Over‐the‐Counter Tinnitus “Cures”: Marketers’ Promises Do Not Ring True

Abstract

Objectives The Clinical Practice Guideline of the American Academy of Otolaryngology–Head & Neck Surgery (2014) stated that clinicians should not recommend dietary supplements for the treatment of tinnitus. The aim of this study is to characterize over‐the‐counter tinnitus remedies (OTCTR) on the U.S. market, describe the ingredients and prices, and characterize the methods of promoting these products. Methods OTCTR were identified via Web search and visits to retail establishments. Information was collected regarding OTCTR chemical composition, product labeling, advertisements and marketing, price, and customers reviews. Results A wide array of unproven OTCTR exist on today's market. All make unfounded claims of relief from ear ringing. Most of the products considered in this study consist of mixtures of inexpensive and common vitamins, minerals, and/or herbs sold at a premium compared to similar preparations not expressly advertised for tinnitus. Certain brands, most notably Arches Tinnitus Formula (Arches Natural Products Inc., Salt Lake City, UT) and Lipo‐Flavonoid (Clarion Brands Inc., Solon, OH), target otolaryngologists by advertising in specialty journals and prominently featuring supposed endorsement by “Ear‐Nose‐and‐Throat Doctors” in their marketing. Conclusion It is important for otolaryngologists who are caring for tinnitus sufferers to be aware that a robust and diverse market exists for unproven OTC tinnitus remedies. It is troubling that heavily advertised brands profess support by otolaryngologists. Responsible specialty organizations in the field should consider opposing such commercially motivated representations. Otolaryngology journals may wish to adopt a policy along the lines of The Journal of the American Medical Association publications to decline advertisements of dietary supplements that make unproven therapeutic claims. Level of Evidence 5 Laryngoscope, 129:1898–1906, 2019

In Response to Letter to the Editor Regarding Over‐the‐Counter Tinnitus “Cures”: Marketers' Promises Do Not Ring True

“…Based on our comprehensive review of the literature, my coauthors and I cannot agree with Dr. Seidman's contention in his letter to the Editor that there is "a positive benefit from Ginkgo biloba and other nutrients" among tinnitus sufferers. 1 It should be pointed out that 2014 American Academy of Otolaryngology -Head and Neck Surgery Tinnitus Guidelines are unequivocal about the lack of efficacy of over-the-counter tinnitus remedies: "Clinicians should not recommend Ginkgo biloba, melatonin, zinc, or other dietary supplements." 2(pS8) Dr. Seidman alleges incorrectly that we have discredited complimentary/integrative medicine.…”