- Dec 26, 2019
- 50
- Tinnitus Since
- 03/2019
- Cause of Tinnitus
- Wellbutrin / Noise Exposure
Hi all,
I was unsure whether it was a good idea to make an account, but decided finally to go ahead and give it a shot. I wanted some support and general advice, but (as I'm sure you're all aware) there is also a lot of negativity and despair on these forums, and reading all that has mostly lead to me feeling worse / hopeless. Additionally, I know I've made a lot of mistakes, and I'm sure some folks will tell me I'm to blame for being stupid - but one of my biggest mental struggles is dealing with the regret, and having self-forgiveness, so I feel like I might just be making all that worse. However, there do seem to be a lot of folks who are helpful and supportive as well, so I decided to give it a shot. The thread by @dnl has been very helpful to read, for one.
My (long) story:
I'm a bit over 30 years old, and have had chronic tinnitus since about March/April of 2019.
I'm not a musician, but I've been a regular concert goer since my early 20s and I've lived in NYC - which is not a quiet city. Music has always been very important to me and a source of great happiness. Of course, I listened to music on earbuds when younger, but was generally careful about volume, and mostly listened to music on speakers / over ear headphones later in life. I never had any hearing issues, and when I was in my mid/late 20s I started always wearing hearing protection to shows, even having custom musicians plugs made a few years ago. Never had ringing when wearing my plugs. There were definitely shows when I was younger and didn't use protection that had some ringing after, and I do recall sometimes having the faintest faintest tinnitus when I was in the absolute dead silent places or wearing earplugs, but nothing that really was noticeable.
One other occurrence happened, which is likely related as well. In ~May 2017 I was traveling in Scandinavia, and caught a bad cold. I got a decongestant, but it was the nasal spray kind which you can't overdo. Unfortunately, one morning we were taking a train ride, which descended a mountain, and I for some reason hadn't taken the decongestant. I had trouble equalizing, and potentially popped something in my right ear. I later had ear pain and the feeling of liquid in my ear, but my dad (physician) unfortunately said I didn't need to go to the doctor / the doctor wouldn't do anything. I wish I had had the strength to stand up for myself and my needs, and go regardless... but I'm sure many of you know how family dynamics can be. I'm also a known complainer, so there was a boy who cries wolf situation there a bit.
Regardless, when I later got home I went to an ENT who said I had a sinus infection, but didn't see anything wrong with my ear, and gave me antibiotics. Eventually it mostly got better, though long after that I often had weird pressure feelings in right ear and it got fatigued more easily. I'm sure some damage was done there, but no tinnitus yet.
I was always wary of medications in general, coming from a medical family where I was generally advised not to take medications unless absolutely necessary. Psychiatric medicine obviously also has a lot of stigma, but I know a lot of people that it has helped as well. After many years of therapy, and struggling with my work and motivation, I finally decided to give going to the psychiatrist a shot. I tried Adderall for a while, and it kind of worked, but gave me headaches and crashing feeling, and didn't help with my motivation / general mild depression.
I was then suggested Wellbutrin, which I was wary about due to side effects. Of course, I asked the doc/NP a lot of questions about side effects, and even did a lot of Googling about side effects of Wellbutrin before deciding to give it a shot. I figured if I had side effects, they would be temporary and I could get off the medication. Also generally heard that side effects might be bad while adjusting but will stabilize. Unfortunately, searching the internet for Wellbutrin and side effects doesn't really bring up all these stories of Wellbutrin and tinnitus - though obviously there are plenty when you search the two together.
So I gave it a shot, at 150mg. I had some minor side effects, but nothing too bad, and it was actually generally helpful. I felt energetic and motivated, aside some minor head pressure at times but which went away. Then, of course (as I'm sure many of you are familiar), after 2 months, I got put on a 300mg dose. The side effects were a lot more unpleasant then, with more pressure and mind racing etc, but I didn't specifically notice tinnitus then. Largely, this is because I pretty much only was ever in noisy places - my apartment gets street noise, I have a fan inside, and my office's HVAC system provides a decent amount of white noise as well. Due to the other side effects, we went down to 150mg again for a month, and that was when I started to notice the tinnitus - when having my ear against a pillow, or plugging up my ears, etc. I started googling and finding all these stories about Wellbutrin causing tinnitus, and getting very worried - at this point I'd been on 150mg for ~2 months, 300mg for 1 month, and 150mg for a few weeks again. I sent a message to the psych that I was worried about it, she said it was very rare and none of her other patients had had it but that it was possible. I had a hearing test done, which showed mostly normal hearing with some mild upper freq loss, but when my ears were plugged up for the test, the tinnitus was quite loud. After another call with the doctor, she said to stop it immediately, which I did...
But by then the damage was clearly done.
At this point, the tinnitus really was only noticeable in quiet rooms (which I was apparently rarely in). If a fan was blowing or a fridge was humming, I wouldn't notice it. I couldn't notice it outside either. It was mostly when I either had my ears blocked (by a pillow, or by earphones with nothing playing) that I heard it. It was lower pitched and much louder in my right ear, I suspect from the earlier damage. In my left ear it was much higher pitched, but fainter. When I was later on vacation and had some quiet rooms I was staying in, that's when it really bothered me, but a simple low volume white noise played from my phone blocked it out.
However, I still stressed about it a lot, especially from all that I read. And from the regret of what I had done.
I tried to continue my normal life though - I didn't change that many habits. I still went to shows (with protection) and listened to music at lower volumes. It never really got worse. I was starting to adjust a bit, mentally, after many months, but still had moments of despair.
Then, when I had a head cold and clogged sinuses, I went to a wedding (early Oct 2019)... and somehow forgot my earplugs which I keep on my keychain always (because I didn't have my keys on me). There was an amplified live band, which was too loud (and shitty speakers, as you would imagine), and there wasn't really anywhere else to go. In hindsight, I should've just left back to the hotel, or plugged my ears with tissues, or anything. I had one moment where I definitely felt a sharp spike in my left ear, and immediately was like "oh nooo".
Since then, it's felt like my left ear has slowly gotten worse. The high pitched sound that used to be faint, now can be heard over other sounds. It's still not crazy loud, but I can hear it in most scenarios, likely because of the pitch - inside a room with a fan, outside on a windy day, etc. It's a high pitched sounds, sometimes more of a hiss, sometimes a more pulsing high pitched frequency. Now it's the left ear that bothers me more than the right, because the right I only hear in real silence, and I was honestly adjusting to that pretty well. I feel like the left ear is also a bit more sound reactive too, and louder sounds can set it off a bit, or it sometimes increases in volume to compete with surrounding sounds (e.g. I hear a sound and it rings in response; maybe a bit of hyperacusis here).
Around the time of the wedding I was also seeing an ENT to check things out (and because I was having nosebleeds, which he fixed). He manually cleared out some earwax, and also suggested I get a nightguard because I grind my teeth, and some of the tinnitus might be TMJ related - so I'm doing that, and we'll see if that helps any. I got an MRI to check nothing structurally was wrong, which it wasn't. He now referred me to an audiologist who specializes in tinnitus (though I'm not sure if it's worth going to, but I guess I'll give it a shot).
I'm fortunate in that I don't really have problems sleeping with a fan or a bit of noise played from my phone though, so it could be worse. However, it's really stressful on the whole. I was working on trying to meditate to habituate to the sounds, but then I got reading these forums again and despaired a bit. It's still low enough that if I'm pretty mentally busy I don't notice it, though now that the left ear has spiked it's harder to ignore.
There are a number of things going through my head, and it's hard to sort it all out:
* The regret and reliving of all the individual mistakes I made (i.e., why did I not take that decongestant or see a doctor then, why did I try to take psychiatric medicine, why didn't I research better, why didn't I notice the T earlier and get off the medicine sooner, why did I forget my plugs to that wedding, why did I not just leave the wedding) and imagining if I had made the right decision.. and then trying to forgive myself, which is the hardest thing
* The fear of making it worse - I was adjusting pretty well I guess, and then I slipped up and made it worse. It's been less than a year, and now there's a chance that I could make it worse at any point in the rest of my life with a mistake.
* The feeling of being a broken person, that I broke myself and I'm not whole anymore.
* Trying to figure out how to keep enjoying life and what I'll have to give up out of these fears. Obviously there's conflicting advice - some people say avoid all low volume earphone listening, avoid all live music even with hearing protection, avoid loud places, etc... all these things basically would mean completely changing my life and hobbies and identity, but at the same time, I don't want to have tinnitus the way some people on these forums do. So then there's the mourning around losing that life.
* Trying not to despair and not focus on it too much, and trying to live a happy productive life. Bad things happen to all kinds of people. In the scheme of things, my situation isn't even that bad.. but it's tough. I'm not the most mentally tough person. I focus on the negatives a lot.
Not 100% sure what I'm looking for in creating this thread and joining these forums, but general support and advice would be good. Please don't tell me I'm dumb for the mistakes I've made, as I've beat myself up enough already. I want to look forward and not let this thing ruin my life, basically.
I was unsure whether it was a good idea to make an account, but decided finally to go ahead and give it a shot. I wanted some support and general advice, but (as I'm sure you're all aware) there is also a lot of negativity and despair on these forums, and reading all that has mostly lead to me feeling worse / hopeless. Additionally, I know I've made a lot of mistakes, and I'm sure some folks will tell me I'm to blame for being stupid - but one of my biggest mental struggles is dealing with the regret, and having self-forgiveness, so I feel like I might just be making all that worse. However, there do seem to be a lot of folks who are helpful and supportive as well, so I decided to give it a shot. The thread by @dnl has been very helpful to read, for one.
My (long) story:
I'm a bit over 30 years old, and have had chronic tinnitus since about March/April of 2019.
I'm not a musician, but I've been a regular concert goer since my early 20s and I've lived in NYC - which is not a quiet city. Music has always been very important to me and a source of great happiness. Of course, I listened to music on earbuds when younger, but was generally careful about volume, and mostly listened to music on speakers / over ear headphones later in life. I never had any hearing issues, and when I was in my mid/late 20s I started always wearing hearing protection to shows, even having custom musicians plugs made a few years ago. Never had ringing when wearing my plugs. There were definitely shows when I was younger and didn't use protection that had some ringing after, and I do recall sometimes having the faintest faintest tinnitus when I was in the absolute dead silent places or wearing earplugs, but nothing that really was noticeable.
One other occurrence happened, which is likely related as well. In ~May 2017 I was traveling in Scandinavia, and caught a bad cold. I got a decongestant, but it was the nasal spray kind which you can't overdo. Unfortunately, one morning we were taking a train ride, which descended a mountain, and I for some reason hadn't taken the decongestant. I had trouble equalizing, and potentially popped something in my right ear. I later had ear pain and the feeling of liquid in my ear, but my dad (physician) unfortunately said I didn't need to go to the doctor / the doctor wouldn't do anything. I wish I had had the strength to stand up for myself and my needs, and go regardless... but I'm sure many of you know how family dynamics can be. I'm also a known complainer, so there was a boy who cries wolf situation there a bit.
Regardless, when I later got home I went to an ENT who said I had a sinus infection, but didn't see anything wrong with my ear, and gave me antibiotics. Eventually it mostly got better, though long after that I often had weird pressure feelings in right ear and it got fatigued more easily. I'm sure some damage was done there, but no tinnitus yet.
I was always wary of medications in general, coming from a medical family where I was generally advised not to take medications unless absolutely necessary. Psychiatric medicine obviously also has a lot of stigma, but I know a lot of people that it has helped as well. After many years of therapy, and struggling with my work and motivation, I finally decided to give going to the psychiatrist a shot. I tried Adderall for a while, and it kind of worked, but gave me headaches and crashing feeling, and didn't help with my motivation / general mild depression.
I was then suggested Wellbutrin, which I was wary about due to side effects. Of course, I asked the doc/NP a lot of questions about side effects, and even did a lot of Googling about side effects of Wellbutrin before deciding to give it a shot. I figured if I had side effects, they would be temporary and I could get off the medication. Also generally heard that side effects might be bad while adjusting but will stabilize. Unfortunately, searching the internet for Wellbutrin and side effects doesn't really bring up all these stories of Wellbutrin and tinnitus - though obviously there are plenty when you search the two together.
So I gave it a shot, at 150mg. I had some minor side effects, but nothing too bad, and it was actually generally helpful. I felt energetic and motivated, aside some minor head pressure at times but which went away. Then, of course (as I'm sure many of you are familiar), after 2 months, I got put on a 300mg dose. The side effects were a lot more unpleasant then, with more pressure and mind racing etc, but I didn't specifically notice tinnitus then. Largely, this is because I pretty much only was ever in noisy places - my apartment gets street noise, I have a fan inside, and my office's HVAC system provides a decent amount of white noise as well. Due to the other side effects, we went down to 150mg again for a month, and that was when I started to notice the tinnitus - when having my ear against a pillow, or plugging up my ears, etc. I started googling and finding all these stories about Wellbutrin causing tinnitus, and getting very worried - at this point I'd been on 150mg for ~2 months, 300mg for 1 month, and 150mg for a few weeks again. I sent a message to the psych that I was worried about it, she said it was very rare and none of her other patients had had it but that it was possible. I had a hearing test done, which showed mostly normal hearing with some mild upper freq loss, but when my ears were plugged up for the test, the tinnitus was quite loud. After another call with the doctor, she said to stop it immediately, which I did...
But by then the damage was clearly done.
At this point, the tinnitus really was only noticeable in quiet rooms (which I was apparently rarely in). If a fan was blowing or a fridge was humming, I wouldn't notice it. I couldn't notice it outside either. It was mostly when I either had my ears blocked (by a pillow, or by earphones with nothing playing) that I heard it. It was lower pitched and much louder in my right ear, I suspect from the earlier damage. In my left ear it was much higher pitched, but fainter. When I was later on vacation and had some quiet rooms I was staying in, that's when it really bothered me, but a simple low volume white noise played from my phone blocked it out.
However, I still stressed about it a lot, especially from all that I read. And from the regret of what I had done.
I tried to continue my normal life though - I didn't change that many habits. I still went to shows (with protection) and listened to music at lower volumes. It never really got worse. I was starting to adjust a bit, mentally, after many months, but still had moments of despair.
Then, when I had a head cold and clogged sinuses, I went to a wedding (early Oct 2019)... and somehow forgot my earplugs which I keep on my keychain always (because I didn't have my keys on me). There was an amplified live band, which was too loud (and shitty speakers, as you would imagine), and there wasn't really anywhere else to go. In hindsight, I should've just left back to the hotel, or plugged my ears with tissues, or anything. I had one moment where I definitely felt a sharp spike in my left ear, and immediately was like "oh nooo".
Since then, it's felt like my left ear has slowly gotten worse. The high pitched sound that used to be faint, now can be heard over other sounds. It's still not crazy loud, but I can hear it in most scenarios, likely because of the pitch - inside a room with a fan, outside on a windy day, etc. It's a high pitched sounds, sometimes more of a hiss, sometimes a more pulsing high pitched frequency. Now it's the left ear that bothers me more than the right, because the right I only hear in real silence, and I was honestly adjusting to that pretty well. I feel like the left ear is also a bit more sound reactive too, and louder sounds can set it off a bit, or it sometimes increases in volume to compete with surrounding sounds (e.g. I hear a sound and it rings in response; maybe a bit of hyperacusis here).
Around the time of the wedding I was also seeing an ENT to check things out (and because I was having nosebleeds, which he fixed). He manually cleared out some earwax, and also suggested I get a nightguard because I grind my teeth, and some of the tinnitus might be TMJ related - so I'm doing that, and we'll see if that helps any. I got an MRI to check nothing structurally was wrong, which it wasn't. He now referred me to an audiologist who specializes in tinnitus (though I'm not sure if it's worth going to, but I guess I'll give it a shot).
I'm fortunate in that I don't really have problems sleeping with a fan or a bit of noise played from my phone though, so it could be worse. However, it's really stressful on the whole. I was working on trying to meditate to habituate to the sounds, but then I got reading these forums again and despaired a bit. It's still low enough that if I'm pretty mentally busy I don't notice it, though now that the left ear has spiked it's harder to ignore.
There are a number of things going through my head, and it's hard to sort it all out:
* The regret and reliving of all the individual mistakes I made (i.e., why did I not take that decongestant or see a doctor then, why did I try to take psychiatric medicine, why didn't I research better, why didn't I notice the T earlier and get off the medicine sooner, why did I forget my plugs to that wedding, why did I not just leave the wedding) and imagining if I had made the right decision.. and then trying to forgive myself, which is the hardest thing
* The fear of making it worse - I was adjusting pretty well I guess, and then I slipped up and made it worse. It's been less than a year, and now there's a chance that I could make it worse at any point in the rest of my life with a mistake.
* The feeling of being a broken person, that I broke myself and I'm not whole anymore.
* Trying to figure out how to keep enjoying life and what I'll have to give up out of these fears. Obviously there's conflicting advice - some people say avoid all low volume earphone listening, avoid all live music even with hearing protection, avoid loud places, etc... all these things basically would mean completely changing my life and hobbies and identity, but at the same time, I don't want to have tinnitus the way some people on these forums do. So then there's the mourning around losing that life.
* Trying not to despair and not focus on it too much, and trying to live a happy productive life. Bad things happen to all kinds of people. In the scheme of things, my situation isn't even that bad.. but it's tough. I'm not the most mentally tough person. I focus on the negatives a lot.
Not 100% sure what I'm looking for in creating this thread and joining these forums, but general support and advice would be good. Please don't tell me I'm dumb for the mistakes I've made, as I've beat myself up enough already. I want to look forward and not let this thing ruin my life, basically.