Dizziness and lightheadedness in the elderly may be caused by transient cerebral ischemia, cerebral infarction, anemia, etc. Nimodipine, alteplase and iron can be used for treatment. 1. Transient cerebral ischemia: transient neurological deficits caused by focal ischemia in the cerebral spinal cord and other parts of the brain and spinal cord, patients will have dizziness, nausea, vomiting, tinnitus and other symptoms, and can be treated with aspirin, nimodipine and other drugs. 2. Cerebral infarction: the blood circulation disorder in the brain caused by many reasons, patients will have dizziness, hemiplegia, aphasia, headache and vomiting, etc. During the acute attack, atipase can be used to dissolve the thrombus, and edaravone and other brain protectants can also be used. 3. Anemia: dizziness and vertigo in the elderly may also be caused by anemia, at this time, the patient will also have white skin and mucous membranes, lethargy, inattention and other symptoms, we should actively look for the disease treatment of anemia caused by the primary disease, and iron supplements can be supplemented to correct the symptoms of anemia. Physiological factors such as fatigue, poor sleep can also cause dizziness and vertigo symptoms, generally through adequate rest can be relieved, without special treatment. The elderly need to pay attention to the symptoms of dizziness and vertigo, especially long-lasting or recurring patients, it is recommended to consult a doctor in a timely manner, under the guidance of the doctor to clarify the cause, and strictly comply with the doctor’s instructions to use medication. Do not blindly use your own medication to avoid adverse consequences.