Abstract:According to the different causes, different conditions, and different prognosis of vestibular vertigo, it is very important to select and apply different anti-vertigo drugs reasonably to eliminate the symptoms of vertigo and promote the recovery of balance function. Base on the different pharmacological effects of various anti-vertigo drugs, medicines for treatment of vertigo symptoms can be divided into two categories:one is a dopamine agonist to promote neurocompensation, the other one is a dopamine antagonist to inhibit neurocompensation. The pharmacological mechanisms of the two types of anti-vertigo drugs are exactly opposite. Nearly half of all vestibular diseases that causes vertigo are reversible and can recover spontaneously. However, nearly half of the cases have irreversible vestibular damage, which are difficult to heal by themselves. For those cases of vestibular vertigo that can heal itself, the application of dopamine agonist to accelerate the compensation of balance function is unnecessary or even harmful. For those cases of vestibular vertigo with irreversible unilateral permanent destruction, the application of dopamine agonist can promote balance compensation and eliminate vertigo symptoms. In contrast, the application of dopamine antagonists prolongs the process of imbalance and hinders the compensatory restoration of balance function. Therefore, under which vertigo conditions should use dopamine agonist to promote balance compensation? Under which vertigo conditions should use dopamine antagonist to suppress balance compensation? At which stage of the vertigo should promote the balanced compensation? At which stage of the vertigo should suppress the balance compensation? Clinicians should seriously consider based on pharmacological principles and the patient's cause and disease consequences.