Potential therapeutic role of calcitonin gene-related peptide medications for tinnitus

J Chin Med Assoc. 2026 Mar 1;89(3):198-203. doi: 10.1097/JCMA.0000000000001351. Epub 2026 Jan 30.

Abstract

Tinnitus is defined as the perception of sound without an external stimulus. It is classified as a subjective phenomenon described as ringing, buzzing, or hissing in the ears. Tinnitus often co-occurs with migraine, as both conditions originate from disturbances of the central nervous system, specifically the auditory and trigeminal nerve pathways. The overlap in populations and pathophysiological similarities between tinnitus and migraine provide strong evidence for overlap between the conditions and a shared potential for therapy. Calcitonin gene-related peptide (CGRP) medications are a recent development in migraine treatment that have proven to be effective prophylactic agents. CGRP medications work by blocking CGRP's inflammatory role in migraine formation, a physiological process that may also be involved in the loudness of tinnitus. This narrative review aims to provide an overview of the role of CGRP in migraine and tinnitus and discuss managing CGRP and central sensitization as a potential therapeutic role in tinnitus.

Keywords: Calcitonin gene-related peptide; Central sensitization; Migraine; Tinnitus; Trigeminal nerve.

Publication types

  • Review

MeSH terms

  • Calcitonin Gene-Related Peptide* / antagonists & inhibitors
  • Calcitonin Gene-Related Peptide* / physiology
  • Calcitonin Gene-Related Peptide* / therapeutic use
  • Humans
  • Migraine Disorders / drug therapy
  • Migraine Disorders / etiology
  • Tinnitus* / drug therapy
  • Tinnitus* / etiology

Substances

  • Calcitonin Gene-Related Peptide