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Step-by-Step: Managing Orthostatic Hypotension
Published: Oct 03, 2024
Managing orthostatic hypotension involves a combination of lifestyle changes and medical treatments. Here's a step-by-step guide to help you navigate this condition.
Start with Lifestyle Changes
Begin by implementing lifestyle modifications such as rising slowly, avoiding hot environments, and increasing salt and water intake. These changes can help reduce symptoms without the need for medication. If symptoms persist, medical intervention may be necessary.
Consider Compression Garments
Compression stockings and abdominal binders can help prevent blood from pooling in your legs. These garments apply pressure to your lower body, supporting blood circulation and helping maintain blood pressure when you stand.
Introduce Medication If Needed
If lifestyle changes and compression garments aren't enough, medications like fludrocortisone or midodrine may be prescribed. It's important to work with your healthcare provider to find the right medication and dosage, while monitoring for side effects.
Frequently Asked Questions
Start with lifestyle changes like rising slowly and increasing salt and water intake.
They prevent blood pooling in the legs, helping maintain blood pressure.
Medications like fludrocortisone or midodrine may be needed.
Next Steps
Combining lifestyle changes with medical options can effectively manage orthostatic hypotension.
References
- Shibao CA, Palma JA, Celedonio JE, et al. Predictors of the Pressor Response to the Norepinephrine Transporter Inhibitor, Atomoxetine, in Neurogenic Orthostatic Hypotension. Hypertension 2021; 78:525.
- Singer W, Sandroni P, Opfer-Gehrking TL, et al. Pyridostigmine treatment trial in neurogenic orthostatic hypotension. Arch Neurol 2006; 63:513.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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