Tinnitus, a mysterious and often unsettling condition, is marked by the persistent perception of sound in the ears, even when there is no external source to account for it.
Dr Edmund Farrar

Dr Edmund Farrar

Medically Reviewed by
Co-Founder & CEO of Oto

Caffeine and Tinnitus: The Surprising Link You Need to Know


Tinnitus, a mysterious and often unsettling condition, is marked by the persistent perception of sound in the ears, even when there is no external source to account for it. These phantom sounds can manifest in various forms, such as ringing, buzzing, hissing, or other similar sensations. For many, tinnitus is more than just a fleeting annoyance; it's a constant companion that can significantly impact daily life.

Enter caffeine, the world's most widely consumed stimulant, found in everyday delights like coffee, tea, chocolate, and even some medications. While it's celebrated for its ability to wake us up and keep us alert, caffeine has also been suggested to have a complex and intriguing impact on tinnitus.

Can caffeine cause tinnitus symptoms to become worse, or might it, in some cases, alleviate them? This article aims to answer these questions to help those affected by the condition make informed decisions about their caffeine consumption, allowing them to potentially manage the condition more effectively.

Understanding tinnitus: Causes and symptoms

Tinnitus has varied causes and symptoms, which can differ greatly from person to person. Below, we explore everything from common triggers to the emotional and cognitive impact tinnitus can have on daily life.


The causes of tinnitus are multifaceted and can stem from various factors:

  • Exposure to loud noises: Prolonged exposure to loud noises, such as machinery, concerts, or even loud music through headphones, can lead to temporary or permanent tinnitus.
  • Age-related hearing loss: As we age, hearing naturally declines, and tinnitus can become a more frequent companion.
  • Earwax blockage: Something as simple as a buildup of earwax can cause the condition by blocking the ear canal.
  • Certain medications: Some medications, including specific antibiotics or ototoxic and chemotherapy drugs, have tinnitus as a potential side effect.


The symptoms of tinnitus are as varied as the individuals who experience them. The core symptom is the perception of sound that doesn't exist in the surrounding environment. This phantom sound can be constant or intermittent, loud or soft, and can even mimic various types of noises.

But tinnitus is more than just a sound; it's an experience that can be accompanied by:

  • Frustration: The relentless nature of the noise can lead to feelings of frustration and irritability.

  • Anxiety: The uncertainty and lack of control over the sound can cause anxiety and distress.
  • Difficulty concentrating: The constant background noise can make focusing on tasks a real challenge.

Does caffeine affect tinnitus? What the research says

The relationship between caffeine and tinnitus is a complex one that has captured the attention of researchers and clinicians alike, with contradicting results.

No clear evidence

Interestingly, despite some healthcare professionals advising patients to reduce or eliminate caffeine intake, there is no concrete scientific research to show that high consumption can exacerbate symptoms. This recommendation may stem from a generalised understanding of caffeine as a stimulant, which could increase blood flow and theoretically heighten sensory perceptions. However, this connection has not been definitively proven.

Evidence of lower incidence in women

Contrary to the belief that caffeine might worsen tinnitus, some research has found the opposite effect. A study published in the American Journal of Medicine discovered that higher intake was associated with a lower incidence of tinnitus in women [1]. This finding adds a layer of complexity to the relationship between caffeine and tinnitus and suggests that the interaction may be more multifaceted than previously thought.

No correlation in some studies

Adding to the complexity, other research, such as a study in the International Journal of Audiology, found no significant association between caffeine consumption and tinnitus severity [2]. These findings highlight the variability and inconsistency in the existing research, reflecting the challenges in drawing definitive conclusions.

Caffeine's impact on the ear and hearing: A double-edged sword

Caffeine has a complex relationship with our auditory system. As highlighted above, its effects on the ear and hearing are varied, encompassing both positive enhancements and potential drawbacks.

Stimulating the central nervous system

Caffeine's ability to stimulate the central nervous system is well-known. It can increase alertness and sharpen cognitive function, potentially enhancing our auditory awareness and responsiveness. This stimulation can be a boon for focus and concentration, but it's not without its caveats.

Interference with sleep patterns

Caffeine's influence extends beyond the waking hours. Its interference with sleep patterns is another critical consideration. Specifically, lack of sleep or poor quality of sleep has been associated with an increased risk of tinnitus. The stimulating effects of caffeine, especially when consumed in the evening, can hinder restful sleep. Hence, individuals with the condition may find relief by reducing their intake, particularly later in the day. 

Living with tinnitus: Empowering strategies and treatment options

Tinnitus, though a persistent and often challenging condition, doesn't have to take over one's life. While there may not be a cure, there are empowering strategies and treatment options that can make a significant difference. By embracing certain lifestyle changes and exploring various treatments, individuals can reduce its impact and enhance their daily well-being.

Simple adjustments to daily habits and routines can be transformative:

  • Avoiding loud noises: Protecting the ears from loud noises by using earplugs or avoiding noisy environments can prevent further aggravation of tinnitus.
  • Managing stress levels: Stress and anxiety can amplify symptoms. Mindfulness practices, relaxation techniques, or engaging in hobbies can be effective ways to manage stress.

  • Healthy diet and exercise: A balanced diet and regular exercise promote overall well-being, which can positively influence the perception of tinnitus.

A variety of treatment options cater to individual needs and preferences. However, it's worth highlighting that the success of certain treatments may depend on the underlying cause of your tinnitus. Therefore, it's crucial to consult with healthcare professionals for a comprehensive diagnosis and tailored treatment plan.

  • Cognitive Behavioural Therapy (CBT): CBT is a proven therapeutic approach that can help individuals change their response to the condition. By addressing negative thought patterns and behaviours, CBT can reduce the associated distress and improve overall quality of life.
  • Sound therapy: Utilising external sounds like white noise or nature sounds can mask or distract from tinnitus, providing relief and comfort.
  • Counselling: Professional counselling can address the emotional and psychological challenges of tinnitus, empowering individuals to cope more effectively.
  • Medication: In some cases, medication may be prescribed to manage underlying conditions contributing to tinnitus, such as high blood pressure.

For severe or persistent cases, professional medical advice is essential:

  • Proper diagnosis: A healthcare professional can diagnose the specific type of tinnitus and rule out underlying medical conditions.
  • Personalised treatment plans: Based on individual symptoms and needs, a tailored treatment plan can be developed, offering the best chance for relief and management.

Caffeine and tinnitus: Striking the right balance

For those living with tinnitus, the relationship with caffeine can be a delicate dance. Finding the right balance between enjoyment of caffeinated products and symptom management is a personal journey, but some general guidelines and thoughtful strategies can guide the way.

  • Watch out for hidden caffeine: Certain medications, energy drinks, and even some foods may contain hidden traces. Many people are unaware that over-the-counter pain relievers like Excedrin can contain the substance. Additionally, energy bars and some types of flavoured water may also have some caffeine content. 

  • Read labels carefully: Checking product labels can help avoid unintentional consumption.
  • Explore new flavours and choices: Experimenting with different caffeine-free beverages can make the transition enjoyable and exciting.
  • Gradually reduce intake: A slow reduction can minimise withdrawal symptoms like headaches and fatigue.
  • Embrace healthier alternatives: Replacing caffeinated beverages with water, herbal tea, or decaffeinated coffee can make the change more palatable.

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Discover Oto: Your companion in the tinnitus journey

Navigating life with tinnitus can often feel like a constant intrusion, disrupting daily activities, work, and relationships. Enter Oto, a revolutionary platform designed to support individuals on their journey. Founded by a team deeply familiar with the challenges of tinnitus, both personally and professionally, Oto offers a beacon of hope.

Oto’s digital program, accessible at your fingertips, provides expertly crafted content tailored for sleep, focus, and learning. Whether you're struggling with the stress and anxiety that constant noise can bring or seeking a peaceful night's sleep, Oto's blend of clinically proven CBT techniques and mindfulness practices is here to reduce your awareness of tinnitus, helping you tune it out of your life.

But what truly sets Oto apart?

  • Personalised journey: Dive into a digital program that adapts to your unique needs, pushing tinnitus to the background and guiding you towards habituation.
  • Comprehensive tools: From sleep aids to focus-enhancing audios, Oto offers a suite of tools designed for the various aspects of life impacted by tinnitus.
  • Community support: Connect with others on a similar journey through Oto's community features, fostering a sense of connection and shared experience.
  • Instant access with a personal touch: Access Oto anytime, anywhere, and even enjoy regular webinars and Q&As with top experts. For those seeking a more personalised touch, Oto's one-to-one program offers direct access to some of the UK's leading tinnitus specialists.
  • Trustworthy and reliable: In a world where trustworthy solutions for tinnitus are hard to come by, Oto stands out. Designed by experts with personal experience with the condition, it offers a reliable path towards habituation.

Ready to embark on a transformative journey and push tinnitus to the background? Download Oto now from the App Store or Google Play and bring the support you need right to your pocket.


The relationship between caffeine consumption and tinnitus is not straightforward and varies from person to person. For some, ingesting caffeine may aggravate their tinnitus symptoms, while others may experience little to no change. When it comes to managing this condition, it's important to find a balanced approach to caffeine intake; completely eliminating the substance may not be necessary for everyone and could lead to withdrawal symptoms like headaches. 

Consulting with healthcare professionals is crucial for a tailored management strategy, and being mindful of one's own experiences can provide valuable insights. Therefore, medical advice and personal observation can be crucial for making well-informed choices regarding caffeine intake in relation to tinnitus.

Simply, prioritising health and well-being is essential. For those seeking a personalised and supportive approach to tuning out tinnitus, Oto offers a unique blend of expert guidance and community support. Download Oto now and embark on a journey towards reducing the impact of tinnitus in your life.

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Discover how to tune out tinnitus with our free webinar

Register for our 20 minute webinar and learn why you don't just have to live with tinnitus.
Thanks for signing up! Please check your inbox to access the course.
Oops! Something went wrong while submitting the form.