Aspirin, Acetaminophen and NSAID's Increase Male Hearing Loss Risk
Author: Elsevier Health Sciences
Published: 2010/03/01 - Updated: 2025/09/24
Publication Details: Peer-Reviewed, Research, Study, Analysis
Category Topic: Pharmaceuticals - Academic Publications
Page Content: Synopsis - Introduction - Main - Insights, Updates
Synopsis: This research, published in the peer-reviewed American Journal of Medicine, found that regular use of aspirin, acetaminophen, and NSAIDs significantly increases the risk of hearing loss in men, particularly those under 60. Drawing on data from over 26,000 men followed for 18 years, the study showed younger regular users faced up to nearly double the risk compared to non-users. As hearing loss already affects over 36 million Americans and can lead to isolation and reduced quality of life, this evidence is both authoritative and valuable for clinicians, seniors, and individuals with disabilities who may rely on these common pain relievers - Disabled World (DW).
Introduction
In a study published in the March 2010 issue of The American Journal of Medicine, researchers determined that regular use of Aspirin, acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) increases the risk of hearing loss in men, particularly in younger men, below age 60.
Main Content
Hearing loss is the most common sensory disorder in the US, afflicting over 36 million people. Not only is hearing loss highly prevalent among the elderly, but approximately one third of those aged 40-49 years already suffer from hearing loss. Even mild hearing loss can compromise the ability to understand speech in the presence of background noise or multiple speakers, leading to social isolation, depression, and poorer quality of life.
Investigators from Harvard University, Brigham and Women's Hospital, Vanderbilt University and the Massachusetts Eye and Ear Infirmary, Boston looked at factors other than age and noise that might influence the risk of hearing lose. Aspirin, acetaminophen, and ibuprofen are the 3 most commonly used drugs in the US. The ototoxic effects of aspirin are well known and the ototoxicity of NSAIDs has been suggested, but the relation between acetaminophen and hearing loss has not been examined previously. The relationship between these drugs and hearing loss is an important public health issue.
Study participants were drawn from the Health Professionals Follow-up Study, which tracked over 26,000 men every 2 years for 18 years. A questionnaire determined analgesic use, hearing loss and a variety of physiological, medical and demographic factors.
For aspirin, regular users under 50 and those aged 50-59 years were 33% more likely to have hearing loss than were non-regular users, but there was no association among men aged 60 years and older.
For NSAIDs, regular users aged under 50 were 61% more likely, those aged 50-59 were 32% more likely, and those aged 60 and older were 16% more likely to develop hearing loss than non-regular users of NSAIDs.
For acetaminophen, regular users aged under 50 were 99% more likely, regular users aged 50-59 were 38% more likely, and those aged 60 and older were 16% more likely to have hearing loss than non-regular users of acetaminophen.
Writing in the article, Sharon G. Curhan, MD, ScM, Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Boston, and colleagues state:
"Regular use of analgesics, specifically aspirin, NSAIDs, and acetaminophen, might increase the risk of adult hearing loss, particularly in younger individuals. Given the high prevalence of regular analgesic use and health and social implications of hearing impairment, this represents an important public health issue."
The article is "Analgesic Use and the Risk of Hearing Loss in Men" by Sharon G. Curhan, MD, ScM, Roland Eavey, MD, Josef Shargorodsky, MD, Gary C. Curhan, MD, ScD. It appears in The American Journal of Medicine , Volume 123, Issue 3 (March 2010) published by Elsevier.
Insights, Analysis, and Developments
Editorial Note: The findings highlight the importance of balancing pain management with long-term health risks. While these medications are widely used, particularly among older adults and people with chronic conditions, awareness of their potential to impair hearing should guide both prescribing practices and patient decisions. Further research and patient education are vital to minimize unintended harms from routine analgesic use - Disabled World (DW).Attribution/Source(s): This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Elsevier Health Sciences and published on 2010/03/01, this content may have been edited for style, clarity, or brevity.