Abstract
#### What you need to know Chronic vertigo is a challenging problem. Currently patients are generally treated in general practice with betahistine (off-label use), while stronger evidence exists for the...
Highlights
Patients are generally treated in general practice with betahistine, while stronger evidence exists for the effectiveness of vestibular rehabilitation
We found two recent Cochrane reviews that investigated the effectiveness of vestibular rehabilitation (2015)[7] and betahistine (2016).[33]
In contrast to vestibular rehabilitation, none of these trials was conducted in a general practice population, which limits the applicability of these results for general practice
Summary
There is moderate quality evidence, partly from general practice studies, that vestibular rehabilitation is a safe and effective treatment for chronic vertigo (see table 1⇓). There is low quality evidence, conducted in secondary and tertiary care populations, that patients with chronic vertigo experience a benefit from betahistine treatment compared with placebo (table 1⇓)
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