Baqiyatallah University of Medical Sciences Hospital Practices and Research 2476-390X 7 3 2022 09 01 Comparing the Efficacy of Amitriptyline and Melatonin on Tinnitus Treatment 115 118 164182 10.34172/hpr.2022.23 EN Ahmad Chitsaz Department of Neurology, School of Medicine, Neurosciences Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-7983-2122 Bahareh Rajol Dezfouli School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Ahmad Rezaeian Head and Neck Surgery, Department of Otolaryngology, School of Medicine, Amin Hospital, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0002-3204-9154 Journal Article 2022 05 02 <strong>Background:</strong> Tinnitus is described as the perception of sounds occurring in one or both ears or inside the human head without external auditory stimuli.<br /><strong>Objectives: </strong>This study aimed to compare the efficacy of amitriptyline and melatonin in the treatment of tinnitus.<br /><strong>Methods: </strong>This study was a randomized double-blind clinical trial of 60 patients referred to the neurology clinics of Kashani and Al-Zahra hospitals in Isfahan, Iran in 2020. Each patient was randomly assigned 1 code. Patients first filled in the THI and VAS questionnaires and were given either one of the two drugs (melatonin and amitriptyline) for 6 weeks. After collecting the desired information using an independent t test and paired t test in SPSS 26 software and error level of 0.05 the results were analyzed.<br /><strong>Results: </strong>Thirty patients were in the amitriptyline group and 30 patients were in the melatonin group, of which 25 were men (41.7%) and 35 were women (58.3%) with a minimum age of 18 years and a maximum of 65 years. There was no significant difference between the reduction of tinnitus before and after taking the drugs based on VAS scale in amitriptyline and melatonin groups (P=0.234), however there was a significant difference between the effect of two amitriptyline and melatonin drugs on the reduction of tinnitus based on the THI questionnaire (P=0.018).<br /><strong>Conclusion: </strong>The rate of tinnitus in patients decreased for 6 weeks with the use of amitriptyline and melatonin, but amitriptyline had a better effect on reducing the complications and pain of tinnitus. https://www.jhpr.ir/article_164182_c632445303b629972c5cfb37e873df9c.pdf