What are some of the main medical treatments for postural orthostatic tachycardia syndrome?

    Last Updated: October 25, 2023

    There are no standard treatments for POTS. Rather, treatment is focused on decreasing heart rate, increasing blood volume, and/or stabilizing blood pressure. Some of the most commonly prescribed drugs include mineralocorticoids (e.g., fludrocortisone) vasopressin receptor agonists (e.g., desmopressin), beta-blockers (e.g., metoprolol and propranolol), and alpha-agonists (e.g., midodrine). One liter of normal saline given intravenously over an hour also seems to be helpful, but this therapy isn’t recommended for long-term use. [1]

    References

    1. ^Vernino S, Bourne KM, Stiles LE, Grubb BP, Fedorowski A, Stewart JM, Arnold AC, Pace LA, Axelsson J, Boris JR, Moak JP, Goodman BP, Chémali KR, Chung TH, Goldstein DS, Diedrich A, Miglis MG, Cortez MM, Miller AJ, Freeman R, Biaggioni I, Rowe PC, Sheldon RS, Shibao CA, Systrom DM, Cook GA, Doherty TA, Abdallah HI, Darbari A, Raj SRPostural orthostatic tachycardia syndrome (POTS): State of the science and clinical care from a 2019 National Institutes of Health Expert Consensus Meeting - Part 1.Auton Neurosci.(2021-Nov)