Postural Hypotension

Question 1

What are some of the risk factors for postural hypotension?

Answer 1

Ageing
Hypovolaemia / dehydration
Drugs (antihypertensives, Parkinson’s drugs, tamsulosin)
Conditions affecting autonomic nerve functions - Parkinson’s, diabetes, multiple system atrophy

Question 2

What factors might aggravate postural hypotension?

Answer 2

Early morning time
Hot environments
After meals
After standing still
During / after exercise

Question 3

What pharmacotherapy options are there for postural hypotension?

Answer 3

Mineralocorticoids - fludrocortisone

Short acting pressers - droxidopa