10th May 2025

Management

Explanation of the diagnosis, reassurance, and avoidance of triggers
Adequate hydration and salt intake
Modification and discontinuation of hypotensive drug regimens
Isometric physical counterpressure maneuvers if symptoms persist
Abdominal binders/ support stockings to reduce venous pooling if symptoms persist
Midodrine (2.5-10mg t.i.d) if symptoms persist
Fludrocortisone (0.1-0.3mg once daily) if symptoms persist
Head-up tilt sleeping (>10 degrees) to increase fluid volume if symptoms persist.

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