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Medication Causes of Orthostatic Hypotension

Aka: Medication Causes of Orthostatic Hypotension, Orthostatic Hypotension due to Medication, Drug-Induced Orthostatic Hypotension

Causes: Cardiac Medications
1. Methyldopa
2. Clonidine
3. Alpha adrenergic blockers (e.g. Prazosin, Doxazosin, Terazosin)
4. Beta Blockers (e.g. Atenolol)
5. Alpha-Beta Blockers (Carvedilol, Labetalol)
6. Vasodilator medications
  1. Nitrates (Nitroglycerin)
  2. Calcium Channel Blockers
  3. ACE Inhibitors (e.g. Lisinopril)
  4. Hydralazine
  5. Dipyridamole (Persantine)
  6. Reserpine
7. Diuretics (e.g. Furosemide)
8. Quinidine
Causes: Genitourinary Medications
1. Phosphodiesterase type 5 inhibitors (e.g. Sildenafil or Viagra)
2. Anticholinergics (e.g. Oxybutynin or Ditropan)
Causes: Neuropsychiatric Agents
1. Parkinsonism agents (Levodopa-carbidopa, bromocriptine)
2. Barbiturates
3. MAO inhibitors (e.g. Phenelzine)
4. Tricyclic Antidepressants (e.g. Amitriptyline, Doxepin, Trazodone)
5. Antipsychotics (e.g. Chlorpromazine, Clozapine, thioridazine)
6. Muscle relaxants (e.g. Baclofen, Cyclobenzaprine, Methocarbamol, Tizanidine)
Causes: Miscellaneous
1. Opioids (e.g. Morphine)
2. Vincristine
3. Insulin
References
1. Gupta (2007) Am J Med 120(10): 841-7