How is supine hypertension managed in multiple system atrophy (MSA)?

Updated: Oct 17, 2018
  • Author: André Diedrich, MD, PhD; Chief Editor: Selim R Benbadis, MD  more...
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The management of patients with orthostatic hypotension and supine hypertension can be challenging, but adequate BP control is often achieved with the following treatment strategy:

  • Use of over-the-counter medication with pressor effects

  • Avoidance of fluid intake at bedtime

  • Not using elastic stockings when supine

  • Not using pressor agents before bedtime

  • Raising the head of the bed 6-9 inches

  • Resting on a semirecumbent chair with feet on the floor during the day

  • Snacking before bedtime

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