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How do you manage orthostatic symptoms from autonomic neuropathy due to diabetes?

2 Answers
Mednet Member
Mednet MemberInvited Expert
Neurology · University of Kansas Medical Center
Answered on

Try conservative measures such as hydration, pressure stockings, abdominal binder, exercises, and precautions prior to positional change. Addition of midodrine or other medications like flourinef and adjustment of doses of their antihypertensive medications. There are other medications that can be u...

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Mednet Member
Mednet MemberInvited Expert
Neurology · USF Health
Answered on

Liberalize salt intake.

Use compression stockings if tolerated.

Avoid medications that can lower blood pressure.

Rise slowly.

Start Midodrine with 10 mg daily during waking hours and increase to three times a day as tolerated. Don't take it within 3-4 hours before sleep.

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