Although vestibular migraine is the most common cause of non-positional recurrent vertigo, well designed clinical trials are not yet available. Treatment for vestibular migraine generally follows the recommended treatment of migraine. Management includes dietary and lifestyle modifications and medications. In this review, preventive treatment with beta blockers, calcium channel blockers, antiepileptic drugs and antidepressants, as well as acute treatment with non-steroidal anti-inflammatory drugs and triptans are described.