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Rooted

Nervous / Mental

Tinnitus (adjunct)

3 plants

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Subjective tinnitus after noise, age, or ototoxins is common. Pulsatile tinnitus is vascular until the exam says otherwise. Unilateral tinnitus with asymmetric hearing is imaging. EGb 761 has mixed, mostly negative-to-small tinnitus trials. Do not stack ginkgo onto DAPT after a stent because they read a forum.

Primary plants

  1. Ginkgo (Ginkgo biloba)
    1
    GinkgoHuman data

    Ginkgo biloba

    EGb 761 has mixed human tinnitus trials — often unimpressive. Bleeding is the practical issue.

    Typical. EGb 761-type 120–240 mg/day if used at all. Not roasted seed.

    Safety. Bleed, surgery hold, rare seizure reports. Pharmacy if antiplatelet/anticoagulant.

Supportive plants2
  • Lemon balm (Melissa officinalis)
    Lemon balmHuman data
    Melissa officinalis

    If the leftover is the anxiety/insomnia loop around the sound.

    Typical. Leaf tea/extract evening.

    Safety. Clean at tea dose.

  • Lavender (Lavandula angustifolia)
    LavenderHuman data
    Lavandula angustifolia

    Same loop: anxiety amplifying the ringing. Oral oil is an anxiety plant, not an ear drug.

    Typical. Silexan-type 80–160 mg if anxiety leads.

    Safety. Do not ingest DIY essential oil.

Clinical notes

  • Pulsatile, unilateral, or focal-neuro tinnitus is not a leaf extract.

When this is not enough

  • Pulsatile tinnitus, sudden sensorineural hearing loss, focal neuro, ototoxic chemo without audiology, asymmetric hearing

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All nervous / mental diagnoses