Get a diagnosis first. Vertigo usually comes from the inner ear. Common causes include benign paroxysmal positional vertigo (BPPV), labyrinthitis, vestibular neuritis and Ménière's disease, and each is treated differently. BPPV, the most common, is treated with simple head movements such as the Epley manoeuvre, done by a specialist. The US ear, nose and throat guideline advises against routinely treating it with sedating anti-dizziness drugs. Call 999 (UK) or your local emergency number if vertigo comes with double vision, hearing loss, trouble speaking, or weakness or numbness in an arm or leg.
- Vitamin D (for recurrent BPPV): in a trial of 1,050 people whose BPPV had been treated, those with low vitamin D (below 20 ng/mL) took 400 IU of vitamin D plus 500 mg of calcium twice a day for a year. They had about a quarter fewer recurrences. It helped people who were low, and has not been shown to prevent vertigo in general. See our vitamin D3 page.
- Vitamin B12: the NHS lists balance and coordination problems among the symptoms of B12 deficiency. A blood test shows whether you need it.
- Ginkgo biloba: NCCIH says a small amount of evidence suggests a benefit for vertigo, but it is not conclusive. A 2026 meta-analysis drew mostly on people with dementia and urged caution. Ginkgo may increase bleeding with blood thinners. More on our ginkgo page.
- Ginger: NCCIH says most studies of ginger for motion sickness have not shown a benefit. See our ginger page.
- Ménière's disease: the NIDCD says there is no evidence that herbal supplements, including ginkgo, niacin or ginger root, work. Limiting salt and taking a doctor-prescribed diuretic may help.
- Claims to cure Ménière's disease. The NHS says it cannot be cured, though treatment helps.
- Products sold as an alternative to repositioning manoeuvres or vestibular rehabilitation.
- Magnesium above 350 mg a day from supplements, the US upper limit.
- Proprietary "vertigo formulas" that hide doses. See our Vertigenics review for an example of what we check.
- Ingredients with human evidence, at trial doses.
- Clear advice to get vertigo diagnosed.
- A statement that BPPV is treated with repositioning.
- Disclosure of drug interactions, such as ginkgo with blood thinners.
- Products that position themselves as an alternative to medical care score lower.
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