Does your vinpocetine contain caffeine?
The vinpocetine I now use has no caffeine. I presently take a single tablet each morning, but if I were just beginning my regimen, I’d take two of these each day on 12-hr intervals.

How much vinpocetine should I take?
Presently, because everything is completely under control (no symptoms whatsoever), I take a single 10 mg vinpocetine in the morning. If I were beginning or had symptoms, I'd take 10 mg in single doses two or three times spread out through the day.
A very few people react mildly to vinpocetine, usually with an increased heart rate. Consequently, it might be advisable to begin with a single 10 mg tablet each day for a few days, and then, if you have no side effects (very rare), increase to two tablets. The common vinpocetine literature states that as much as 30 mg can be safely consumed each day, if required.

Could you possibly give me your schedule for taking your supplements?
I take almost everything in the morning with breakfast. But I take a second 60 mg ginkgo and a second lemon bioflavonoid in the evening.
I purchased a plastic 7-day, 7-compartment pill container. I fill this once each week, instead of unscrewing all those containers each day. I have second 7-day container for the evening dosages. Simplifies things.

How much Vertigoheel should I take?
If I were starting, I'd take two tablets three times a day, as per the label.  I haven't taken any of it now for, perhaps, a year or so. If I ever get any hint of dizziness, pressure, or any other symptom, I'll bring back the Vertigoheel. Follow the directions on the bottle.

Does Ginkgo work exactly like SERC?
Ginkgo, alone, is not likely to offer the relief that SERC does. Ginkgo does indeed increase circulation, but apparently not in the manner that SERC does.  SERC works because it increases inner ear blood flow (the central thesis of my treatment regimen). Consequently, for the core of my approach I recommend the use of lemon bioflavonoid tablets and vinpocetine, both of which apparently increase inner ear blood flow. SERC is not generally available in the US, as it is not FDA-approved here. It can be prescribed and prepared by compounding pharmacists. But I have no experience with SERC.

Is SERC available in the United States?
SERC is not commonly available here (must be specially compounded upon prescription by a pharmacist). Our federal drug agency simple doesn't approve of SERC. It is a Meniere’s drug of choice in Europe and is rather effective, which is evidence that supports my regimen that  also increases blood flow through the inner ear.

Is there any difference between specific “lemon bioflavonoid” and generic “citrus bioflavonoid” tablets?
Yes! The supplement I take that has caused a major reduction in my symptoms is a specific lemon-derived bioflavonoid. One bioflavonoid, eriocitrin (also called eriodictyol), is found in lemon rinds (but apparently not in other citrus fruits), and has been shown to be a capillary vasodilator. It increases the blood flow through these small vessels. Eriocitrin is the apparent active ingredient in lemon bioflavonoid.
The lemon bioflavonoid I take is Lindberg Bioflavonoid Complex offered by Nutrition Express (NutritionExpress.com, 1-800-338-7979 price $5.99 to $13.49).

How long will everything take to start working?
I'm not sure how long relief can come for others taking the materials I listed. For me, I felt much better in a month or so. But that's not really fair, as I didn't start taking all of the things at once. I kept adding as I discovered new agents. And I must point out that what works for me may not work for everyone as it did for me, either at the same speed or with the same efficacy. Some will find that my recommendations are useless. Others, gratefully, have found good relief from their Meniere's symptoms. I only wish that were so for everyone. Some have had relief in just a few days. Others in a week or so, with still others in a month or so. If there is no relief in symptoms after two months or so, it’s probable that this regimen will not be effective. (But it might even take longer for some. That has not been clinically determined yet. It’s still trial and error.)

Can  Vertigoheel be purchased without a prescription?
Vertigoheel requires a prescription. But Cocculus Compositum is over-the-counter and can be purchased without a prescription.  Cocculus Compositum is identical to Vertigoheel, just a different name. Any druggist can get the product. Have him check with the company that makes Vertigoheel, or any distributor. He is unlikely to have it is stock, but it is available.

Is there a difference between SERC and Veritgoheel?
SERC is a known vasodilator, increasing the flow of blood through the inner ear. Vertigoheel is a homeopathic concoction for which no one, even the homeopaths themselves, knows how it might work. But for me, and many others, it does. But be sure to take it exactly as labeled, under the tongue. And take it consistently for two or three days without a break. It apparently needs this "loading" dosage.
Some recent studies show that Vertigoheel works in the brain, not the inner ear. It apparently helps the brain deal with confusing balance signals coming from the Meniere’s-diseased ear.