Hearing Difficult

Started with ringing left ear- keepin me up last few nights
Been taking meds for sinus trouble last 8 weeks as well but last week up to different level. Hearing affected in last week - pulsating and tunnel like.

I take Taladafil and Opsumit for PAH ( Scleraderma
Limited induced) my PAH is mild w exertional sob.
PAH dx in Jan/2022- started on meds in February.
Any thoughts?
Have to call dr’s…and get sinus vs PAH med insigght…