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Give me a treatment plan for Orthostatic Hypotension

Answer

The treatment plan for orthostatic hypotension (OH) involves a combination of non-pharmacological and pharmacological interventions, tailored to the individual patient's needs and the underlying cause of the condition.

Initial evaluation

Non-pharmacological interventions

Pharmacological interventions

Specific circumstances

  • In patients with efferent autonomic failure and symptomatic OH, initial non-pharmacological treatments such as increased sodium ingestion, sufficient water ingestion, and venous compression garments are recommended. Medications that worsen OH (such as diuretics, α-1 blockers, and vasodilators) should be discontinued whenever possible

In conclusion, the treatment plan for OH is individualized and primarily non-pharmacological, with pharmacological interventions considered in selected cases. The goal is to improve the patient's quality of life by managing symptoms and preventing complications

References

1

Orthostatic hypotension

Medical management

Guidelines

Midodrine

Pathway
EFNS 2006