I have had it my whole life and when it gets really loud is very hard to cope, sleep, breathe and hear. It has gotten me to the point where I think I am going crazy and that others can hear it coming from my ears many occasions! I recently had a trip that took me on an airplane which on way back it was at it's worst. After having no sleep, lots of stress, altitude change- the loudest ringing with pain, dizziness and constant feeling and fear that both ears were going to burst for over a day I tried Xanax and to my surprise 2mg of it finally helped me sleep and the pain and ringing lessen. I know there are many different types and causes of tinnitus but one constant seems to be with everyone I have seen or talked to about this - stress + anxiety are one of everyones symptoms or stressors. So alprazolam, lorazepam or clonezepam Is a great way to try to help treat it or make it copable! Over 30 years of having these issues my tinnitus and issues have gotten progressively worse- hearing loss, increased volume of ringing, pain and pressure increased, dizziness etc. It was the most amazing feeling to have some relief My doctor is amazing that had me try the alprazolam!!! I will keep it on hand for future bad episodes!! I don't know if this helps any one but I will write what my long list of medical problems are that after a devastating accident I have been told are my problems and some may have been there my whole life and associated with my tinnitus that may now  have become minears(getting tested). 1. TMJ   2. Degenerative disc disease   3. Auto immune thyroid   4. Auto immune Liver  5.. Arthritis.  6. Auto immune undifferentiated connective tissue disease.   7. Fibromyalgia. 8. Anxiety.   9. Depression   10. Tinnitus.  11. Migraines. 12. Spine issues.  13. Sciatica. 14. Pleurisy  15. Hearing loss past few years   16. Glaucoma and vision issues.( Past five to ten years)   I had thyroid problems diagnosed 18 years ago during pregnancy and pleurisy a few years later. Tinnitus , migraines , anxiety and depression from childhood over 40 yrs ago.  The rest I found out about in 2011 when I was forced to go to the doctor when a machine crushed my back at work and after many appointments, referrals, MRIs, blood tests etc I found out about the rest. I don't know if anyone has the same issues but may be worth commenting and comparing medical problems or what helped with your tinnitus. Alprazolam (Xanax) helped with mine. It's not gone but at it's extreme it helps!!! Took me 30 years and a week to find something that works me!! Hope it helps you!