New Member And few questions on First Tube Amp.

Also, have you tried gabapentin for tinnitus? A friend uses it, its prescription

Another prescription that helps with sleep is Remeron, generic is Mirtazapine.

Haven't heard the Primaluna but from what I have heard and combined with my personal experience I'm with the guys who commend it. In general you will probably be better served going for gear that emphasizes depth of sound stage with a touch of reticence even. As opposed to presence or forwardness, either of which can accentuate or trigger ringing. 

Another few things you will probably like: Koetsu, Herron VTPH-2A (fantastic- need to hear it to believe it) and Synergistic Research HFT's. Especially the HFT's! With a little patience and experimentation these amazing little gizmo's will allow you to fine-tune your presentation to an amazing degree. Just to give you some idea, just one placed above each tweeter shifted the sound stage back a good 5 to 10 feet! While at the same time imparting a very laid back yet still musically engaging sound. I didn't like it and found it too much of a good thing for me. But you might find it greatly reduces ringing. Or in any case you just move them, only takes a minute. Nothing else on the market even remotely near this level of tunability.

I changed all of these and while tinnitus wasn't the reason I have noticed it a lot less bothersome after having done them. Hope you get the Primaluna and enjoy it as a sweet integrated like that would seem to be the next logical step for me as well.

It may be helpful if the amp u get allows listening in triode or ultralinear modes. I find triode to be a little more laid back, highs not as edgy, but still detailed with more space and air between instruments. Ultralinear on some recordings, can sound a little accentuated and congested. Some Primaluna power amps and integrated amps allow both via the remote as well as volume control. 

I bought my first tube amp about six months ago, demoed B.A.T., Rogue, and PrimaLuna, bc that's what my local dealers had in my price range, and would have been happy with any of these, however, found a good deal on a used B.A.T. VK-55 which I am greatly enjoying.  I didn't need an integrated as I have a single source w/ volume control.  All that being said, I was impressed with what PrimaLuna has to offer, and there's a lot to be said for sticking with a local dealer's offering.  I don't think you can go wrong, OP!