Tinnitus caused by cervical vertebral hyperplasia is considered vertebral artery cervical spondylosis and sympathetic cervical spondylosis, and flunarizine, methylcobalamin, and ethylpiperidinone tablets can be used. 1. Flunarizine: Cervical spondylosis compresses the vertebral artery or stimulates the sympathetic nerves, which can narrow the vertebral artery, leading to insufficient blood supply to the brain, resulting in tinnitus, dizziness and other symptoms, the use of flunarizine can dilate the vertebral artery, thus alleviating the symptoms of tinnitus. Adverse effects of Flunarizine include drowsiness, fatigue, etc. Drivers and machine operators are prohibited, and those who are allergic to the drug are prohibited. 2. Methylcobalamin: Cervical spine hyperplasia compression of sympathetic nerves can stimulate spasm of the vertebral artery, resulting in vertebral artery stenosis, causing tinnitus and other symptoms. The use of methylcobalamin and other neurotrophic drugs can eliminate nerve edema, relieve tinnitus symptoms. Mecobalamin has adverse reactions such as allergy and nausea, and is contraindicated for those who are allergic to the drug. 3. Eperisone tablets: cervical vertebral hyperplasia can cause cervical spine muscle spasm, thus compression of the vertebral artery leading to tinnitus, the use of Eperisone tablets and other muscle relaxants can relieve muscle spasm, release the compression, thus relieving tinnitus symptoms. Ethperisone tablets have adverse reactions such as rash and headache, and are contraindicated in lactating women. All of the above medications should be used under the guidance of a doctor, avoid self-medication. If tinnitus is caused by cervical spine hyperplasia, it is recommended to go to the hospital in time for early and standardized treatment.