How to Treat Tinnitus at Night

Nocturnal tinnitus is one manifestation of tinnitus. During nighttime, when ambient noise levels are low, tinnitus becomes relatively more noticeable, leading patients to perceive the presence of tinnitus. So, how is nocturnal tinnitus treated?

How is nocturnal tinnitus treated?

For patients experiencing tinnitus at night, oral neurotrophic agents—such as mecobalamin dispersible tablets and sodium citicoline—may be prescribed. Circulatory improvement can be achieved with ginkgo biloba extract tablets combined with nicergoline tablets. Because ambient noise is minimal at night, tinnitus tends to be more prominent. If tinnitus interferes with sleep, patients may take Bailemian capsules and Tianmeng oral solution to aid sleep. For chronic tinnitus, acupuncture treatment administered by a Traditional Chinese Medicine (TCM) specialist may also yield beneficial results. In daily life, patients should avoid excessively noisy environments. Listening to soft music via headphones during the day may also help alleviate tinnitus symptoms.

During daytime, background noise—including traffic sounds—is comparatively louder. Additionally, individuals tend to focus on multiple tasks, diverting attention away from auditory sensations. At night, however, the quiet environment allows people to sit quietly and become more aware of their tinnitus. This type of tinnitus is typically sensorineural in origin.

If sensorineural tinnitus has recently developed—ideally within the past three months—or even sooner, medical evaluation is recommended, especially if tinnitus begins to interfere with daily life. Following consultation, otoscopic examination and audiometry will assess potential involvement of the middle or inner ear. For sensorineural tinnitus, treatment generally involves medications that improve microcirculation and nourish neural tissue. Most patients experience improvement. However, if tinnitus remains asymptomatic and does not affect quality of life, observation alone may be appropriate. We hope this information proves helpful!