Many elderly patients with comorbid conditions such as hypertension or lipid disorders suffer from vertigo and dizziness, one of the 10 symptoms that are most commonly seen in general medical practice. The prevalence of these symptoms increases with age. Patients reported feeling unsteady, to stagger, or to have tendencies to fall. Overall, these symptoms interfere with patients’ ability of coping with everyday tasks. In up to 80% of patients, no vestibular findings are apparent, meaning that the feeling of vertigo is likely to be related to circulatory problems, orthostatic disorders or psychological causes. Symptomatic treatment with customary allopathic vertigo medication may cause side effects and interaction with other prescribed medications. These interactions most often occur with sedatives, antidepressants, anaesthetics, diuretics, anticoagulants, barbiturates and alcohol. Given the high prevalence of symptoms of vertigo and dizziness (ICD-Classification R42) in non-hospitalised elderly people, and taking into account the clinically relevant side effects of allopathic medication, the effectiveness and tolerability of the homeopathic preparation Vertigoheel in the treatment of vertigo and dizziness in daily clinical practice (general medicine) were studied. In the context of outpatient treatment, patients suffering from vertigo (age>50, with suspected arteriosclerosis by history or with documented hypertension, lipid disorders and other risk factors) were enrolled in a non-interventional study design. The observational cohort study, with a maximum duration of nine months, was carried out in 183 practices with an initial group of 2141 participants, mainly between the ages of 70 and 80. The determination of dosage and daily monotherapy regime were the responsibility of the physician, mostly daily doses of 3×1 or 3×2 tablets were taken. The study shows a decrease in the daily duration of vertigo- and dizziness attacks, as well as an improvement of symptoms, which eased the coping with everyday tasks. Following the conclusion of the study, physicians and patients were both satisfied with the results, overall. Furthermore, the likelihood in both groups to prescribe or take this homeopathic complex preparation again was very high. Therefore, the prescription of the homeopathic complex preparation Vertigoheel can be seen as a safe and effective long-term treatment for patients diagnosed with unspecific symptoms of dizziness and vertigo in an outpatient setting. In summary, elderly patients who present with vertigo- and dizziness symptoms should be investigated with particular attention to possible neurootological causes of vertigo. If the symptoms – as is the case for most patients – do not belong to vestibular or neurological causes, treatment recommendations for allopathic drugs are limited, due to their side effects. The findings of the presented non-interventional study show the favourable long-term effect of a CAM-orientated approach. Given the high prevalence of vertigo and dizziness and the serious impact of orthopaedic trauma following falls, this warrants further studies in the management of unspecific symptoms of dizziness and vertigo in elderly people. CAM-orientated treatment approaches might be a welcome therapeutic option in these studies.