Vertigo is a specific symptom directly related to d ysfunction of vestibular system. It is most common complaint, especially in elderly age group t hat leads them to visit their physicians. There is no ideal drug for the management of vertig o. The pharmacotherapy of vertigo can be optimized with detailed knowledge of the drugs effe ctive in vertigo and their limitations. In this article, we will discuss the pharmacological option s that are available for the treatment of vertigo along with some recent advances