Question: What meds are available for postural or orthostatic hypotension?
Brief Answer: to a previous question
It is postural hypotension

Detailed Answer:
Hi,
I am Dr. XXXXXXX HM and I would like to help you.

Looking at your symptoms of dizziness and narrowing peripheral vision which gets exacerbated with exertion or change in position, possibility of postural hypotension or orthostatic hypotension could be thought of.
Its further increase with intravascular volume depletion due to heat confirms the condition.
In this condition visual defects vary from blurred vision to blackouts.

Orthostatic hypotension is not a cardiovascular abnormality. In the elderly it is due to baro-receptors inability to function properly or the inability of blood vessels to constrict blood vessels under stress.

Dizziness can occur in the following situations:
1. After food - due to blood pooling in the gut during digestion
2. Reflexes triggerred due to straining at stools, urination, swallowing or coughing
3. Warm envirnoment
4. Sudden positional change
5. Prolonged recumbency
6. Physical exertion

In patients with treatment for hypertension,
1. antihypertensive agents impair cardiovascular reflexes.
2. Hypertension impairs baro receptors reflex sensitivity.

You need to manage your orthostatic hypotension as sudden dizziness and fall can lead to severe injuries.

Management includes: (Already you are on many drugs: Try non-pharmacological therapies first - Drug interactions are unpredictable)
1. Moving slowly from one position to another - sitting to standing, sleeping to sitting
2. Avoid standing motionless for long time, large meals, hot weather, hot showers, dehydration or isometric exercises.
3. Avoid diuretics and change the drug if on hypertensive therapy
4. Raising the head of bed to higher level
5. Controlled postural exercises
6. Drug therapy is available - If the above fails, you can discuss with your doctor regarding this.

Hope it helps.
Any further queries, happy to help again.
Dr. XXXXXXX HM


     Replied by Dr. XXXXXXX H Muddegowda , 17 hours ago


Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.

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