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Are Xanax And Zoloft Effective In Treatment For Anxiety Due To Severe Tinnitus?

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Posted on Fri, 5 Dec 2014
Question: I have bad tinnitus from severe hearing loss in left ear. I have been fitted for a hearing aid . Since the hearing loss and severe tinnitus , my MD first prescribed Xanax, He now prescribed Zoloft. How effective are these drugs for anxiety due to severe tinnitus? I read they can cause tinnitus, I am very afraid of becoming addicted to Xanax although when I feel anxiety coming on, I take half of 1mg.
doctor
Answered by Dr. Dr. Matt Wachsman (29 minutes later)
Brief Answer:
First, evaluate the tinnitus

Detailed Answer:
The first step would be to evaluate the cause of the tinnitus with a brain imaging study (and a full general exam and simple lab work). You imply this is already done with saying severe hearing loss--one of the most common causes of tinnitus, but then you ask about the drugs and relation to tinnitus. They are never associated with tinnitus that occurs at the time PRIOR TO TAKING THEM. They don't really make tinnitus worse; indeed, longer, milder drugs of the same group as Xanax are slightly helpful in some people's tinnitus.

Ok, learning to live with it is the best treatment. There's standard psychological approaches to this adapted from highly effective treatments of phobias
http://www.ncbi.nlm.nih.gov/pubmed/0000
The non-drug therapies are the currently best regarded ones.
http://www.ncbi.nlm.nih.gov/pubmed/0000
So, the drugs sorta kinda work there's a real risk of addiction with Xanax; none with Zoloft. While they don't really work on tinnitus, they do work on anxiety; they wouldn't be the top choice in this context.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (16 minutes later)
MRI was done. No tumor. I am a basket case. I was told perhaps a physchatrist will help. Cognitive behavior therapy. I am having anxiety now. Am afraid to take the Xanax. What can I do to calm myself down.....please help!
doctor
Answered by Dr. Dr. Matt Wachsman (46 minutes later)
Brief Answer:
In the short run...

Detailed Answer:
Cannot give direct advise (especially either to take or not to take a controlled substance) when not actually there. And, 0.5 mg of xanax under 3x day for under 2wk is very unlikely to produce serious withdrawal (psychological dependence risk, hard to say, but not zero).

That being said the cognitive approach would include:
1) realizing that there is not a life-threatening risk.
2) seeing how one gets worked up, what thoughts/feelings/attitudes/beliefs are present when one is worked up.
3) how building labels/judgements/firm conclusions reinforce being worked up and that one can back up from that.

Example right now, I would like to go running. WHen I run, I get many thoughts why I should NOT. I get sensations of breathlessness, and aches. I can make labels (I"m DYING, It's My Heart) I can make conclusions (I am not fit enough to do this) and not run. I do this about daily, so, I don't actually have to take any of the thoughts/conclusiions etc. very seriously. I'm choosing this example because it overlaps significantly with sensations of panic/anxiety and... demonstrate that denial/willpower/stoicism doesn't really have anything to do with it but realization of the falseness of the conclusions often reached does.

Bye, Gotta run.....hope this helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (24 minutes later)
Is it okay to mix Xanax and Zoloft? Xanax half of 1 mg. zoloft 50mg hours apart
doctor
Answered by Dr. Dr. Matt Wachsman (6 hours later)
Brief Answer:
wel... technically....

Detailed Answer:
The drugs do not have significant interaction at the level of building up in the body (pharmacokinetic) nor do their side effects interact or potentiate or work badly together (pharmacodynamic). They are often used together.

AND, there is strong reason to use something other than drugs in anxiety associated with tinnitus.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (6 hours later)
Other than drugs for anxiety, what are other recommendations or options?
doctor
Answered by Dr. Dr. Matt Wachsman (14 hours later)
Brief Answer:
Cognitive behavioral therapy

Detailed Answer:
This is extremely effective in phobias. It is being extended to anxiety and to a variety of addictions.

There's standard psychological approaches to this adapted from highly effective treatments of phobias
http://www.ncbi.nlm.nih.gov/pubmed/0000

Indeed, The non-drug therapies are the currently best regarded ones in your condition.
http://www.ncbi.nlm.nih.gov/pubmed/0000
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (11 hours later)
WHO DO I GO TO FOR THIS TYPE OF TREATMEN?
doctor
Answered by Dr. Dr. Matt Wachsman (32 hours later)
Brief Answer:
some limits on the answer

Detailed Answer:
since I do not know your location. In general psychotherapists BUT you'd have to call first and verify they do CBT OR... google your city with the words CBT or your city with the words Cognitive behavioral. It's pretty much always worked for me
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (2 hours later)
How effective and whats the purpose of Zololf?
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
It is an antidepressant

Detailed Answer:
that works on anxiety.

It is about 33% effective on PTSD, 50% on social anxiety and a bit more on panic attacks.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Are Xanax And Zoloft Effective In Treatment For Anxiety Due To Severe Tinnitus?

Brief Answer: First, evaluate the tinnitus Detailed Answer: The first step would be to evaluate the cause of the tinnitus with a brain imaging study (and a full general exam and simple lab work). You imply this is already done with saying severe hearing loss--one of the most common causes of tinnitus, but then you ask about the drugs and relation to tinnitus. They are never associated with tinnitus that occurs at the time PRIOR TO TAKING THEM. They don't really make tinnitus worse; indeed, longer, milder drugs of the same group as Xanax are slightly helpful in some people's tinnitus. Ok, learning to live with it is the best treatment. There's standard psychological approaches to this adapted from highly effective treatments of phobias http://www.ncbi.nlm.nih.gov/pubmed/0000 The non-drug therapies are the currently best regarded ones. http://www.ncbi.nlm.nih.gov/pubmed/0000 So, the drugs sorta kinda work there's a real risk of addiction with Xanax; none with Zoloft. While they don't really work on tinnitus, they do work on anxiety; they wouldn't be the top choice in this context.