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Topics:
Internal Medicine • Cardiology • Autonomics and Hypertension • Hypertension • Orthostatic Hypotension
Can Droxidopa be used for augmenting orthostatic hypotension treatment in patients who are already on midodrine and/or fludrocortisone?
Is there an approach to tapering the other two medications while uptitrating Droxidopa dosing to reduce the risk of supine hypertension?
Answer from: at Academic Institution
I routinely combine droxidopa with fludrocortisone just as I would midodrine and fludrocortisone when orthostatic hypotension is refractory to tolerated doses of monotherapy.
The use of droxidopa and midodrine is something I do less commonly, or frankly just rarely. They compete for the same ...
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