Quietum Plus contains over a dozen herbal extracts, vitamins, and minerals. The manufacturer does not disclose the exact amount of each ingredient, which prevents direct comparison to the doses used in clinical trials. Understanding what is actually in the product, and what research shows about each component, is the only way to evaluate whether it has any evidence supporting its use for tinnitus.

The short answer

Quietum Plus is marketed as containing Epimedium, Tribulus Terrestris, Catuaba, Dong Quai, Ashwagandha, Ginger, Maca Root, Mucuna Pruriens, Asparagus, Sarsaparilla, Ginkgo biloba, vitamins A and B, and Zinc. Because it is a proprietary blend, the exact doses are not disclosed. The individual ingredients have weak or negative evidence for tinnitus. No combination of weak ingredients becomes strong just by mixing them together.

The proprietary blend problem

Quietum Plus uses a proprietary blend, meaning the manufacturer keeps the formula secret and discloses only that the ingredients are present, not how much of each is used. This is a legitimate business practice. It is also a scientific problem: the exact dose is what determines whether an ingredient might have any effect.

A clinical trial of Ginkgo biloba for tinnitus might use 120 mg twice daily. If Quietum Plus contains a proprietary blend with ginkgo listed as the third or fourth ingredient, you have no way to know whether it contains 120 mg, 12 mg, or 1 mg. You cannot evaluate whether the product matches the dose that was tested.

The herbal extracts in Quietum Plus

Quietum Plus includes several traditional Chinese medicine and Ayurvedic herbs. Here is what the evidence shows:

Ginkgo biloba is one of the most studied herbal supplements. The Cochrane Library systematic review examined multiple randomized placebo-controlled trials of ginkgo for tinnitus. The conclusion: no reliable evidence that ginkgo reduces tinnitus compared to placebo. The AAO-HNS clinical practice guideline explicitly recommends against ginkgo for tinnitus based on this evidence.

Dong Quai (Angelica sinensis) is used in traditional Chinese medicine for blood flow support. The evidence base for tinnitus is minimal. More importantly, Dong Quai has antiplatelet activity and can increase bleeding risk when combined with anticoagulants like warfarin or antiplatelet drugs like aspirin or clopidogrel. If you take blood thinners, this ingredient requires caution.

Ashwagandha is an adaptogenic herb studied in a small number of trials for various conditions. A comparative trial found that ashwagandha and ginkgo showed similar modest improvements in tinnitus scores over six months compared to baseline, but no independent control group was included in how the results are typically reported. The evidence is preliminary and does not establish efficacy.

Ginger contains compounds with anti-inflammatory properties in laboratory settings. Clinical trial evidence for tinnitus is absent. Ginger also has antiplatelet effects and can increase bleeding risk with anticoagulants.

Tribulus Terrestris, Epimedium, Maca Root, and Catuaba are included in many sexual-function and energy supplements. Clinical evidence for tinnitus or hearing loss is essentially nonexistent.

Mucuna Pruriens contains levodopa (L-DOPA), which is relevant to Parkinson’s disease but is most commonly discussed for dopamine support and movement. The connection to hearing or tinnitus is theoretical. Evidence is lacking.

The vitamin and mineral components

Zinc is necessary for normal immune and sensory function. Zinc deficiency impairs hearing. However, supplementing zinc in people who are not deficient does not improve hearing or tinnitus. Zinc supplementation shows benefit only in people who are genuinely zinc-deficient, a condition identified by blood testing.

B vitamins (B6, B12, folate, and others) are necessary for nerve function. Deficiency impairs hearing and tinnitus perception. Supplementing B vitamins in non-deficient people is not shown to improve tinnitus.

Vitamin A supports inner ear function. Again, deficiency matters; supplementation in non-deficient people is not shown to improve tinnitus.

Why ingredient lists can be misleading

A formula that lists many well-known ingredients can look impressive on paper. The implied claim is that more ingredients equals more effectiveness. The evidence does not support this logic. A supplement containing 15 ingredients with weak or absent evidence for a condition is not stronger than a single well-studied ingredient at a proven dose.

Formula stability and variations

Quietum Plus formulations have shifted over time. The ingredient list you see on one website may not match what you receive in the bottle due to manufacturing changes, reformulations, or supply chain substitutions. Always read the label on the actual product you receive rather than relying solely on advertised ingredient lists.

Safety and interactions

If you take anticoagulants (warfarin), antiplatelet drugs (aspirin, clopidogrel), or other blood-thinning medications, multiple ingredients in Quietum Plus (Dong Quai, Ginger, Ginkgo) carry interaction risk. Discuss with your doctor or pharmacist before use.

If you have diabetes and take blood-sugar-lowering medications, some ingredients (like Fenugreek, which is in some Quietum Plus formulations) may lower blood sugar further and require medication adjustment.

The bottom line

The ingredients in Quietum Plus are real plant extracts and vitamins. Their individual evidence for tinnitus is weak to absent. The proprietary blend prevents knowing whether effective doses are present. No published trial of the finished formula exists.

Before assuming an ingredient list indicates effectiveness, ask: what clinical trial showed this combination, at these (unknown) doses, reduces tinnitus? The answer is no such trial exists.

Frequently asked

Questions readers ask

What are the ingredients in Quietum Plus?
Quietum Plus contains a proprietary blend of herbal extracts, vitamins, and minerals. The reported ingredients include Epimedium, Tribulus Terrestris, Catuaba Powder, Dong Quai, Damiana, Ashwagandha, Ginger, Maca Root, Mucuna Pruriens, Asparagus extract, Sarsaparilla Root, Ginkgo biloba, Vitamin A, B-Complex vitamins, and Zinc. Because it is a proprietary blend, the exact amount of each ingredient is not fully disclosed.
Why does Quietum Plus use a proprietary blend instead of listing individual amounts?
Proprietary blends allow manufacturers to keep their formula confidential from competitors. The trade-off is that you cannot compare the doses in Quietum Plus against the amounts used in clinical trials. This makes it impossible to know whether the product contains enough of any ingredient to match the doses that showed any benefit (if any existed) in studies.
Is Ginkgo biloba in Quietum Plus effective for tinnitus?
Ginkgo biloba is one of the most studied supplements for tinnitus. The Cochrane systematic review of multiple randomized controlled trials concluded that ginkgo showed no benefit over placebo for tinnitus. Ginkgo is included in many tinnitus supplements because of its theoretical role in blood flow, but the clinical evidence does not support its use for this condition.
Do the ingredients in Quietum Plus interact with medications?
Yes, several ingredients can interact with common medications. Dong Quai increases bleeding risk when combined with anticoagulants like warfarin or antiplatelet drugs like aspirin. Ginger and Ginkgo also have antiplatelet effects. If you take blood thinners or antiplatelet medications, discuss Quietum Plus with your doctor before use.

Primary sources

Where this comes from

Educational use only.

If your symptoms persist or change, see a licensed audiologist or otolaryngologist. Sudden hearing loss is a medical emergency, see a clinician within 72 hours.

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