How do you manage orthostatic hypotension in patients with Parkinsonian syndromes?

Don’t forget to check for adjunctive medications including urinary alpha antagonists which can cause orthostatic hypotension. If possible, reduce doses of cardiac medications. If this is not possible, then consider small frequent meals, exercise, especially the lower extremity elevating the head of ...

Fludrocortisone works considerably better than midodrine. Get a dexa scan before starting it .

100% agree - the concomitant medications issues are a huge component of management. Along with small meals, I recommend reducing carbs as possible. I tell patients to avoid taking these medications after late afternoon for the same reasons as mentioned above.

I also like to utilize the equation put ...

• Reduce the dose of dopaminergic agents
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