Severe tinnitus requires prompt medical attention and treatment according to the cause. Tinnitus can be myogenic tinnitus, but also may be purulent otitis media, hypertension, mental psychological factors, etc., can be taken anticholinesterase drugs, nerve stimulants, antibiotics, antihypertensives or sedative drugs, etc. treatment. 1. If the tinnitus is of myogenic origin, which is often caused by spasm of palatine muscle and stapedius muscle, resulting in “gurgling” sound of tinnitus, it can be treated with anticholinesterase or nerve stimulants, such as neostigmine. 2. If the tinnitus is caused by purulent otitis media, it can be treated with antibiotics such as penicillin (amoxicillin clavulanate potassium) and antibiotic drops in the ear, such as levofloxacin hydrochloride ear drops. 3. Tinnitus caused by hypertension should be treated with diuretics such as hydrochlorothiazide and beta-blockers such as metoprolol. 4. psychological stress, mental tension caused by sleep deprivation caused by tinnitus, you can use sedative hypnotic benzodiazepine receptor antagonists such as midazolam, lorazepam and other drugs. There are many other causes of tinnitus, severe tinnitus should be timely to the hospital, under the guidance of the doctor for standardized medication and treatment.