What medications can patients with hypotension use?

Generally, hypotension refers to blood pressure below the normal range, which may cause symptoms such as dizziness, fatigue, and visual darkening. Patients may take medications under medical guidance, including Midodrine Hydrochloride Tablets, Shengmai Drink, Yiqi Yangxue Oral Liquid, Octreotide Acetate Injection, and Norepinephrine Bitartrate Injection. Detailed explanations are as follows:

1. Midodrine Hydrochloride Tablets

Midodrine hydrochloride is a pressor agent that constricts blood vessels and increases peripheral vascular resistance, thereby raising blood pressure levels. It is suitable for hypotension caused by postural circulatory dysfunction due to lower limb venous congestion, as well as hypotension caused by postoperative or postpartum blood loss.

2. Shengmai Drink

Shengmai drink is a traditional Chinese medicine composed of Codonopsis pilosula, Ophiopogon japonicus, and Schisandra chinensis. It has the effects of invigorating qi, nourishing yin, and promoting body fluid production. It can improve hypotension caused by deficiency of both qi and yin and relieve symptoms such as palpitations and shortness of breath. It should be taken before meals, and indigestible foods should be avoided during treatment.

3. Yiqi Yangxue Oral Liquid

Yiqi Yangxue Oral Liquid is made from various medicinal herbs including ginseng, astragalus, and codonopsis. It functions to replenish qi and nourish blood, and is used to treat hypotension caused by qi and blood deficiency. It improves symptoms such as pallor, shortness of breath, palpitations, and physical weakness. Cold and greasy foods should be avoided during treatment.

4. Octreotide Acetate Injection

Octreotide acetate inhibits the secretion of growth hormone, insulin, and others, constricts visceral blood vessels, increases peripheral vascular resistance, thus elevating blood pressure. It is indicated for hypotension caused by bleeding from esophageal and gastric varices due to cirrhosis.

5. Norepinephrine Bitartrate Injection

Norepinephrine bitartrate is a potent α-receptor agonist that causes constriction of small arteries and veins throughout the body, increasing peripheral vascular resistance and raising blood pressure. It is mainly used for hypotension caused by various types of shock.

It is important to develop good lifestyle habits in daily life, avoid sudden changes in posture to prevent orthostatic hypotension, moderately increase salt intake, drink more water to increase blood volume, strengthen physical exercise to improve physical fitness, monitor blood pressure regularly, and adjust treatment plans according to blood pressure levels.