Betahistine takes at least a month to become fully effective so don't despair - my experience may help. My consultant, having confirmed the diagnosis, and noting that I was not fully controlled tripled my dose from 16mg to 48 mg three times daily, and told me if I remained attack free for 6 months I should then wean myself off. Hi group I have been on Betahistine now for just over a year. Has anyone been taking Betahistine for a relatively long time and if so have you tried to wean off them. Tried once and started M symptoms again. Probably have to take them forever. Hope not. Would appreciate any feedback. Thanks Vertigo is a type of dizziness that can last for several minutes, hours or even days. Symptoms include a false feeling of moving or spinning. Written by a GP. Betahistine is very well tolerated with minimal side effects even in high doses apart from possible mild gastric irritation. The correct dose can take a month to become fully effective and you will need to stay on that dose for 5 to 6 months before gradually reducing if you have remained completely symptom free.