Vertigo and dizziness frequently affect the adult population and greatly contribute to fall-associated trauma, especially in older patients; the three classes of otological, central, and functional dizziness may be distinguished.

Older patients are subjected to multiple comorbidities and various pharmacological therapies, which in turn could cause dizziness.

The use of vestibular suppressants for the management of vertigo should be limited only to the acute phase of the disease, and such drugs must be used with caution in the older population because of their side effects and potential interactions with other pharmacological treatments.

In older patients, physical activity and vestibular rehabilitation exercises are recommended for more rapid and complete vestibular compensation; repositioning maneuvers are highly indicated and effective in the older population with benign paroxysmal positional vertigo.