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A member asked:
On metoprolol for ist/pots. the dose that's high enough to control it lowers my bp too much. what alternatives are there?
A doctor has provided 1 answer
Need multiple meds: Treatment of POTS is not as simple prescribing a beta blocker. There are inherent problems with maintaining adequate circulation despite changes in posture. The rapid heart rate occurs in response to lack of vessel constriction upon standing. Often pts with POTS need a medicine such as midodrine or florinef (fludrocortisone) combined with a beta blocker. Consult you cardiologist for evaluation and treatment
Answered 1/6/2016
1.8k views
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