If tinnitus is physiologic in the elderly, it usually does not need to be treated with medication. If it is caused by cerumen impaction, otitis media, Meniere’s disease, etc., it can be treated with hydrogen peroxide solution, erythromycin and other drugs as prescribed by the doctor. 1. Physiological tinnitus: Physiological tinnitus in the elderly is related to aging and excessive mental stress, and usually requires no medication or special treatment. 2. Cerumen impaction: If cerumen impaction is caused by cerumen impaction, the elderly can follow the doctor’s instructions to soften the cerumen in the ear canal with water-based agents such as hydrogen peroxide solution and oil-based agents such as olive oil, and cooperate with the doctor in cerumen hook removal, flushing, and suction method of treatment. 3. otitis media: otitis media will lead to tinnitus in some elderly people, can be prescribed antibiotic treatment with erythromycin, cefozoxime, etc., and acute patients can also add dexamethasone, prednisone and other glucocorticosteroid treatment. Some patients can also be prescribed local use of phenol glycerin ear drops, 3% hydrogen peroxide solution, ofloxacin ear drops and other drug therapy. 4. Meniere’s disease: disease-induced tinnitus can be prescribed with diazepam, ipecac and other vestibular nerve inhibitors, dihydrochlorothiazide, amphotericin and other diuretics, but also through the tympanic chamber injection of gentamicin to control the symptoms of vertigo. In addition to medication, low-pressure pulse therapy of the tympanic chamber is also feasible, and surgical treatments such as vestibular neurectomy and labyrinthectomy are feasible in severe cases. There are many causes of tinnitus, such as cholesteatoma of the external auditory canal, otosclerosis, hypertension, anemia and so on. It is recommended that elderly people with tinnitus consult a doctor for an examination in order to clarify the cause of the disease and then follow the doctor’s instructions to use medication, do not use drugs indiscriminately.