Which medication is NOT typically associated with ototoxicity?

The medication that is not typically associated with ototoxicity is penicillin. Penicillin is a widely used antibiotic that works by inhibiting bacterial cell wall synthesis. Its side effects are generally related to hypersensitivity reactions such as rash, anaphylaxis, or gastrointestinal disturbances, rather than auditory or vestibular dysfunction.

In contrast, aminoglycosides, such as gentamicin and tobramycin, are well-known for their potential to cause ototoxicity, particularly with prolonged use or in high doses, as they can damage the sensory hair cells in the cochlea and vestibular system.

Furosemide, a loop diuretic, can also cause hearing loss, especially when used in high doses or in patients with renal impairment, as it can lead to electrolyte imbalances and directly affect the inner ear.

High-dose aspirin has been associated with tinnitus and hearing loss at elevated levels, indicating its potential ototoxic effects.

Thus, the risk of ototoxicity is notably absent with penicillin, making it the correct answer among the listed medications.