MEDICAL CONDITIONS

Tinnitus

Tinnitus help CBD
Written by Stefan K.

CBD in tinnitus

A buzzing or ringing in the ear that either comes and goes or is permanently present. We are referring to tinnitus. The ringing in the ears is caused in the person affected themselves. The sound that the person hears cannot be attributed to a sound source outside the body. Tinnitus usually occurs suddenly. The causes of tinnitus can be manifold and varied. This is also the reason why tinnitus cannot be treated or cured very easily. Tinnitus itself is not dangerous for the body, but it can put a lot of psychological strain on the person who is suffering.

The ear, nose and throat doctors who are responsible for treatment always first talk to the patient to find out the circumstances surrounding the tinnitus. They also carry out tests, such as an ear microscopy, a balance test or a hearing test. Tinnitus is now a widespread disease in Germany. Currently, around 18.7 million Germans have experienced permanent or temporary tinnitus. An average of 340,000 new patients are diagnosed every year.

With acute tinnitus, the sounds in the ears are heard for no longer than three months. If the perception of the sounds goes beyond that, experts speak of chronic tinnitus following the intermediate stage of sub-acute tinnitus.

Various causes of tinnitus, such as inflammation of the middle ear, cardiovascular disease, stress or emotional strain, can raise people’s hopes that the cannabinoid CBD will gently counteract the triggers.

Cannabidiol, CBD for short, is one of more than 100 ingredients of the hemp plant. Since the 1970s, more and more researchers have become aware of CBD. As well as CBD, THC is a well-known substance from the cannabis plant. Unlike THC, however, CBD can be bought and sold completely legally within the EU. THC is considered psychoactive, but CBD is not. CBD is even used as an antipode to THC in its non-psychoactive effect. Furthermore, CBD does not cause intoxication and there is no known dependence on CBD.

In the European Union all CBD products are legal as long as the THC content is below 0.2 %.

Causes of tinnitus

Doctors distinguish between two types of tinnitus – objective and subjective tinnitus.

If objective tinnitus is diagnosed, this means that an actual measurable sound source can be located in the immediate vicinity of the inner ear in your own body. This means that, with the appropriate equipment, the ear noises of the person affected can be made audible to an ENT doctor. These objective causes of tinnitus can be, for example, the sounds of blood flow. This can be caused by a local narrowing of the blood vessels. The people affected perceive this form of tinnitus as a pulsating sound. Another reason for objective tinnitus can also be involuntary muscle twitches in the area of the palate or middle ear. An open tube, i.e. the connection between the middle ear and the nasopharynx, can also lead to tinnitus. Other causes of objective tinnitus can be anaemia, heart valve disease or a glomus tumour, a mostly benign tumour in the area around the carotid artery.

Subjective tinnitus occurs significantly more frequently than objective tinnitus. No matter what kind of equipment is used, this tinnitus cannot be made audible to other people. Only those affected can hear the noise. Medical science has not yet identified a cause with absolute certainty. However, it is assumed that the noise in the ear is caused by defective information formation or information processing in the hearing system.

The causes of this have so far been identified as hearing loss, earwax, foreign bodies in the ears, a sudden deafness, a so-called noise or blast trauma, inflammation of the inner or middle ear, a tumour near the auditory nerve, a perforation of the eardrum, ossification between the stapes and the inner ear, Meniere’s disease, a tubal dysfunction or a changed pressure ratio in the ear.

In addition to these, other causes of tinnitus have been identified by medical professionals. These include emotional stress, various medications, alcoholism, jaw or dental problems, a functional disorder of the cervical spine, a disease of the central nervous system, a hormonal imbalance, certain metabolic diseases such as diabetes, sleep disorders, headaches, cardiovascular diseases and arteriosclerosis.

By referring to the studies listed below, it can be seen how CBD can help against certain causes in the case of tinnitus. In short, CBD in tinnitus can relieve the involuntary muscle twitches. CBD has an anti-inflammatory effect and can therefore be used to treat inflammation of the inner or middle ear. Emotional strain such as stress or depression can be alleviated by taking CBD. CBD can have a supportive effect when attempting to give up alcohol. In the case of metabolic diseases such as diabetes or various heart diseases, those affected can also take CBD products such as CBD oil, CBD liquid, CBD capsules or even CBD tablets after prior consultation with a doctor.

Symptoms of tinnitus

According to the German Tinnitus League, at least one in four Germans has experienced tinnitus once in their lives. Most of these cases go away again and do not become chronic tinnitus that lasts a lifetime.

The symptoms of tinnitus can manifest themselves differently in each patient. The sound that can be heard can be a buzzing, humming, whirring, circling, murmuring, beeping or even clicking. In addition, the sounds can increase and decrease in volume as well as remaining at the same level.

The symptoms of tinnitus are located by doctors within the four grades of tinnitus. If the tinnitus is at level 1, the affected person can compensate well for the tinnitus and it does not bother them in most everyday situations. If you are affected by grade 2, you can usually compensate for most of the tinnitus well. However, when you are quiet and under the influence of stress or depression, the sound can occur more easily and can become disturbing. If you suffer from tinnitus with a severity level of 3, the noise is a significant strain on your private and professional life. Problems occur here in the emotional, physical and cognitive areas. Sleep deprivation, concentration problems, headaches, muscle tension, absolute helplessness and resignation can occur. In the case of tinnitus with a severity level of 4, the permanent stress is so massive and unbearable that those who are affected report an extreme impairment to their quality of life. Most are no longer able to participate in everyday work and withdraw from social and societal life. Anxiety, depression and other mental disorders occur more frequently.

How conventional remedies for tinnitus work

In the case of subjective tinnitus, the treatment is very difficult because the actual causes cannot be determined so easily. However, the basic rule is that tinnitus should be treated as soon as possible. This increases the chance that the annoying ringing in the ears will also disappear quickly. Therapy should be started after two days at the latest.

If you are suffering from acute tinnitus, doctors usually start with standard procedures such as an infusion of anti-inflammatory drugs. Anti-inflammatory tablets are also often prescribed. According to the trials mentioned below, CBD can also be used to treat diseases that are based on inflammation. In addition, blood circulation-promoting drugs, cortisone, physiotherapy and orthodontic treatment as well as hyperbaric oxygen therapy can be used and help in acute tinnitus.

If you suffer from chronic tinnitus, many doctors use infusions to improve circulation. On the basis of current knowledge, there is little that can be done with medication to promote the healing of chronic tinnitus, so medicine recommends that the noise in the ear be controlled by means of exercises. Stress is an amplifier, so people are often advised to practice yoga or so-called autogenic training. Psychological support is provided to help depressed and anxious people. Other treatment approaches include tinnitus retraining therapy and a hearing aid.

[cip category=”CBD oil”]

CBD in tinnitus – How cannabidiol works

Today, there is no known study suggesting that CBD would significantly reduce ear noise in tinnitus. Pharmaceutical products are also unable to do this. Research is therefore focusing on improving the symptoms of tinnitus. This has brought the goal of improving the quality of life of those affected into focus.

Studies and effects – CBD in tinnitus

Before describing the studies for treating the symptoms of tinnitus, it is worth mentioning a study[1] that was carried out in New Zealand at the University of Otago. During this study on rat brains, which according to the researchers responsible for the study are very similar to human brains, it was found that numerous neurons containing CB1 receptors were found in the area of the cochlear nucleus. When the experimental animal was injected with salicylate, the number of main neurons decreased, while the number of CB1-positive main neurons remained unchanged. The researchers concluded that the CB1 receptors might be important for auditory functions and might therefore be linked to the development of tinnitus. It should be noted that more research needs to be done on this issue. Both the CB1 and CB2 receptors can be affected by CBD through the endo-cannabinoid system.

Involuntary muscle twitches in the ears can lead to objective tinnitus. The twitching can be heard by those affected. These involuntary muscle twitches in the ear are very similar to what people who have spasms report. One affected person, Bernd Thill, reported on his YouTube channel[2] how taking 10 mg CBD capsules a day over a longer period of time improved his spasms by a quarter. This could show one way in which CBD can lead to a certain improvement in the muscle twitches that trigger tinnitus.

Tinnitus can also be triggered by inflammation of the inner or middle ear. Various studies have concluded that CBD has an anti-inflammatory effect. According to the researchers, one study[3] from this canon shows that CBD oil and CBD tablets (also capsules) can help with bowel inflammation. Although the researchers paid particular attention to biopsies of patients with ulcerative colitis, they concluded that CBD can have a positive effect on the general environment of inflammation in the human body.

Stress, anxiety and depression (emotional strain) can become a reinforcing factor in tinnitus. It is therefore clear that if these three aspects are brought under control, the symptoms of tinnitus can be kept within tolerable limits. To this end, a study[4] was published that looked at the impact of CBD on stress. The point of the study is that CBD affects the endo-cannabinoid system (ECS) and thus affects the messenger substance adrenaline. Not only can CBD balance the level of adrenaline, it also has an effect on cortisol. Cortisol is a hormone that, like adrenaline, is involved in the stress reaction. Among other things, it controls our fight and flight reactions. However, more cortisol in the blood than usual can lead to an oppressive feeling of fear, which can trigger stress. It can be said that the higher the cortisol level is, the more stress the person feels and the more likely it is that the tinnitus will worsen. In the course of the study, the test persons were given either CBD or a placebo. In the CBD group it was clearly shown that a reduced cortisol level led to a reduced stress level.

There are numerous studies that focus on the anxiety-relieving effect of CBD. The focus is increasingly on the CB1 and CB2 receptors. A recently presented study[5] shows that taking CBD oil can alleviate anxiety. This study was also checked against the results of a placebo group.

Metabolic diseases such as diabetes can contribute to an increase in tinnitus. According to one study[6], CBD can reduce the risk of developing type 2 diabetes.

Many people affected by tinnitus suffer from severe sleep disturbances. This can range from difficulty falling asleep to restless and constantly interrupted sleep. A study[7]  has been carried out on this. At the University of Colorado, a patient suffering from sleep disorders due to post-traumatic stress disorder was treated with CBD oil. After taking the oil, the patient reported that not only the amount of sleep but also the quality of sleep increased.

Researchers from the US state of Colorado studied patients who were given medically prescribed marijuana for migraines. They concluded that by taking cannabinoids, it was possible reduce headache rates from 10.4 to 4.6 per month. This halved the number of headache events per patient.

Dosage of CBD for unpleasant noises in the ear

If you experience tinnitus, the first step should be to see an ENT doctor. In addition, you can take the first steps of treatment yourself by taking CBD. The dosage of CBD for tinnitus also plays a role. As a rule, you should start taking CBD slowly in the case of tinnitus. The higher the proportion of CBD in the product purchased, the less one should take at the beginning. Subsequently, one should slowly increase the amount of CBD until the desired effect is achieved. This level of CBD can be maintained afterwards. However, if undesirable effects occur, it is advisable to reduce the dosage until only the desired effect is felt.

It is always advisable in this case to pay attention to both the doctor and the manufacturer’s recommendations.

CBD products for tinnitus

What CBD products are available for tinnitus? This question is easy to answer. As a rule, those CBD products that are most comfortable to use should lead to the desired result. Internally used products include:

  • CBD oils,
  • CBD liquid,
  • CBD capsules,
  • CBD tablets, or also
  • CBD food.

However, CBD ointments or CBD creams can also be applied to the affected body parts outside the body orifices.

Conclusion

  • Although tinnitus cannot directly endanger the lives of those affected physically, the nervous strain can be immense.
  • If you suffer from acute tinnitus, it usually disappears within a maximum of three months. Chronic tinnitus, on the other hand, can be permanent.
  • CBD in the case of tinnitus can specifically help to relieve symptoms such as inflammation, insomnia, headaches, metabolic disorders or even psychological stress, depression and anxiety.


[1] https://pubmed.ncbi.nlm.nih.gov/17376618/ – 04.09.2020

[2] https://www.youtube.com/watch?v=xTh14xEWNGQ – 04.09.2020

[3] https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0028159 – 04.09.2020

[4] https://pubmed.ncbi.nlm.nih.gov/825792/ – 04.09.2020

[5] https://www.cbd-anxiety-study.com/ – 04.09.2020

[6] https://pubmed.ncbi.nlm.nih.gov/16698671/ – 04.09.2020

[7] https://pubmed.ncbi.nlm.nih.gov/27768570/ – 04.092020

Taking products containing cannabinoids may result in interactions with various medications. If you are already taking medication, the use of CBD and other cannabinoids should be discussed with your doctor beforehand.

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About the author

Stefan K.

Stefan K.

Stefan is not only a valuable part of the CannaTrust magazine but also convinces with his sound knowledge about the effects of cannabinoids. As an author in Austria he gathered valuable experiences when writing for 'Stadtblatt Salzburg'. He got in contact with cannabis through several positive media reports. Nowadays he writes about everything around the most popular cannabinoid these days: CBD.