Trazodone, primarily an antidepressant with serotonergic properties, is sometimes used off-label for tinnitus management due to its potential to modulate neural activity and reduce perception of phantom sounds. By acting as a 5-HT2A receptor antagonist and serotonin reuptake inhibitor, it may help diminish the neurological hyperactivity associated with tinnitus, potentially providing symptomatic relief for some patients.