Stephen J. Schueler, M.D.

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Orthostatic Hypotension Overview

What is orthostatic hypotension?
A person with orthostatic hypotension has an abnormal decrease in blood pressure after standing up from a lying or sitting position. Common causes of orthostatic hypotension include diabetes, dehydration, or a drug side effect.

What are the symptoms of orthostatic hypotension?
Symptoms of orthostatic hypotension include dizziness and lightheadedness that occurs immediately after standing up from a lying or sitting position. Additional symptoms of orthostatic hypotension include fainting, weakness or fatigue, and nausea.

How does the doctor treat orthostatic hypotension?
The treatment for orthostatic hypotension depends on the underlying cause. Treatment for orthostatic hypotension may include oral fluids, support stockings, oral corticosteroids, increasing sodium in the diet, and medications that support blood pressure. An adjustment in the dose of a medication may relieve symptoms of orthostatic hypotension.

Continue to Orthostatic Hypotension Incidence

Last Updated: Nov 4, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Orthostatic Hypotension References
  1. Hajjar I. Postural blood pressure changes and orthostatic hypotension in the elderly patient: impact of antihypertensive medications. Drugs Aging. 2005;22(1):55-68. [15663349]
  2. Schrezenmaier C, Gehrking JA, Hines SM, Low PA, Benrud-Larson LM, Sandroni P. Evaluation of orthostatic hypotension: relationship of a new self-report instrument to laboratory-based measures. Mayo Clin Proc. 2005 Mar;80(3):330-4. [15757013]
  3. Sclater A, Alagiakrishnan K. Orthostatic hypotension. A primary care primer for assessment and treatment. Geriatrics. 2004 Aug;59(8):22-7. [15332413]
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