How do you manage orthostatic symptoms from autonomic neuropathy due to diabetes?
Answer from: at Academic Institution
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...
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.