by Envoy Medical Staff Member, on August 9, 2025
Hearing changes are often associated with aging, but did you know that certain medications may also play a role? Some commonly prescribed drugs have been linked to effects on the inner ear, a phenomenon known as ototoxicity. While not everyone experiences these side effects, understanding the potential risks can help you stay informed and proactive about your health.
What Is Ototoxicity?
Ototoxicity refers to the potential for certain substances—especially medications—to affect the ears, including hearing and balance. Symptoms may vary and can include:
- Ringing or buzzing in the ears (tinnitus)
- Difficulty hearing high-pitched sounds
- Dizziness or a spinning sensation (vertigo)
- Unsteadiness, especially in low-light environments
- A feeling of pressure or fullness in the ears
These symptoms may appear gradually or suddenly. If you notice changes in your hearing or balance, it's important to speak with a healthcare provider.
Medications and Hearing: A General Overview
Some categories of medications have been associated with hearing-related side effects. These may include certain antibiotics, chemotherapy agents, diuretics, and pain relievers. However, individual responses vary, and not all medications in these categories carry the same risk.
If you're starting a new treatment, consider asking your provider whether hearing monitoring is appropriate. In some cases, audiologists may recommend baseline and follow-up hearing tests to track any changes.
Starting the Conversation
Being proactive can make a big difference. Here are a few questions you might ask your healthcare team:
- “Are there any hearing-related side effects I should be aware of?”
- “Would a hearing test be helpful before or during treatment?”
- “Are there alternative medications with fewer sensory side effects?”
If you notice changes in hearing or balance, don’t wait—reach out to your provider. And always consult a licensed clinician before making any changes to your medication regimen.
