Ototoxicity is a condition that occurs when certain medications or chemicals cause damage to the inner ear. This damage can lead to various symptoms impacting hearing and balance.
While ototoxicity may not always be preventable, there are steps you can take to manage the risks and protect your hearing. Keep reading to learn more.
What Causes Ototoxicity?

Ototoxicity happens when substances or chemicals damage the delicate structures within the inner ear. Some medications, particularly those used to treat serious conditions like cancer, have been linked to ototoxicity.
In fact, more than 200 medications are known to have ototoxic effects.
Symptoms can appear immediately or even as long as five years after starting treatment and may include:
- Experiencing tinnitus
- Gradual or sudden hearing loss
- Dizziness, balance issues, like trouble walking or climbing stairs
- Unusual fatigue
- Difficulty hearing high-pitched sounds
- A feeling of fullness in the ears
Tinnitus is often an early warning sign of hearing loss. If you experience any of these symptoms, early intervention is key. Speak with a healthcare professional to discuss your concerns.
Managing the Risk
There are proactive steps you can take to protect your hearing from ototoxicity. Consider the following:
- Monitor your medication use: If you’re prescribed an ototoxic medication, ask your doctor about hearing screenings and discuss potential side effects, especially if you’re taking high doses or undergoing long-term treatments.
- Protect your hearing: Loud environments, such as concerts at venues like Typhoon Texas or local football games at Legacy Stadium, can contribute to hearing damage. Wear ear protection when exposed to loud noise or minimize your exposure.
- Reduce exposure to harmful chemicals: If you work in industries involving chemicals or pollutants, follow safety guidelines and limit prolonged exposure.
- Consider hearing aids: If hearing loss occurs, hearing aids can help amplify sounds and improve daily communication.
If you notice any changes in your hearing and have taken courses of ototoxic medications, talk to a hearing specialist today.
For more information or to book an appointment, contact Davies Institute for Speech & Hearing to discuss your hearing health.