What medications can be used for orthostatic hypotension?

Generally, orthostatic hypotension is caused by abnormal blood pressure regulation during postural changes. Common symptoms include dizziness, visual blurring, and fatigue upon standing. It is often associated with autonomic nervous system dysfunction and insufficient blood volume. Patients may take medications such as Midodrine Hydrochloride Tablets, Droxidopa Capsules, Shengmai Oral Liquid, Yiqi Yangxue Oral Liquid, and Shenmai Injection under medical guidance. Detailed explanations are as follows:

1. Midodrine Hydrochloride Tablets

Midodrine hydrochloride is a selective α1-adrenergic agonist that constricts peripheral blood vessels, increases peripheral vascular resistance, thereby elevating blood pressure levels when standing, alleviating symptoms such as dizziness and fatigue caused by orthostatic hypotension. It is suitable for patients with obvious symptoms of primary or secondary orthostatic hypotension.

2. Droxidopa Capsules

Droxidopa is a precursor of norepinephrine that can cross the blood-brain barrier and convert into norepinephrine, improving central and peripheral sympathetic nerve function, enhancing vascular contraction ability, increasing blood pressure, and relieving positional dizziness and presyncope caused by orthostatic hypotension.

3. Shengmai Oral Liquid

Shengmai Oral Liquid is a traditional Chinese medicine primarily composed of ginseng, dwarf lilyturf root, and schisandra fruit. It benefits qi and restores pulse, nourishes yin and generates body fluids, improves the body's qi and blood condition, enhances cardiac function, assists in elevating blood pressure, and relieves symptoms such as dizziness, palpitations, and fatigue caused by orthostatic hypotension. It is suitable for patients with deficiency of both qi and yin types of orthostatic hypotension.

4. Yiqi Yangxue Oral Liquid

Yiqi Yangxue Oral Liquid contains ingredients such as pilose asiabell root, membranous milkvetch root, and Chinese angelica. It benefits qi and nourishes blood, strengthens the body's resistance, improves circulation, enhances the body's ability to regulate blood pressure, and alleviates symptoms such as dizziness, pallor, and fatigue caused by orthostatic hypotension. It is suitable for patients with blood deficiency type orthostatic hypotension, especially those with weak constitutions.

5. Shenmai Injection

Shenmai Injection's main components are processed ginseng and dwarf lilyturf root. It benefits qi and consolidates the body from collapse while nourishing yin and generating body fluids. It enhances myocardial contractility, improves microcirculation, elevates blood pressure, and alleviates symptoms such as dizziness and syncope caused by severe orthostatic hypotension. It is commonly used for acute or severe orthostatic hypotension requiring intravenous administration and must be administered by professionals in medical institutions.

Normally, one should stand up slowly, avoid sudden rising, increase water intake appropriately to replenish blood volume, wear compression stockings to assist in improving leg circulation, avoid standing for long periods or staying in high-temperature environments, and reduce episodes of orthostatic hypotension.