HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Chest Pain While On Midodrine?

default
Posted on Fri, 16 Oct 2015
Question: I have orthostatic hypotension big time I been on midodrine and that caused other problems my veins and arteries are small it caused chest pain so the doctor said don't take it. Right now I don't know what to do.
I have passed out numerous times I broke my left leg in 2 places also brought the refrigerator on top of me also
doctor
Answered by Dr. Dr. Prasad J (11 hours later)
Brief Answer:
Alternatives under cardiologist care...

Detailed Answer:
Hi,

Yes, the vasopressor agent may cause chest pain. But it would be worthwhile to check for other risks factors that might lead to chest pain. Treating the risk factors are equally important as stopping midodrine.

As far as orthostatic hypotension is concerned, I understand your difficulties; without the vasopressor agent to maintain BP, accidents, falls and passing out. In this circumstance, I think we might consider the use of fludrocortisone. It's a mineralocorticoid agent which is effective in treating orthostatic hypotension without the constricting effects. You can discuss about this agent with your treating doctor / cardiologist.

Hope this helps. Let me know if you need clarification.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Chest Pain While On Midodrine?

Brief Answer: Alternatives under cardiologist care... Detailed Answer: Hi, Yes, the vasopressor agent may cause chest pain. But it would be worthwhile to check for other risks factors that might lead to chest pain. Treating the risk factors are equally important as stopping midodrine. As far as orthostatic hypotension is concerned, I understand your difficulties; without the vasopressor agent to maintain BP, accidents, falls and passing out. In this circumstance, I think we might consider the use of fludrocortisone. It's a mineralocorticoid agent which is effective in treating orthostatic hypotension without the constricting effects. You can discuss about this agent with your treating doctor / cardiologist. Hope this helps. Let me know if you need clarification. Regards