 [ Symptoms ] i have been on paxil and klonopin for 20 years and now i have vertigo is there a connection  how long is too long to be on medication and can it cause vertigo [ Disease ] there can be hundreds yes hundreds of causes of vertigo it would not be likely that medication that you have be taking for the last twenty years would suddenly cause vertigo so it would not be high on this list check with your primary care provider first but you may need to see a neurologist or ent specialist since the inner ear problems are common causes to start the evaluation process