By rray, 31 May, 2024 Assess current vs pre COVID functional status consider mMRC1 3 or modified Borg3 dyspnea scales
By rray, 31 May, 2024 Other 2nd line meds pyridostigmine clonidine methyldopa modafinil methylphenidate SSRIs SNRIs bupropion droxidopa 3
By rray, 31 May, 2024 Ivabradine can benefit pts w severe fatigue exacerbated by BBs or CCBs may improve POTS 2nd line3 1
By rray, 31 May, 2024 Fludrocortisone up to 0 2 mg at HS may be used w salt loading to increase blood volume monitor for hypokalemia
By rray, 31 May, 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, 31 May, 2024 Low dose beta blocker propranolol atenolol Consider propranolol for pts w coexisting anxiety or migraine
By rray, 31 May, 2024 Education to avoid triggers and physical maneuvers to mitigate orthostatic intolerance3