What is Orthostatic Hypotension?

• When a person stands from a sitting position, the body must work hard to push the blood from the lower extremities upward. When the body does not do this the blood pressure drops and orthostatic hypotension develops. Orthostatic means standing up and hypotension means low blood pressure.
  
  

Causes

• Although there are many causes of orthostatic hypotension, the most common cause is dehydration. Other causes include cardiac conditions, severe burns, diabetes, excessive vomiting, fever, neurological conditions, vitamin B 12 or folate deficiency, multiple sclerosis, Parkinson's disease, and other disorders.
  
  There are also medications that can cause orthostatic hypotension. These medications include alpha-beta blockers, antihypertensives, diuretics, insulin, narcotics, tricyclic antidepressants, vasodilators, and Viagra.
  
  

Symptoms

• Symptoms of orthostatic hypotension vary but range from feeling nausea to light-headedness. You may also feel confused, weak, and have blurred vision. You may feel as though you need to sit down quickly in order to avoid passing out.
  
  If you are experiencing symptoms of orthostatic hypotension you should tell your doctor. Only your doctor can help you discover the cause of your symptoms.
  
  

Treatments - Non-Medical

• The treatment for orthostatic hypotension depends upon the cause. If it is caused by a medication that you are taking, it is ideal if your medication can be reduced or switched to another medication.
  
  Here are some nonpharmaceutical treatments for orthostatic hypotension.
  Prior to standing you should flex your feet several times. When you do decide to get up, make slow changes in position. Instead of eating three large meals, try eating several smaller meals throughout the day. Try increasing your fluid intake to prevent dehydration. Elevate the head of your bed and try wearing compression socks. Also, avoid alcohol and caffeine consumption. Do not take hot baths. If possible avoid straining with bowel movements.
  
  

Treatments - Medical

• Your doctor may tell you to try ibuprofen as a treatment for orthostatic hypotension.
  
  Another prescription medication that is commonly used for this condition is Florinef. This medication helps by increasing the volume of fluid in the blood vessels. The medication does have side effects, which include headaches, as well as a decrease in magnesium and potassium levels.
  
  Together you and your doctor can decide if you need a medication for your orthostatic hypotension.