Persistent Tinnitus Spike After Short-Term Clomipramine Use and Possible Congestion

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Member
Author
Mar 10, 2025
5
Tinnitus Since
2022
Cause of Tinnitus
Acoustic Trauma & Infection
I have had pre-existing reactive tinnitus for a few years now. I was recently prescribed a tricyclic antidepressant, Clomipramine, for a different issue and took 25 mg for only four days, totaling 100 mg. On the fourth day, I experienced heart palpitations that felt like a heart attack and a massive tinnitus spike. I decided to stop taking the medication. I was thrilled to wake up the next day and find that I had returned to baseline.

However, the following day, I woke up with a massive spike, with both an increase in the loudness and intensity of my tinnitus, which has been persisting for two weeks now. I have not taken the medication since stopping on the fourth day.

I have also been sneezing, coughing up some mucus, and experiencing frequent ear popping in the same ear where I have the tinnitus spike.

Is the medication more likely to have caused a delayed spike, or is it more likely from Eustachian tube dysfunction or congestion? Should the spike subside over time?
 

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