u/FightingToHeal

I’ve been taking 300mg for 5 weeks after an acoustic shock. Was already taking Amitriptyline 10mg for another condition, but it’s also one of the frontline meds for acoustic shock.

Took both for 4 weeks, zero issues. Then ended up taking a flexeril 10mg. That day I started having this internal buzzing and vibrating sensation. Hand tremors. Muscle twitching and hyperactive reflexes.

Serotonin syndrome? Or something to do with the gabapentin?

I’ve been taking 10mg amitriptyline for 4 years for pelvic pain.

Recently had an acoustic shock and added 300mg gabapentin. Well, ended up taking a flexeril for some jaw pain and now have these internal vibrations, everything is buzzing, muscles twitching, can’t rest. I think it’s serotonin syndrome, since there’s no other explanation, but I don’t have any of the “severe” side effects.

If I taper off amitriptyline, how much? Water titration? I don’t have a pill cutter. I need to start tonight.

I’ve been taking 10mg amitriptyline for 4 years for pelvic pain.

Recently had an acoustic shock and added 300mg gabapentin. Well, ended up taking a flexeril for some jaw pain and now have these internal vibrations, everything is buzzing, muscles twitching, can’t rest. I think it’s serotonin syndrome, since there’s no other explanation.

If I taper off amitriptyline, how much? Water titration? I don’t have a pill cutter. I need to start tonight.

I made another post recently about how in 2014 I got hyperacusis, recovered from moderate to mild, and lived life until 6/14/26. I went to a concert wearing Peltor earmuffs and everything came back worse, plus now I have CNS issues like racing heart, adrenaline dumps, burning hands and feet. For six weeks I was doing ok, then drove to a specialist appointment 5.25 hours away. The 11 hours of driving in a day did not help, obviously.

Now, for the first time since my setback in June, my sound threshold has collapsed, and little sharp, sudden sounds all "hurt". Cutlerly and plates were already bothersome, but now it's stuff like crinkly packaging, sometimes the click of a mouse, anything sharp/sudden that comes out of nowhere. When those sounds happen, I feel a "surge" in my ear and it feels too loud. A reaction. It is very uncomfortable, but I would not categorize it as noxacusis pain.

Is this something to protect from?? I assume the answer is no. These are ordinary everyday sounds and if I protected from them, I'd have to wear ear plugs all day. But I'm worried these uncomfortable sounds will cause my threshold to further collapse.

Please help me understand this. Also, will my tolerance go back down now after the 11 hours of road noise exposure?

Hey everyone!

I’ll make the backstory brief. Hurt my neck in 2014 and got several head MRIs in short succession. The day after the last one the tinnitus started. Then 6 weeks later, hyperacusis. Both loudness and pain (noxacusis). I also was diagnosed with cns sensitization. Had weird nerve pain in areas where old injuries were (minor). Had lasting pain after a vasectomy.

I would say the H was low side of severe. So I did not go anywhere loud (restaurants, sporting events, etc) for years. Did not fly. But slowly the H got more tolerable. It took me around 5 years to feel “normal” again. Still had H but as long as I used earplugs around loud sound, I was completely fine. I’ve been living a mostly normal life.

Then I fucked up.

Went to Bonnaroo 6/14 to hear one artist. 2.5 hrs of sound wearing Peltor XR earmuffs (32 db). I thought I could handle it. No pain during the show or the rest of the night after.

Next day all hell broke loose.

I started getting full body nerve chills. The hyperacusis came back, both loudness and pain, this time worse. And maybe the worst part: my cns is massively sensitized. I startle at everything. I have burning in the nerves in my hands and feet. My chest burns. I get these adrenaline surges that take over my whole body for no reason. If I watch something negative on social media - adrenaline. Which makes me anxious (have never had anxiety before). Also think I have TTTS. I have burning in my neck and face area, jaw pain, pain in my temples, which radiates down my neck. I’ve had some other trigeminal pain surges, like in my cheek and teeth.

Some nights I can sleep fine. But some nights I get adrenaline surges off and on all night (last night)

I’m taking gabapentin to try to gate my cns down. I have propranolol to try and stop the adrenaline.

Has anyone had anything similar? I really need help figuring out what to. Thank you in advance.