What are nonpharmacologic treatment options for autonomic failure syndromes?

Updated: Oct 21, 2018
  • Author: Mohini Gurme, MD; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Nonpharmacologic measures are useful for all patients with autonomic dysfunction. [5]

  • Discontinue antihypertensive medications and other medications known to lower blood pressure, if feasible.

  • Increase fluid and salt intake.

  • Equipment aids may be helpful. These include tight support stockings, abdominal binders, or antigravity suits for symptomatic hypotension and bladder catheterization for urinary retention.

  • Dietary fiber and enemas may help improve bowel motility and decrease straining during defecation.

  • Patients with decreased sweating should limit their physical activity, particularly in hot weather. Sponging with water during activity may help prevent overheating.

  • Large meals may exacerbate hypotension and should be avoided.

  • Perform positional changes, such as standing up, slowly and gradually.

  • Elevate the head of the bed and avoid prolonged recumbency.


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