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With tapentadol it could be that a strong narcotic dulls all of the senses . . . in my experience, some strong opioids can actually transpose the pitch of music and make it sound different . . . with oxycodone, there is always the possibility of a temporary build up of liquid in the inner and middle ear like I used to get with hydrocodone on rare occasions . . .
What I have noticed and heard about with continuing partial hearing loss is that it is the admixture of ototoxic things -- definitely aspirin and very possibly paracetamol -- with the opioids, not the opioids . . . it seems dose dependent and does go away . . .
