In the majority of patients, vestibular and physical rehabilitation are strongly advised and rarely contraindicated. Moreover, overuse of pharmacotherapy for the management of vertigo in the elderly may prevent the development of the central compensatory mechanism that sustains both static and dynamic imbalance after a vertiginous crisis. Interactions with other drugs should be considered in the choice of a particular course of treatment. The main focus of this article is to review the forms of pharmacotherapy for vertigo, especially with regard to older patients, who may be treated simultaneously with other drugs for different comorbidities. Overall, vestibular disorders account for 48% of vertiginous complaints in the older population. Among the diseases that may be associated with vertigo, the three classes of otological, central, and functional (psychological) dizziness may be distinguished.
It has been reported that 15–20% of the adult population experiences these debilitating symptoms. Dizziness, imbalance, and vertigo constitute some of the most common complaints in older patients, and risk of falling is the most frequent and worrying consequence. The number of older people has been increasing over recent decades in Western populations.
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