When we think about hearing loss, aging or noise exposure often come to mind — but medications can also play a surprising role. Certain prescription and over-the-counter drugs are considered ototoxic, meaning they can affect the inner ear and impact hearing or balance.
Ototoxic medications may cause symptoms such as ringing in the ears (tinnitus), muffled or distorted sounds, dizziness, or difficulty understanding speech. In some cases, these effects are temporary and improve once the medication is adjusted or stopped. In others, hearing changes can be long-lasting or even permanent, especially with prolonged use or higher doses.
Common categories of medications that may affect hearing include some antibiotics, chemotherapy drugs, diuretics, and even frequent use of high-dose pain relievers like aspirin or NSAIDs. This doesn’t mean these medications shouldn’t be used — many are lifesaving or essential — but it does highlight the importance of awareness and monitoring.
If you notice changes in your hearing or balance after starting a new medication, don’t ignore them. Talk with your healthcare provider right away. They may be able to adjust the dosage, switch medications, or recommend a hearing evaluation to track any changes.
Protecting your hearing health is a team effort. Keeping an up-to-date list of medications, attending regular hearing screenings, and speaking up about new symptoms can make a meaningful difference. Early detection allows for better management — and helps you continue hearing your best while safely managing your overall health. Hearing changes shouldn’t be ignored. If you’re taking medications known to affect hearing, consider a baseline hearing test and ongoing monitoring to protect your long-term hearing health.
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