The dizzy patient. Symptomatic treatment of vertigo.

Vertigo is a distressing symptom, but in the majority of cases it can be treated effectively. Whenever possible, treatment should be directed at the underlying disorder. Usually, however, symptomatic treatment alone or in combination with specific therapy is effective. Symptomatic treatments include antivertiginous medications, vestibular exercises, and surgical therapy. The choice of medications is determined by the known side effects of the drugs and the time course of symptoms. An early vestibular exercise program ensures a more rapid return to normal physical activity. Surgical therapy is reserved for those patients who fail to respond to medical therapy.