DAILY ADJUSTMENTS MAY HELP RELIEVE SYMPTOMS OF nOH IN SOME PATIENTS

Patients with neurogenic orthostatic hypotension (nOH) may experience symptoms that make it difficult to conduct activities of daily living.1-3 Management options that aim to reduce symptoms associated with nOH include adjustments that patients can implement into their daily lives.2,4-6

Managing symptoms of nOH >>

UNDERSTANDING THE CLINICAL DILEMMA OF nOH AND SUPINE HYPERTENSION

Up to 70% of patients with nOH will experience supine hypertension.2,7 The association of nOH and supine hypertension may confound management approaches as management of one may worsen the other.2,7-9

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References: 1. Low PA. Neurogenic orthostatic hypotension: pathophysiology and diagnosis. Am J Manag Care. 2015;21(suppl 13):s248-s257. 2. Kaufmann H, Norcliffe-Kaufmann L, Palma JA. Droxidopa in neurogenic orthostatic hypotension. Expert Rev Cardiovasc Ther. 2015;13(8):875-891. 3. Low PA, Singer W. Management of neurogenic orthostatic hypotension: an update. Lancet Neurol. 2008;7(5):451-458. 4. Gibbons CH, Schmidt P, Biaggioni I, et al. The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension. J Neurol. 2017;264(8):1567-1582. 5. Freeman R. Neurogenic orthostatic hypotension. N Engl J Med. 2008;358(6):615-624. 6. Isaacson SH. Managed care approach to the treatment of neurogenic orthostatic hypotension. Am J Manag Care. 2015;21(suppl 13):s258-s268. 7. Berganzo K, Diez-Arrola B, Tijero B, et al. Nocturnal hypertension and dysautonomia in patients with Parkinson’s disease: are they related? J Neurol. 2013;260(7):1752-1756. 8. Jordan J, Biaggioni I. Diagnosis and treatment of supine hypertension in autonomic failure patients with orthostatic hypotension. J Clin Hypertens. 2002;4(2):139-145. 9. Goldstein DS, Pechnik S, Holmes C, et al. Association between supine hypertension and orthostatic hypotension in autonomic failure. Hypertension. 2003;42(2):136-142.