A patient-oriented approach combining education, nonpharmacologic strategies like abdominal compression, and medications such as midodrine or fludrocortisone is recommended for managing orthostatic hypotension.
Orthostatic hypotension is a chronic, debilitating illness that is difficult to treat. The therapeutic goal is to improve postural symptoms, standing time, and function rather than to achieve upright normotension, which can lead to supine hypertension. Drug therapy alone is never adequate. Because orthostatic stress varies with circumstances during the day, a patient-oriented approach that emphasizes education and nonpharmacologic strategies is critical. We provide easy-to-remember management recommendations, using a combination of drug and nondrug treatments that have proven efficacious.
Figueroa et al. (Sat,) conducted a review in Orthostatic hypotension. Nonpharmacologic and pharmacologic management was evaluated. A patient-oriented approach combining education, nonpharmacologic strategies like abdominal compression, and medications such as midodrine or fludrocortisone is recommended for managing orthostatic hypotension.