The use of silicon photomultipliers (SiPMs) in imaging atmospheric Cherenkov telescopes is expected to extend the observation times of very-high-energy gamma-ray sources, particularly within the highest energy domain of 50–300 TeV, where the Cherenkov signal from celestial gamma rays is adequate even under bright moonlight background conditions. Unlike conventional photomultiplier tubes, SiPMs do not exhibit quantum efficiency or gain degradation, which can be observed after long exposures to bright illumination. However, under bright conditions, the photon detection efficiency of a SiPM can be undergo temporary degradation because a fraction of its avalanche photodiode cells can saturate owing to photons from the night-sky background (NSB). In addition, the large current generated by the high NSB rate can increase the temperature of the silicon substrate, resulting in shifts in the SiPM breakdown voltages and consequent gain changes. Moreover, this large current changes the effective bias voltage because it causes a voltage drop across the protection resistor of 100–1000 Ω. Hence, these three factors, namely the avalanche photodiode (APD) saturation, Si temperature, and voltage drop must be carefully compensated for and/or considered in the energy calibration of Cherenkov telescopes with SiPM cameras. In this study, we measured the signal output charge of a SiPM and its variation as a function of different NSB-like background conditions up to 1 GHz/pixel. The results verify that the product of the SiPM gain and photon detection efficiency is well characterized by these three factors.