Do you find adding fludrocortisone helpful in treating persistent hypotension in HD patients already on midodrine and without evidence of adrenal insufficiency?

5 Answers

Mednet Member

Nephrology · University Of California San Francisco Medical Center At Parnassus

That is not my practice. I doubt it would be helpful.

Mednet Member

Nephrology · Renal Medical Care

Consider trying Droxidopa in addition to Midodrine.

Mednet Member

Nephrology · New York Medical College

I agree that it is not helpful.

Mednet Member

Nephrology · Premier Nephrology Medical Group

Mednet Member

Nephrology · Mount Sinai

No, I have never tried fludrocortisone for this purpose.

No rationale to do so.