Patient was educated on medication causes for orthostatic hypotension as follows:
- Use of diuretic medications, such as, Lasix, result in loss of excess fluid volume and can contribute to episodes of orthostatic hypotension easily.
- Use of vasodilator medications, such as, isosorbide mono and dinitrates and hydralazine, result in reduced blood pressure. Compensatory responses to sudden change in position and reduced blood return, such as, autonomic vasoconstriction and elevation of blood pressure can be blunted in individuals using these vasodilator medications, due to their primary function of vasodilation and relaxation of blood vessels.
- Use of certain antidepressant medications, such as, imipramine and amitriptyline and certain antiparkinsonian medications, such as, Sinemet and Ropinirole, can result in poor autonomic vasoconstriction and lead to episodes of low blood pressure, during sudden change of position, thus precipitating orthostatic hypotension.
- Use of antipsychotic medications, such as, Olanzapine and Risperidone, can also result in poor compensatory autonomic responses and lead to episodes of low blood pressure, during sudden change of position, thus precipitating orthostatic hypotension.
- The chances for orthostatic hypotension, secondary to medications, will significantly increase, if patients are concurrently on several of the drug groups mentioned above.