Methylcobalamin, as a nutritive nerve drug, can be an adjunctive treatment for neurogenic tinnitus, and its efficacy for tinnitus caused by other reasons is not exact. Tinnitus is a common symptom, caused by many reasons, such as Meniere’s disease, senile tinnitus, cervical spondylosis and so on, the treatment method is also different. Methylcobalamin belongs to the vitamin B complex class of drugs, the efficacy of the drug is mainly nutritional nerves, tinnitus is due to microcirculation disorders in the inner ear, ischemia, hypoxia, caused by nerve damage. For neurotic tinnitus, methylcobalamin nerve-nourishing drugs often play a therapeutic role, and the efficacy varies from person to person. Tinnitus symptoms, the first need to determine the cause of the disease, under the guidance of a professional physician to do targeted treatment, not unauthorized use of drugs, so as not to delay the condition.