Firstly, when pulsatile tinnitus occurs, medication alone is generally less effective and there is no single most effective medication, so the choice of medication needs to be tailored to the condition. For tinnitus suppressants such as lidocaine, clonidine and carbamazepine are usually used. For psychological problems, antidepressants such as doxepin and meprotiline, and anti-anxiety drugs such as sulforaphane and methyltriazolium are used. However, they all need to be used under the guidance of a medical professional.