The Effect of Antioxidant Supplementation in Patients with Tinnitus and Normal Hearing or Hearing Loss: A Randomized, Double-Blind, Placebo Controlled Trial

Nutrients. 2019 Dec 12;11(12):3037. doi: 10.3390/nu11123037.


Tinnitus is the perception of sound in the absence of any external stimulus. Oxidative stress is possibly involved in its pathogenesis and a variety of antioxidant compounds have been studied as potential treatment approaches. The objective of the present study was to assess the effects of antioxidant supplementation in tinnitus patients. This is a randomized, double-blind, placebo-controlled clinical trial. Patients (N = 70) were randomly allocated to antioxidant supplementation (N = 35) or to placebo (N = 35) for a total of 3 months. Demographic, anthropometric, clinical, and nutritional data were collected. Serum total antioxidant capacity (TAC), oxidized LDL (oxLDL), and superoxide dismutase (SOD), tinnitus loudness, frequency, and minimum masking level (MML), and scores in Tinnitus Handicap Inventory questionnaire (THI), Tinnitus Functional Index (TFI), and Visual Analogue Scale (VAS) were evaluated at baseline and follow-up. Tinnitus loudness and MML significantly decreased from baseline to post measure (p < 0.001) only in the antioxidant group, the overall change being significantly different between the two groups post-intervention (p < 0.001). THI and VAS decreased only in the antioxidant group. Differences in changes in serum TAC, SOD, and oxLDL post-intervention were insignificant. In conclusion, antioxidant therapy seems to reduce the subjective discomfort and tinnitus intensity in tinnitus patients.

Keywords: a-lipoic acid; antioxidant supplementation; multi-vitamin supplement; oxidative stress; tinnitus.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Antioxidants / administration & dosage*
  • Antioxidants / analysis
  • Dietary Supplements*
  • Double-Blind Method
  • Female
  • Hearing Loss / blood
  • Hearing Loss / therapy*
  • Humans
  • Lipoproteins, LDL / blood
  • Male
  • Middle Aged
  • Oxidation-Reduction
  • Superoxide Dismutase / blood
  • Tinnitus / blood
  • Tinnitus / therapy*
  • Treatment Outcome


  • Antioxidants
  • Lipoproteins, LDL
  • Superoxide Dismutase