To the Editor The Clinical Update on tinnitus by Dr Piccirillo and colleagues1 described the marked heterogeneity of this disorder associated with a number of different conditions, such as acoustic trauma, hearing loss, and emotional stressors. This heterogeneity may be the reason that successful treatment is frequently elusive. The authors reviewed only nonpharmacological approaches to treating tinnitus, such as psychoeducation, tinnitus retraining, and behavioral therapies. Although these treatments are effective for some patients, they are ineffective or partially effective for many. Thus, the need for alternative or additive treatments to nonpharmacological approaches should have been included in the review.
Asnis GM. Pharmacological Treatments for Tinnitus. JAMA. 2020;324(11):1109. doi:10.1001/jama.2020.11851
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