There are many causes of tinnitus, such as otitis media, Meniere’s disease, acoustic neuroma, etc. If it is related to neurological disorders, usually choose methylcobalamin, if it is caused by autonomic dysfunction, you can use ghrelin, and the specific efficacy of the treatment varies from person to person. 1. Otitis media: when there is otitis media, tinnitus and itching of the ear canal, pus, hearing loss and other symptoms, you can use ceftazidime, levofloxacin ear drops and other medicines, at this time, generally do not need to use nutritive nerve drugs. 2. Ménière’s disease: it is a kind of neurological disease, episodic disease, manifested as dizziness, tinnitus, ear swelling and other discomforts, which can be treated with medicines, such as betahistine, flunarizine and other medicines, and methylcobalamin can play the role of nutritive nerves. 3. Auditory neuroma: this is a kind of benign tumor, tinnitus, hearing loss, vertigo and other symptoms, need to improve the cranial MRI examination to make a clear diagnosis, need to carry on the surgical treatment, after the operation, you can use the nutritive nerve drugs, such as methylcobalamin. 4. Autonomic dysfunction: related to personal tension and anxiety, poor work and rest habits, there may be a variety of manifestations, such as tinnitus, chest tightness, headache, dizziness, insomnia, etc. If women are in the menopausal syndrome, you can also use ghrelin to regulate the autonomic nervous system, to alleviate the tinnitus effect. Methylcobalamin and glutamine can play a role in regulating nerve function, methylcobalamin is generally used to treat peripheral nerve injury, glutamine can regulate autonomic dysfunction, you need to follow the doctor’s instructions according to the type of disease standardized use, do not blindly use their own medication.