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Evidence rating: Preliminary — one ingredient has ear-relevant randomized data, several have solid evidence for entirely different conditions, and most have none for hearing
What Quietum Plus Claims To Be
Quietum Plus is a two-capsule daily formula sold for ear health and tinnitus relief — quieting the ringing, supporting the auditory nerve, protecting the inner ear. Twenty-two ingredients, sixty capsules, one month.
We are going to do something unusual in this review and lead with the ingredient list rather than the claim, because once you read the label the product becomes a different conversation than the marketing suggests.
What’s Actually In It
Quietum Plus discloses doses for several ingredients, which is more than most competitors manage:
With stated amounts: Red clover (400 mg), sage leaf (200 mg), black cohosh (160 mg), dong quai (150 mg), licorice (150 mg)
Named without amounts: Mucuna pruriens, maca root, epimedium, Tribulus terrestris, ginkgo biloba, ginger, damiana, catuaba powder, ashwagandha, piperine, sarsaparilla root, asparagus, vitamin A, B-complex vitamins, zinc, plus a proprietary blend containing L-tyrosine and L-arginine
Now look at the four largest disclosed doses: red clover, sage leaf, black cohosh, dong quai. Those are not ear ingredients. They are the four most recognizable botanicals in menopausal symptom relief, and they occupy the top of this label by weight. Add epimedium, maca, damiana, catuaba, tribulus and Mucuna pruriens and you have a formula that reads, ingredient for ingredient, like a hormonal-and-libido blend that has been repositioned for tinnitus.
That is not an accusation of anything unsafe. It is simply what the label says, and you should know it before you buy.
What The Research Shows
According to PubMed, the ear-specific evidence in this formula rests almost entirely on one ingredient.
Ginkgo is the ear ingredient here, and it has pooled randomized support. A 2026 systematic review and meta-analysis of nine randomized controlled trials in 2,394 adults with dizziness from central neurological causes found ginkgo extract significantly reduced dizziness severity on both an 11-point box scale and a VAS, with moderate-certainty gains in daily function and quality of life. Participants taking ginkgo also had a significantly lower risk of tinnitus than controls (OR 0.37, 95% CI 0.22–0.63). The authors caution that most data came from dementia populations and heterogeneity was substantial. DOI
In a tinnitus trial, ginkgo reduced the distress but not the sound. A prospective randomized study in 46 adults with subjective tinnitus used ginkgo extract as the comparison arm against ginkgo plus St. John’s wort over 12 weeks. The ginkgo-only group showed a statistically significant fall in Tinnitus Handicap Inventory score from 30.5 to 25.6, while the combination group did not improve significantly. Crucially, neither group changed on the tinnitogram minimum masking level — the objective measure of the ringing itself was unmoved. DOI
Ashwagandha’s evidence is real, and it is about stress. A systematic review and meta-analysis of nine randomized controlled trials in 558 patients found ashwagandha significantly improved Perceived Stress Scale scores (MD −4.72), Hamilton Anxiety Scale scores (MD −2.19), and serum cortisol (MD −2.58) versus placebo, with mild-to-moderate adverse events reported in four studies. Since tinnitus burden tracks distress far more closely than it tracks loudness, this is a defensible indirect inclusion — but it is an anxiety ingredient, not an ear one. DOI
The two biggest ingredients by weight failed their own trial. A well-designed phase II randomized trial from the UIC Center for Botanical Dietary Supplements Research compared black cohosh and red clover against conjugated equine estrogen/medroxyprogesterone and placebo for menopausal symptoms. Neither botanical reduced vasomotor symptoms. The published discussion is an analysis of why a rigorous study of these two plants showed no benefit. Red clover (400 mg) and black cohosh (160 mg) are the two largest disclosed doses in Quietum Plus, and the best trial of that pair — for the condition they are actually meant to address — was negative. DOI
The wider phytoestrogen literature confirms what these plants are for. A systematic review of 33 high-quality randomized clinical trials examined phytoestrogens including red clover, black cohosh, soy, hops and ginseng, and found improvement in urogenital menopause symptoms, vaginal atrophy, urinary complaints and sexual function. It is a genuinely positive review — for menopause. Hearing appears nowhere in it. DOI
The Honest Verdict
What holds up: Ginkgo biloba earns its place. It has pooled randomized data showing reduced dizziness, a tinnitus signal in that same meta-analysis, and one trial where the ginkgo arm significantly reduced tinnitus handicap scores. Ashwagandha is well supported for stress and cortisol, which matters indirectly for how much tinnitus intrudes. Both are cheap and well tolerated.
What doesn’t: The bulk of this formula by disclosed weight is phytoestrogenic and libido botanicals with no evidence for hearing at all — and in the case of red clover and black cohosh, a negative rigorous trial even for their intended use. The single tinnitus trial we found showed ginkgo improving the bother rather than the measured sound. And ginkgo’s own dose is not disclosed, so you cannot tell how much of the one ingredient with ear-relevant evidence you are actually getting.
Who this makes sense for: Honestly, a narrow group. A perimenopausal or postmenopausal woman with mild tinnitus who would also take these botanicals anyway might find the overlap convenient. Anyone whose only goal is tinnitus would get more of what works, at a verifiable dose, from a standalone standardized ginkgo product.
Who should skip it: Anyone with a hormone-sensitive condition — breast, ovarian or uterine cancer history, endometriosis, fibroids — should not take a formula this heavy in phytoestrogens without oncology or gynaecology input. Skip if you take blood thinners (ginkgo), have liver concerns or high blood pressure (licorice raises it), or are pregnant. And sudden, one-sided, or vertigo-accompanied hearing changes need an ENT this week, not a supplement.
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This article is for informational purposes only and is not medical advice. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. These statements have not been evaluated by the Food and Drug Administration. Talk to your physician or audiologist before starting any supplement, especially if you have a diagnosed condition or take medication.
Research cited via PubMed: