- Fluid, pus or blood coming from an affected ear.
- Sudden or fluctuating hearing loss.
- Better hearing in one ear than the other.
- Ringing or buzzing in both ears.
- Constant pain in one or both ears.
- Vertigo or dizziness.
- A full or plugged feeling in an ear.
These “are an indication where you wouldn’t want to rush to get an over-the-counter product. You really should see a physician that makes sure that there’s not a medical condition,” says Barbara Kelley, executive director of the Hearing Loss Association of America.
You might even consider consulting an audiologist anyway, although it’s not required, Cameron adds. Audiologists can sell OTC hearing aids and help you fit them.
“I think for many older adults, they do need an audiologist to really measure their level of hearing loss,” she shares. “Particularly for those who might have waited a long time to get a hearing aid, perhaps their hearing loss has progressed and they might need a prescription level of hearing aid instead of the OTC kind.”
Some companies selling OTC hearing aids offer online hearing tests as an option, “but I’ve yet to see how those compare to an in-person assessment of hearing,” Cameron says. “I wish I knew that right now.”
What should I keep in mind when shopping for an OTC hearing aid?
Return policies: The FDA requires that a return policy appear on the packaging of OTC hearing aids. The first device you buy might not adequately address your hearing problems, so it’s important that you know the time period in which you can return it.
“It does take time to adjust to a hearing aid, even if you have a mild or moderate hearing loss. It’s important that the products have a return policy so people have the time to try them out,” Kelley shares. “There’s not a one-size-fits-all for hearing loss, so if I tell you that I just bought this OTC hearing aid and it’s great, it still might not work for you.”
Set up: Many of the new OTC hearing aids require a smartphone to adjust the device.
“Older people might not be savvy about downloading an app or fiddling with their smartphone,” Kelley adds. “It should be clearly labeled on the box if you need an additional piece of equipment like a smartphone to make a device work.”
Battery: The package also should tell you what kind of battery the device uses, Cameron says.
“Some of the older versions of hearing aids have replaceable batteries. Some of the newer ones have rechargeable batteries, where you just plug them in every night,” she adds. “It can be very difficult for older people to take out the batteries or replace the batteries, so understanding that aspect of hearing aids is important.”
Customer support: Before you buy, know what kind of help the company will provide if you have a problem later.
“If you do have problems and want to address your issues, what’s going to be available? Is it only going to be through a website? Do you actually talk to someone? What other support is provided?” Cameron notes. “That varies, I think, from company to company.”
The Hearing Loss Association of America has more on over-the-counter hearing devices. The National Council on Aging offers a buyer’s guide on OTC hearing aids.