Tinnitus or acamprosate are useful. While there is tentative evidence for benzodiazepines, it is insufficient to support usage. Anticonvulsants have not been found to be useful. Steroid injections into the middle ear also do not seem to be effective. Botulinum toxin injection has been tried with some success in some of the rare cases of objective tinnitus from a palatal tremor. Caroverine is used in a few countries to treat tinnitus. The evidence for its usefulness is very weak. The use of sound therapy by either hearing aids or tinnitus maskers helps the brain ignore the specific tinnitus frequency. Although these
Tinnitus retraining therapy The patient is taught the basic knowledge about the auditory system and its function, the mechanism of tinnitus generation and the annoyance associated with tinnitus. The repetition of these points in the follow-up visits helps the patient to perceive the signal as a non-danger. Measuring the efficacy of TRT is beset by confounding factors: tinnitus reporting is entirely subjective therefore not reliable; tinnitus or at least subjects' perception of it varies over time and repeated evaluations are not consistent. Researchers have noted that there is a large placebo component to tinnitus management. In many commercial TRT practices, there is a