By rray, 3 June, 2024 If new or worsening arrhythmias structural heart dz CAD ventricular dysfunction manage w a cardiologist 5
By rray, 3 June, 2024 Other 2nd line meds pyridostigmine clonidine methyldopa modafinil methylphenidate SSRIs SNRIs bupropion droxidopa 4
By rray, 3 June, 2024 Ivabradine can benefit pts w severe fatigue exacerbated by BBs or CCBs may improve POTS 2nd line4 1
By rray, 3 June, 2024 Fludrocortisone up to 0 2 mg at HS may be used w salt loading to increase blood volume monitor for hypokalemia
By rray, 3 June, 2024 Midodrine 2 5 10 mg can help w orthostatic hypotension 1st dose taken in a m before rising last dose no later than 4 p m
By rray, 3 June, 2024 Low dose beta blocker propranolol atenolol Consider propranolol for pts w coexisting anxiety or migraine