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Old 10-13-2007, 09:45 PM
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mrsD mrsD is offline
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Join Date: Aug 2006
Location: Great Lakes
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mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Post I have looked further on this subject and found

This paper. Evidently doctors are relying on only one study, which has
not been successfully duplicated:

http://www.escardio.org/knowledge/ca...2/vol2no27.htm

In my experience, Midodrine is typically tried. But it can have severe side effects, esp when lying down. Midodrine is used for severe orthostatic hypotension.
Quote:
Paroxetine (serotonin reuptake inhibitors) has been shown to be effective in one placebo-controlled open-label trial (12) which included a small number of highly symptomatic patients in one institution, but failed to show a significant effect on baroreflex control of sympathetic nerve activity in a double-blind randomised 6-month follow study performed in healthy subjects (13). Until the study is confirmed by others, use of this drug cannot be recommended.
Transdermal scopolamine was ineffective for the prevention of neurally-mediated syncope in a randomised placebo controlled evaluation performed in 60 patients (14): during follow-up syncope recurred in 79% of patients with scopolamine and in 75% of patients with placebo.
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