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20Q: Dietary Supplements for Tinnitus - Really?

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1.  According to the article, there are approximately how many over the counter products that claim to cure or relieve tinnitus? 10 25 40 50

2.  According to the article, which over the counter products are approved by the FDA for tinnitus relief/cure? Gingko biloba melatonin Salicylicum Acidum None of the above

3.  In regards to dietary supplements to treat tinnitus, the published tinnitus clinical practice guideline from AAO-HNSF: recommended against dietary supplements due to methodological concerns with the studies is in favor of dietary supplements as long as there is no risk of negative herb-drug interactions with the patient's prescription medications recommended a multi-vitamin for tinnitus patients as it is not harmful and patients may see a positive placebo effect the guideline makes no mention of dietary supplements

4.  According to the FDA, over the counter supplements are classified as pharmaceuticals livestock minerals food

5.  Due to their FDA classification, supplements must: show scientific proof of efficacy (double-blind, independent clinical studies versus a placebo), but not register with the FDA register with the FDA, but not show efficacy register with the FDA and show efficacy none of the above

6.  According to the article, who is responsible for ensuring the safety of over the counter products BEFORE they go to market? FDA FTC the manufacturers of the products themselves Attorney General

7.  The DSHEA disclaimer: enables supplement manufacturers to sell/market products without proving efficacy enables products to use ambiguous statements such as "helps reduce ear noises" provides an opportunity for the proliferation of ineffective substances to be marketed to people with tinnitus all of the above

8.  Evidence based tinnitus treatment may include all of the following EXCEPT: hearing aids Thiosinaminum supplements sound therapy counseling

9.  A website that provides prescription drugs and their side effects that may impact the ear, hearing or balance is: www.AudiologyOnline.com www.earserv.com/drugs www.ftc.gov www.eartunes.com

10.  When patients tell you that they are thinking about taking a dietary supplement for tinnitus, it is best that the audiologist: advise that although there are no proven dietary supplements to relieve tinnitus, there is probably no harm in taking it if they purchase it from a reputable source such as a retail pharmacy advise that there is no proven supplement for tinnitus, some may interfere with prescription drugs or have side effects so discuss with your physician, and discuss evidence-based treatments recommend Gingko biloba as there are no side effects and it also may benefit memory and alertness scare the patient with statistics of all the people who have died from using these unregulated substances