing a completely different challenge.

Since mid-October, I've been struggling with loud and painful hyperacusis. While that condition has shown some improvement with ups and downs, my main concern has shifted to louder tinnitus and persistent insomnia.

It's been two months, and I haven't taken any significant medical steps to break this cycle. However, I'll be seeing an audiologist who specializes in tinnitus and hyperacusis later this week.

In the meantime, I've been prescribed amitriptyline for a few months, along with occasional Ativan (lorazepam).

Opinions on these medications seem very divided online, but I know I need to take action.

Does anyone have recommendations or advice? Am I overlooking a better approach?

Thank you.

 

[pants]

I find sleeping to be the most challenging aspect of living with tinnitus. Good sleep is essential for overall well-being. Most nights, I take 1 mg of Melatonin. On nights when I need deep, uninterrupted sleep, I also take 3.25 mg of Zopiclone, though I limit this to about once a week.