Walker Hearing Clinic Article

What are Ototoxic Medications?

What are Ototoxic Medications?

What are Ototoxic Medications?

Graham Walker

Ototoxic Medication refers to any drug that damages the inner ear resulting in hearing loss, ringing in the ear, or balance disorders. Signs of ototoxicity may show immediately after you start taking medication or they may come on gradually.

There are more than 200 medications known to cause ototoxicity on the market today. These are medications used to treat serious infections, heart disease and cancer. It is possible to reverse any hearing and balance problems caused by ototoxicity once you stop taking medication but sometimes the damage is permanent. Ototoxic medications known to cause permanent damage include aminoglycoside antibiotics, such as gentamicin and cancer chemotherapy drugs, such as cisplatin and carboplatin.


These Symptoms Include:

  • Having tinnitus

  • Having hearing loss (in one or both ears)

  • Having trouble balancing when you’re walking or climbing stairs

  • Having trouble walking at night or in the dark

  • Walking with your legs far apart to maintain balance

  • Perceiving stationary objects around you as moving (oscillopsia)

  • Feeling lightheaded, dizzy or tired

Who is at risk?

There are several factors that can increase your risk of ototoxicity:

  • High doses or long-term use of ototoxic drugs

  • Kidney or hearing problems

  • Genetic predisposition

  • Simultaneous use of multiple ototoxic medications

  • Age

How is Ototoxicity Diagnosed?

Firstly, you will meet with your healthcare specialist who will preform a number of tests on your inner ear depending on your symptoms. If you get prescribed an ototoxic drug, your healthcare specialist may preform periodic tests while you’re taking the medicine. This will determine whether you’re experiencing any of the side effects.

Protecting Your Hearing

If you need a medication that carries a risk of ototoxicity, you don’t necessarily have to avoid it, but you should try to minimize the risk:

  • Hearing test: Have your hearing tested before starting treatment.

  • Regular monitoring: Get periodic hearing tests during treatment.

  • Report symptoms early: The sooner problems are detected, the better the chances of reducing permanent damage.

  • Medication alternatives: Ask if there are non-ototoxic alternatives when appropriate.

  • Stay hydrated and follow dosage instructions carefully.

How is Ototoxicity Treated?

  • Hearing aids: Hearing aids are very useful to improve access to speech and aid communication.

  • Cochlear implants: A cochlear implant is a surgical device used to improve your hearing when hearing aids aren’t enough.

  • Vestibular rehabilitation: A vestibular therapist may be needed to assist with any balance related issues related to the inner ear.

If you or a family member would like to book a consultation, give us a call at (021) 234 1239 or book online.

Ototoxic Medication refers to any drug that damages the inner ear resulting in hearing loss, ringing in the ear, or balance disorders. Signs of ototoxicity may show immediately after you start taking medication or they may come on gradually.

There are more than 200 medications known to cause ototoxicity on the market today. These are medications used to treat serious infections, heart disease and cancer. It is possible to reverse any hearing and balance problems caused by ototoxicity once you stop taking medication but sometimes the damage is permanent. Ototoxic medications known to cause permanent damage include aminoglycoside antibiotics, such as gentamicin and cancer chemotherapy drugs, such as cisplatin and carboplatin.


These Symptoms Include:

  • Having tinnitus

  • Having hearing loss (in one or both ears)

  • Having trouble balancing when you’re walking or climbing stairs

  • Having trouble walking at night or in the dark

  • Walking with your legs far apart to maintain balance

  • Perceiving stationary objects around you as moving (oscillopsia)

  • Feeling lightheaded, dizzy or tired

Who is at risk?

There are several factors that can increase your risk of ototoxicity:

  • High doses or long-term use of ototoxic drugs

  • Kidney or hearing problems

  • Genetic predisposition

  • Simultaneous use of multiple ototoxic medications

  • Age

How is Ototoxicity Diagnosed?

Firstly, you will meet with your healthcare specialist who will preform a number of tests on your inner ear depending on your symptoms. If you get prescribed an ototoxic drug, your healthcare specialist may preform periodic tests while you’re taking the medicine. This will determine whether you’re experiencing any of the side effects.

Protecting Your Hearing

If you need a medication that carries a risk of ototoxicity, you don’t necessarily have to avoid it, but you should try to minimize the risk:

  • Hearing test: Have your hearing tested before starting treatment.

  • Regular monitoring: Get periodic hearing tests during treatment.

  • Report symptoms early: The sooner problems are detected, the better the chances of reducing permanent damage.

  • Medication alternatives: Ask if there are non-ototoxic alternatives when appropriate.

  • Stay hydrated and follow dosage instructions carefully.

How is Ototoxicity Treated?

  • Hearing aids: Hearing aids are very useful to improve access to speech and aid communication.

  • Cochlear implants: A cochlear implant is a surgical device used to improve your hearing when hearing aids aren’t enough.

  • Vestibular rehabilitation: A vestibular therapist may be needed to assist with any balance related issues related to the inner ear.

If you or a family member would like to book a consultation, give us a call at (021) 234 1239 or book online.

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Fill in the form and one of our team will give you a call. No pressure, no obligation, just friendly advice from people who genuinely care.

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Fill in the form and one of our team will give you a call. No pressure, no obligation, just friendly advice from people who genuinely care.

© 2026 Walker Hearing Clinics. All rights reserved.
© 2026 Walker Hearing Clinics. All rights reserved.
© 2026 Walker Hearing Clinics. All rights reserved.
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