Jump to content
Main menu
Main menu
move to sidebar
hide
Navigation
Main page
Recent changes
Random page
Help about MediaWiki
Special pages
Niidae Wiki
Search
Search
Appearance
Create account
Log in
Personal tools
Create account
Log in
Pages for logged out editors
learn more
Contributions
Talk
Editing
Orthostatic hypotension
(section)
Page
Discussion
English
Read
Edit
View history
Tools
Tools
move to sidebar
hide
Actions
Read
Edit
View history
General
What links here
Related changes
Page information
Appearance
move to sidebar
hide
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
===Medications=== The medication [[midodrine]], an [[alpha-1 agonist|Ξ±<sub>1</sub>-adrenergic receptor agonist]], can benefit people with orthostatic hypotension,<ref name="Moya_2009"/><ref name=pmid25150287>{{cite journal | vauthors = Izcovich A, GonzΓ‘lez Malla C, Manzotti M, Catalano HN, Guyatt G | title = Midodrine for orthostatic hypotension and recurrent reflex syncope: A systematic review | journal = Neurology | volume = 83 | issue = 13 | pages = 1170β1177 | date = September 2014 | pmid = 25150287 | doi = 10.1212/WNL.0000000000000815 | s2cid = 5439767 }}</ref> The main side effect is [[goose bumps|piloerection]] ("goose bumps").<ref name=pmid25150287/> [[Fludrocortisone]] is also used, although based on more limited evidence.<ref name="Moya_2009"/> [[Droxidopa]], a [[norepinephrine]] [[prodrug]] and hence [[binding selectivity|non-selective]] [[adrenergic receptor agonist]], has been shown to be effective as well,<ref name="Mathias">{{cite journal | vauthors = Mathias CJ | title = L-dihydroxyphenylserine (Droxidopa) in the treatment of orthostatic hypotension: the European experience | journal = Clinical Autonomic Research | volume = 18 | issue = Supplement 1 | pages = 25β29 | date = March 2008 | pmid = 18368304 | doi = 10.1007/s10286-007-1005-z | s2cid = 29861644 }}</ref> with few, mostly mild side effects reported.<ref>{{cite journal | vauthors = Kaufmann H, Freeman R, Biaggioni I, Low P, Pedder S, Hewitt LA, Mauney J, Feirtag M, Mathias CJ | display-authors = 6 | title = Droxidopa for neurogenic orthostatic hypotension: a randomized, placebo-controlled, phase 3 trial | journal = Neurology | volume = 83 | issue = 4 | pages = 328β335 | date = July 2014 | pmid = 24944260 | pmc = 4115605 | doi = 10.1212/WNL.0000000000000615 }}</ref> A number of other measures have slight evidence to support their use β [[indomethacin]], [[fluoxetine]], [[dopamine antagonist]]s, [[metoclopramide]], [[domperidone]], [[monoamine oxidase inhibitor]]s with [[tyramine]] (can produce severe [[hypertension]]), [[oxilofrine]], [[potassium chloride]], and [[yohimbine]].<ref name=pmid22591985>{{cite journal | vauthors = Logan IC, Witham MD | title = Efficacy of treatments for orthostatic hypotension: a systematic review | journal = Age and Ageing | volume = 41 | issue = 5 | pages = 587β594 | date = September 2012 | pmid = 22591985 | doi = 10.1093/ageing/afs061 | doi-access = free }}</ref> [[Ampreloxetine]] (TD-9855), a [[norepinephrine reuptake inhibitor]], is in late-stage development for treatment of the condition.<ref name="AdisInsight-Ampreloxetine">{{cite web | title=Ampreloxetine - Theravance Biopharma | website=AdisInsight | date=21 November 2023 | url=https://adisinsight.springer.com/drugs/800026474 | access-date=26 September 2024}}</ref><ref name="HoxhajShahMuyolema2023">{{cite journal | vauthors = Hoxhaj P, Shah S, Muyolema Arce VE, Khan W, Sadeghzadegan A, Singh S, Collado GF, Goyal A, Khawaja I, Botlaguduru D, Razzaq W, Abdin ZU, Gupta I | title = Ampreloxetine Versus Droxidopa in Neurogenic Orthostatic Hypotension: A Comparative Review | journal = Cureus | volume = 15 | issue = 5 | pages = e38907 | date = May 2023 | pmid = 37303338 | pmc = 10257554 | doi = 10.7759/cureus.38907 | doi-access = free | url = }}</ref>
Summary:
Please note that all contributions to Niidae Wiki may be edited, altered, or removed by other contributors. If you do not want your writing to be edited mercilessly, then do not submit it here.
You are also promising us that you wrote this yourself, or copied it from a public domain or similar free resource (see
Encyclopedia:Copyrights
for details).
Do not submit copyrighted work without permission!
Cancel
Editing help
(opens in new window)
Search
Search
Editing
Orthostatic hypotension
(section)
Add topic