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Hypotension: Treatments

Hypotension is abnormally low blood pressure. Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood.

PubMed Health Glossary
(Source: NIH - National Heart, Lung, and Blood Institute)

Treatments for Hypotension

Treatment depends on the type of hypotension you have and the severity of your signs and symptoms. The goal of treatment is to bring blood pressure back to normal to relieve signs and symptoms. Another goal is to manage any underlying condition causing the hypotension.

Your response to treatment depends on your age, overall health, and strength. It also depends on how easily you can stop, start, or change medicines.

In a healthy person, low blood pressure without signs or symptoms usually isn't a problem and needs no treatment.

If you have signs or symptoms of hypotension, you should sit or lie down right away. Put your feet above the level of your heart. If your signs or symptoms don't go away quickly, you should seek medical care.

Orthostatic Hypotension

Many treatments are available for orthostatic hypotension. If you have this condition, your doctor may advise making lifestyle changes...Read more about Hypotension: Treatments
NIH - National Heart, Lung, and Blood Institute

What works? Research summarized

Evidence reviews

Corticosteroids for treating hypotension in preterm infants

It is unclear whether giving steroids to premature newborn babies who have hypotension (low blood pressure) is safe and effective. Low blood pressure is a relatively common problem in premature newborn babies and has been linked with serious short and long term problems including death and neurodisability. Various treatments are used to support the circulation and boost blood pressure. One such treatment is the use of steroid drugs. This review found four small studies that evaluated the effect of steroids on low blood pressure in premature infants. At present, there is insufficient information on which to base recommendations about the value of giving steroids to babies born before term who have low blood pressure.

Efficacy of treatments for orthostatic hypotension: a systematic review

This review of 36 trials concluded that the 21 commonly recommended interventions for orthostatic hypotension had a limited evidence base supporting their use, so further large, high quality, randomised controlled trials were needed to underpin clinical practice for this condition. These conclusions reflect the evidence and are likely to be reliable.

A systematic review of the management of orthostatic hypotension after spinal cord injury

This review concluded that among pharmacologic interventions, there was supportive evidence for use of midodrine in management of orthostatic hypotension after spinal cord injury. Functional electrical stimulation was one of the only nonpharmacologic interventions with some evidence to support its utility. Small sample sizes and poor-quality included studies mean these conclusions may be not reliable.

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Summaries for consumers

Corticosteroids for treating hypotension in preterm infants

It is unclear whether giving steroids to premature newborn babies who have hypotension (low blood pressure) is safe and effective. Low blood pressure is a relatively common problem in premature newborn babies and has been linked with serious short and long term problems including death and neurodisability. Various treatments are used to support the circulation and boost blood pressure. One such treatment is the use of steroid drugs. This review found four small studies that evaluated the effect of steroids on low blood pressure in premature infants. At present, there is insufficient information on which to base recommendations about the value of giving steroids to babies born before term who have low blood pressure.

The first step: Gathering information

Many health-related decisions can be made without specifically looking for information. But when a decision starts becoming more complex, it's important to have reliable information about the various treatment options. We have put together a list of questions that may help you reach a clear decision.

Benign enlarged prostate: Medication and herbal products

Most men who have prostate problems either wait a while to see how their symptoms develop, or take medication. Medication is often used when the symptoms are not bad enough for surgery to be needed, but have become too bothersome to be left untreated.This might be the case if you have to go to the bathroom several times a night, or constantly feel the need to urinate during the day too because your bladder no longer empties properly. These typical symptoms of an enlarged prostate can become a real burden.Several types of medications and combinations of medications are available for the relief of problems associated with an enlarged prostate. Like with any medication, it is important to carefully consider the advantages and disadvantages of these medications, and be aware of possible interactions between different medications. The majority of men with an enlarged prostate are over the age of 50, and often on other medications too, like drugs for high blood pressure (hypertension).For instance, if a man is taking alpha blockers for the treatment of prostate problems, he should not use impotence drugs as well. This is because both of these medications have a blood-pressure-lowering effect, so his blood pressure could become too low otherwise.

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Terms to know

Arteries
A blood vessel that carries blood from the heart to tissues and organs in the body.
Blood Pressure
The force of blood exerted on the inside walls of blood vessels. Blood pressure is expressed as two numbers. For example, a blood pressure result of 120/80 is said as "120 over 80."
Heart
The hollow, muscular organ that maintains the circulation of the blood.
Orthostatic
Assuming or maintaining an erect upright position.

More about Hypotension: Treatments

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See Also: Hypertension

Other terms to know: See all 4
Arteries, Blood Pressure, Heart

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