The present status of usage and popular usage of the popularly used drugs for dizziness and vertigo in Japan are described herein. The agents are introduced These drugs are prescribed according to the phase of the patients' symptoms (emergency, acute, subacute or chronic) and the underlying pathology, with reference to the literature as evidence. Conservative therapy for dizziness and vertigo consists of three categories; drug therapy, cognitive therapy and physical and exercise therapy. The mutual strategy using An appropriate combination of these three therapies is important for successful treatment of dizziness and vertigo. Thorough history-taking is very important for a precise diagnosis of dizziness and vertigo. Appropriate treatment is selected according to the precise diagnosis. The mainstream anti-dizziness/vertigo drugs used in Japan consists of antihistamine agents (used as anti-emetic drugs), anti-motion sickness drugs, microcirculation agents, emulgents and vitamin B12 preparations. In this manuscript, we provide a detailed description of all the anti-dizziness/vertigo drugs used currently in Japan, along with a review of the relevant literature. However, most of these drugs are already well-dated and have been traditionally used for many years. In recent years, antidepressant agents and herbal medicines have also begun to be used. There are no new drug developments in this area of vestibular pathologies. We hope that treatments for these conditions will be updated with the development of novel anti dizziness/vertigo drugs, so as to bring this area of study into the modern age of medicine.
