The Impact of Medications and Substances on Hearing
Published: Nov 10, 2023
Certain medications and substances can negatively affect your hearing. Understanding these ototoxic risks can help you make informed choices about your health.
Contents
Ototoxic Medications
Some antibiotics, like aminoglycosides, and chemotherapy drugs, such as cisplatin, can be ototoxic and cause hearing loss. This type of hearing damage often affects high frequencies and can be irreversible, making it essential to discuss potential side effects with a healthcare provider before starting these medications.
Recreational Substances
Recreational drugs, including cocaine, have been linked to sudden sensorineural hearing loss. These substances can cause both temporary and permanent damage to hearing, highlighting the importance of avoiding their use for hearing health.

Metals and Solvents
Exposure to heavy metals like lead and mercury, as well as solvents such as toluene, can also contribute to hearing loss. These substances can damage inner ear structures, leading to both acute and chronic hearing problems.
Frequently Asked Questions
They are drugs that can cause hearing loss, like some antibiotics and chemo drugs.
Yes, drugs like cocaine can cause sudden hearing loss.
Yes, exposure to heavy metals and solvents can damage hearing.
Not always, but some damage can be irreversible.
The Bottom Line
Being aware of ototoxic risks can help you protect your hearing health.
References
- Rizk HG, Lee JA, Liu YF, et al. Drug-Induced Ototoxicity: A Comprehensive Review and Reference Guide. Pharmacotherapy 2020; 40:1265.
- Roland PS, Stewart MG, Hannley M, et al. Consensus panel on role of potentially ototoxic antibiotics for topical middle ear use: Introduction, methodology, and recommendations. Otolaryngol Head Neck Surg 2004; 130:S51.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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