Citalopram Hydrobromide and Tinnitus: Key Facts & What to Watch For
Explore how citalopram hydrobromide may trigger or worsen tinnitus, who’s most at risk, and practical steps to manage the ringing in your ears.
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If you’ve started taking citalopram (the SSRI many use for depression) and suddenly hear a constant ringing, you’re not alone. A small but real number of users report tinnitus—those annoying high‑pitched sounds that seem to come from inside your head. Below we break down why it happens, how often, and what you can actually do to feel better.
Citalopram changes the balance of serotonin in your brain. That same chemical also helps regulate the nerves in the inner ear. When serotonin spikes too high, the tiny hair cells that pick up sound can get over‑stimulated, leading to a phantom ringing. Most people notice this within the first few weeks, but for some it shows up later after the dose has been adjusted.
Clinical trials list tinnitus as a less‑common side effect—roughly 1‑2 % of patients. In real‑world use the number can be a bit higher because doctors don’t always ask about ear noises. If you’re the type who notices subtle changes, you might be more likely to report it.
Here’s a quick checklist to see if citalopram is the culprit:
If you answer “yes” to several of these, it’s worth bringing up with your doctor.
First, don’t panic. Many people find the ringing fades as their body gets used to the drug. Give it a couple of weeks while keeping an eye on the intensity.
If it stays bothersome, talk to your prescriber about these options:
Never stop citalopram abruptly—doing so can trigger withdrawal symptoms and worsen mood. Any change should be guided by a healthcare professional.
If the ringing is sudden, extremely loud, or comes with dizziness, loss of balance, or hearing loss, call a doctor immediately. Those could signal an ear infection or other condition that needs urgent care.
Most of the time, citalopram‑related tinnitus is manageable. Keep a short diary of when the ringing starts, how bad it feels, and any other symptoms. That record helps your doctor decide whether a tweak in medication or a simple coping strategy will do the trick.
Bottom line: citalopram can cause tinnitus, but it’s usually mild and often improves with a dose change or a few weeks of adjustment. Stay aware, track your symptoms, and keep the conversation open with your prescriber. You don’t have to let a ringing ear ruin the benefits you’re getting from your antidepressant.
Explore how citalopram hydrobromide may trigger or worsen tinnitus, who’s most at risk, and practical steps to manage the ringing in your ears.
Read More
