I usually take the valium when I just can't stand it any longer. I also have a script for Ambien, the plain kind not CR. The Ambien will at least allow me to get 3 or 4 hours of sleep.

One of the things that I noticed is that any caffiene based stimulant, like, coffee, tea, diet soda, will really turn the tinnitus up. It also increases my neck pain as well.

I don't know it's just a maddening thing sometimes.