Natural Therapeutics In Tinnitus: A Prospective Clinical Comparison Between Caffeine And Ginkgo Biloba In Alleviating Tinnitus In Adults

Abstract

Introduction:
This prospective study evaluates and compares the therapeutic efficacy of caffeine capsules and Ginkgo biloba in managing tinnitus symptoms among adult patients.

Background:
Tinnitus, characterized by the perception of sound without an external stimulus, significantly disrupts daily activities, concentration, and quality of life. Caffeine, a commonly consumed stimulant, has shown inconsistent effects on tinnitus, while Ginkgo biloba is widely used in alternative medicine due to its potential neurovascular benefits. Despite their popularity, robust comparative evidence on their effectiveness remains limited.

Objective:
To compare the impact of caffeine and Ginkgo biloba supplementation on tinnitus severity in adults.

Methods:
The study was conducted over six months at the Department of ENT, Saveetha Medical College and Hospital, Chennai. A total of 84 adult patients with tinnitus were randomized into two groups: Group A (n = 42) received 200 mg caffeine capsules daily, and Group B (n = 42) received Ginkgo biloba extract. Symptom severity was assessed using the Tinnitus Handicap Inventory (THI).

Results:
Both treatments led to symptom relief; however, Group B (Ginkgo biloba) reported more substantial improvement in THI scores than Group A.

Conclusion:
Ginkgo biloba showed greater effectiveness than caffeine in reducing tinnitus severity. Larger, multicenter studies are recommended to validate these results.