We have published full reviews of six popular tinnitus supplements: Zeneara, NeuroQuiet, SonoVive, Audifort, EchoXen and ZenCortex. This page compares them on what you can check before paying: label, ingredient research, safety, price per month and refund terms. Know up front that Audifort, EchoXen and ZenCortex print the same Supplement Facts panel, so the six contain only four different formulas.
Our picks at a glance
- Zeneara: best overall (our top pick). Lowest price ($39 to $59 a bottle), a 365-day refund and the only ingredients here tested for tinnitus; no published doses.
- NeuroQuiet: best for the lowest interaction risk. Published label, 90-day refund, about 3 micrograms of ingredients a day.
- SonoVive: best for a fully dosed label. Every amount printed; St. John's wort rules it out for many people on medicine.
- Audifort: best of the three identical formulas. 90-day refund and phone support; energy blend with caffeine sources.
- EchoXen: cheapest way to buy the shared formula. $177 for three 60 ml bottles; 60-day refund.
- ZenCortex: same formula, tightest refund. Phone support, but returns must arrive by day 60.
Check Zeneara price on the official site →Opens the brand's official website · money-back guarantee
First, see a doctor
Tinnitus is a sound, such as ringing, buzzing, hissing or humming, that has no outside source. The NIDCD estimates that roughly 1 in 10 U.S. adults has had tinnitus lasting at least five minutes in the past year. It is a symptom, not a disease: age-related hearing loss and noise exposure are the most common causes, but earwax, ear infections, some medicines, jaw problems, high blood pressure and, rarely, a growth on the hearing nerve can all be behind it. Some versions need a doctor or an ear, nose and throat specialist (ENT) before anything else:
- Sudden hearing loss in one or both ears, with or without ringing. This is treated as urgent, because treatment works best when it starts within days.
- Tinnitus in only one ear, or clearly louder on one side.
- Pulsatile tinnitus, a whooshing or thumping in time with your heartbeat, which can point to a blood vessel problem.
- Tinnitus with hearing loss, dizziness, ear pain or discharge, or that started after a head injury or a new medicine.
For long-lasting tinnitus, the options with better evidence than any supplement are hearing aids when there is hearing loss, sound therapy (including wearable sound generators), tinnitus retraining therapy (TRT) and cognitive behavioral therapy (CBT), which helps people be less bothered by the sound. The NIDCD describes these approaches on its tinnitus page. Every product on this page is a dietary supplement, not a treatment for tinnitus or hearing loss.
How we compared
We did not take these products or run a test. This comparison comes from each brand's Supplement Facts label (where one is published), order page, FAQ and refund policy, checked against published research and NIH resources. Every product has a full review on this site, and every fact here comes from those reviews. Prices are those on the official order pages and ClickBank forms when we checked. We used five criteria:
- Label transparency: a Supplement Facts panel, with an amount for each ingredient or a proprietary blend.
- Evidence for tinnitus: any ingredient tested in people with tinnitus, at a similar amount. For all six products it is weak or none.
- Safety and interactions: caffeine, sedating herbs, bleeding risk, herbs that change how drugs work.
- Price per month: price per bottle by package and how long a bottle lasts.
- Guarantee: length, empty bottles, return shipping and whether the brand's pages agree.
Since none wins on evidence, the ranking leans on the other four.
Side-by-side comparison
| Format and label dose | What the label shows | Ingredient tested for tinnitus? | Price per bottle (smallest / 3 / 6) | Guarantee | Main safety flag | |
|---|---|---|---|---|---|---|
| Zeneara | Capsule, 1 a day | No Supplement Facts panel found; 8 ingredients named | Ginkgo and zinc (no clear benefit) | $59 (1) / $49 / $39 | 365 days, even used bottles | Drowsiness (valerian, passion flower); ginkgo and bleeding |
| NeuroQuiet | Spray under the tongue, 6 sprays a day; 30 ml | Full panel: two blends, 3,000 ng (about 3 mcg) total | No | $79 (2) / $69 / $49 | 90 days, empty bottles accepted | Parabens; trace L-dopa bean |
| SonoVive | Capsule, 1 to 2 a day; 30 per bottle | Full panel with every dose | Ginkgo, 50 mg (no clear benefit) | $69 (1) / $59 / $49 | 60 days from delivery, opened or empty | St. John's wort 250 mg: many drug interactions |
| Audifort | Dropper, 1 to 2 ml a day (FAQ: 1); label says 30 ml bottle | Full panel: chromium 0.7 mcg + 200 mg blend of 22 | No | $79 (2) / $69 / $49 | 90 days, empty bottles accepted | Caffeine sources, grapefruit, tryptophan |
| EchoXen | Dropper, 1 to 2 ml a day; 60 ml | Same panel as Audifort | No | $79 (2) / $59 / $49 | 60 days; refund page says not significantly used | Same as Audifort |
| ZenCortex | Dropper, 1 ml twice a day; 60 ml | Same panel as Audifort | No | $79 (2) / $69 / $49 | 60 days; bottles must arrive by day 60 | Same as Audifort, despite "No Stimulants" |
All six are sold through ClickBank as one-time payments with no subscription. The smallest order costs about $168 with shipping for Audifort, EchoXen, ZenCortex and NeuroQuiet (2 bottles), $68.99 for Zeneara and $69 for SonoVive (1 bottle each). See our cheapest tinnitus supplements and longest guarantee comparisons for the detail.
Three of these six are the same formula
The Audifort, EchoXen and ZenCortex labels list the same 0.7 mcg of chromium and the same 200 mg blend of 22 ingredients, in the same order, led by maca, grape seed, guarana, African mango and green tea: an energy and metabolism formula, not a hearing formula. Never buy more than one of the three. Our Audifort vs EchoXen vs ZenCortex comparison covers how they differ on bottle size, price and refund.
1. Zeneara: best overall (our top pick)
Zeneara is a once-a-day capsule with two probiotic strains (L. paracasei, L. brevis), taurine, ginkgo, valerian, passion flower, zinc and vitamin B6. Since no product here has good evidence for tinnitus, the terms carry the most weight, and Zeneara's are the best: the lowest price ($59 for one bottle plus $9.99 shipping, $147 for three, $234 for six) and by far the longest refund, 365 days, which the order page says applies even to used bottles. It also contains the only two ingredients on this list that have been tested in people with tinnitus, ginkgo and zinc, although Cochrane reviews found no clear benefit for either.
The caveats are real. We could not find a Supplement Facts panel with amounts, so neither you nor your doctor can check the doses. We also found no written step-by-step refund procedure: email support@zeneara.com for return instructions before you mail anything. Valerian and passion flower can cause drowsiness, and ginkgo can raise bleeding risk. And the sales copy claims tinnitus was "eliminated in 99.7% of participants" and says hearing aids "just don't work"; neither is supported.
Pros
- 365-day refund, even for used bottles
- Lowest price: $39 to $59 a bottle
- Single bottle available
- Ginkgo and zinc have at least been tested for tinnitus
Cons
- No dosed label found
- No written refund procedure found
- Those two ingredients showed no clear benefit
- Sedating herbs; ginkgo and bleeding risk
- Cure-style claims with no published study
Read our full Zeneara review →
Check Zeneara price on the official site →Opens the brand's official website · money-back guarantee
2. NeuroQuiet: best for the lowest interaction risk
NeuroQuiet is the only spray: 2 sprays under the tongue in the morning and 4 at bedtime, one 30 ml bottle a month. It publishes its label, offers a 90-day refund that covers empty bottles and has phone support seven days a week. The label lists a "Growth Factor Complex" (alpha-GPC, GABA, L-dopa bean, moomiyo) at 2,000 ng and an "HGA Blend" of eight amino acids at 1,000 ng: about 3 micrograms a day.
That tiny amount is why it ranks second: of the six, it is the least likely to cause side effects or interact with medicines, and it has no caffeine sources. It cuts both ways, since amounts that small give little reason to expect any effect, and no ingredient has tinnitus research. It contains parabens, and its shipping page says 60 days, so start any return early.
Pros
- Lowest interaction concern of the six
- Published label
- 90-day refund, empty bottles included
- Phone support every day
Cons
- About 3 mcg of ingredients a day
- No ingredient tested for tinnitus
- Contains parabens
- Smallest order is 2 bottles ($167.95)
Read our full NeuroQuiet review →
Check NeuroQuiet price on the official site →Opens the brand's official website · money-back guarantee
3. SonoVive: best for a fully dosed label
SonoVive is the most transparent product here. Per capsule: St. John's wort 250 mg, L-glutamine 150 mg, phosphatidylserine 4% complex 125 mg, bacopa 120 mg, ginkgo 50 mg, N-acetyl L-carnitine 50 mg, vinpocetine 2 mg and huperzine A 10 mcg. It is a brain and memory formula, mostly below studied doses, and its ginkgo did not beat placebo for tinnitus in trials. One bottle is $69 with free US shipping, and the 60-day refund counts from delivery.
It ranks third because its doses are real enough to matter: St. John's wort weakens many medicines, including birth control pills, some antidepressants, warfarin and digoxin, and the FDA advises against vinpocetine in pregnancy.
Pros
- Every dose printed on the label
- Free US shipping on every package
- Single bottle for $69
- Refund counted from delivery
Cons
- St. John's wort 250 mg: many drug interactions
- Ginkgo did not help tinnitus in trials
- Most doses below studied amounts
- 60-day refund
Read our full SonoVive review →
Check SonoVive price on the official site →Opens the brand's official website · money-back guarantee
4. Audifort: best of the three identical formulas
Audifort's published panel lists chromium 0.7 mcg and a 200 mg blend of 22 ingredients, none with tinnitus research, including guarana and green tea (caffeine), grapefruit extract and L-tryptophan. Of the three brands selling this formula, it has the best terms: the order page, return policy, terms and ClickBank form all give 90 days, empty bottles included, with a written RMA process and phone support every day. It ranks below NeuroQuiet, which has the same price and refund with fewer interaction concerns, and below SonoVive, which publishes every dose. Check two details: the shipping page says 60 days, and the label says 30 ml while photos show 60 ml.
Pros
- 90-day refund, empty bottles included
- Published Supplement Facts panel
- Phone support seven days a week
Cons
- No ingredient tested for tinnitus
- Caffeine sources, grapefruit and L-tryptophan
- Smallest order is 2 bottles ($167.95)
- Bottle size differs between label and photos
Read our full Audifort review →
Check Audifort price on the official site →Opens the brand's official website · money-back guarantee
5. EchoXen: cheapest way to buy the shared formula
EchoXen has the same panel as Audifort and ZenCortex, in a 60 ml bottle, with three bottles at $177 against $207 for the other two brands. At one dropper a day, which the label allows, a bottle lasts about two months. It ranks below Audifort on terms: a 60-day refund whose policy says items must "not be significantly used", email-only support, and a website that cites herbs not in the bottle.
Pros
- Same published panel as Audifort
- 60 ml bottle
- $177 for 3 bottles
Cons
- No ingredient tested for tinnitus
- 60-day refund with "not significantly used" wording
- Email-only product support
Read our full EchoXen review →
Check EchoXen price on the official site →Opens the brand's official website · money-back guarantee
6. ZenCortex: same formula, tightest refund
ZenCortex is the same blend in a 60 ml bottle taken as one dropper twice a day, about a month per bottle, at Audifort's prices and with phone support every day. The refund is 60 days with empty bottles accepted, but returns must arrive within 60 days of purchase, the tightest window here. Its "No Stimulants" badge does not fit a label with guarana and green tea.
Pros
- Same published panel as Audifort
- Phone support every day
- Empty bottles accepted
Cons
- No ingredient tested for tinnitus
- Returns must arrive by day 60
- "No Stimulants" despite caffeine sources
Read our full ZenCortex review →
Check ZenCortex price on the official site →Opens the brand's official website · money-back guarantee
What the research says about tinnitus supplements
None of these products has a published clinical trial of its finished formula. What exists is research on individual ingredients, and for tinnitus it is thin:
- Ginkgo (in Zeneara and SonoVive) is the most tested herb for tinnitus. A 2022 Cochrane review of 12 trials with about 1,900 people found little or no difference from placebo, based on low to very low certainty evidence.
- Zinc (in Zeneara) has also been tried; a 2016 Cochrane review found no evidence that it improves tinnitus in adults.
- The shared Audifort, EchoXen and ZenCortex blend (guarana, green tea, African mango, raspberry ketones, gymnema, maca and others) is a classic energy and metabolism mix. We found no tinnitus trials for any of its 22 ingredients, and they share only 200 mg per serving.
- NeuroQuiet's ingredients (alpha-GPC, GABA, L-dopa bean, moomiyo and amino acids) have no tinnitus trials either, and the label lists about 3 micrograms of them a day.
- SonoVive's other ingredients (St. John's wort, bacopa, phosphatidylserine, vinpocetine, huperzine A) are memory and mood ingredients, mostly below the amounts used in studies.
Put plainly: no product here has good evidence that it reduces tinnitus. That is why we rank on label, safety, price and refund terms, and why the doctor section above comes first.
Our verdict
No supplement here has good evidence for tinnitus, and none replaces an ear check, hearing aids where needed, sound therapy, TRT or CBT. If you still want to try one, Zeneara is our top pick because it costs the least and gives you a full year to ask for your money back; ask support for written return instructions first, and know that its doses are not published. Choose NeuroQuiet if you take several medicines and want the lowest interaction risk, SonoVive if you take no prescription medicine and want every dose, and Audifort if you want the shared dropper formula. Before you start, rate your tinnitus weekly and put the refund deadline in your calendar.
Check Zeneara price on the official site →Opens the brand's official website · money-back guarantee
Frequently asked questions
What is the best supplement for tinnitus?
No supplement has strong evidence for tinnitus. Of the six we have reviewed, Zeneara ranks first on price and refund terms (365 days, even for used bottles), not because its ingredients are proven. Hearing aids when there is hearing loss, sound therapy, TRT and CBT have better evidence.
Do tinnitus supplements actually work?
The evidence is weak. Ginkgo, the most tested herb, showed little or no benefit over placebo in a 2022 Cochrane review of 12 trials, and a Cochrane review found no evidence that zinc helps. The other ingredients in these products have not been tested for tinnitus at all.
Are Audifort, EchoXen and ZenCortex the same?
Their Supplement Facts panels list the same 0.7 mcg of chromium and the same 200 mg blend of 22 ingredients in the same order. They differ in bottle size, dose instructions, price at 3 bottles and refund length.
Which tinnitus supplement has the longest money-back guarantee?
Zeneara, at 365 days, which its order page says applies even to used bottles. Audifort and NeuroQuiet offer 90 days; EchoXen, ZenCortex and SonoVive offer 60.
Which tinnitus supplement is safest with medications?
NeuroQuiet lists about 3 micrograms of ingredients a day, so interactions are very unlikely. SonoVive is the riskiest: 250 mg of St. John's wort per capsule weakens many medicines. Zeneara contains ginkgo and sedating herbs. Show any label to your pharmacist first.
When should I see a doctor about tinnitus?
Right away for sudden hearing loss, and soon for tinnitus in one ear, pulsing tinnitus, or tinnitus with hearing loss, dizziness, ear pain or discharge. The NIDCD recommends starting with a doctor or ENT.
Related reading
ReviewZeneara review
What Zeneara contains, what research says about each ingredient for tinnitus, which claims go too far, what it costs and how the 365-day refund works.
Read more →
ReviewNeuroQuiet review
What the NeuroQuiet label really lists, why its nanogram doses matter, what research says for tinnitus, who should ask a doctor first, what it costs and how the 90-day refund works.
Read more →
ReviewSonoVive review
The full SonoVive label with doses, what research says about each ingredient for hearing, the medicine interactions to know, what it costs and how the 60-day refund works.
Read more →
ReviewAudifort review
What the Audifort label really lists, what research says about each ingredient for tinnitus, who should ask a doctor first, what it costs and how the 90-day refund works.
Read more →
ComparisonAudifort vs EchoXen vs ZenCortex
Three brands, one Supplement Facts panel. How they differ on bottle size, dose, price, refund and support.
Read more →
Best ofBest tinnitus drops and sprays (2026)
NeuroQuiet, Audifort, EchoXen and ZenCortex compared: a nanogram spray and three droppers with one shared formula.
Read more →
Buy it from the official store so the guarantee applies, and keep your order email until you decide.
Check Zeneara price on the official site →Opens the brand's official website · money-back guaranteeSources
- Zeneara official order page (zeneara.com), shipping and returns page, terms and ClickBank order forms, accessed October 2026, as summarized in our Zeneara review
- NeuroQuiet official order page, Supplement Facts label, FAQ, return, shipping and terms pages and ClickBank order forms, accessed October 2026, as summarized in our NeuroQuiet review
- SonoVive official text presentation, Supplement Facts label, FAQ, references, refund, shipping and terms pages (sonovive.com) and ClickBank order form, accessed October 2026, as summarized in our SonoVive review
- Audifort official order page, Supplement Facts label, FAQ, return, shipping and terms pages (audisoothe.com and audifort.com) and ClickBank order form, accessed October 2026, as summarized in our Audifort review
- EchoXen official website (goechoxen.com): order section, Label page, refund policy, contact page and order confirmation page, plus the ClickBank order form, accessed October 2026, as summarized in our EchoXen review
- ZenCortex official order page, Supplement Facts label, FAQ, return, shipping and terms pages (zencortex24.com) and ClickBank order form, accessed October 2026, as summarized in our ZenCortex review
- NIDCD: Tinnitus. nidcd.nih.gov/health/tinnitus
- NIDCD: Sudden Deafness. nidcd.nih.gov/health/sudden-deafness
- NIDCD: Hearing Aids. nidcd.nih.gov/health/hearing-aids
- Sereda M, et al. Ginkgo biloba for tinnitus. Cochrane Database of Systematic Reviews, 2022. cochranelibrary.com
- Person OC, et al. Zinc supplementation for tinnitus. Cochrane Database of Systematic Reviews, 2016.
- NCCIH: Ginkgo. nccih.nih.gov/health/ginkgo
- NCCIH: St. John's Wort. nccih.nih.gov/health/st-johns-wort
- NCCIH: Valerian. nccih.nih.gov/health/valerian
- NCCIH: Green Tea. nccih.nih.gov/health/green-tea
- FDA: Vinpocetine in Dietary Supplements. fda.gov