I use these too. And "turning down" is not an option at practice. Our drummers kit, even without triggers, is very loud. We need to turn our VHT/Mesa's up to near-gigging levels for it to sound balanced. I just use the earplugs at both practice or shows most of the time. I unfortunately do have Tinnitus, but I got it at a Type O Negative show, which wasn't even remotely loud. What did me in was sustained harmonic feedback that their guitarist Kenny Hickey kept doing. That can really fuck you up, even if it's not loud.