Q: Pyridostigmine (Mastinon) which is well known for its
use in Myasthenia Gravis can also be use in which other common
condition?
Answer: Orthostatic
hypotension
Pyridostigmine has been
studied and found to be significantly effective to treat orthostatic
hypotension. Beside Midodrine, this could be another nice drug to use in those
frustrating situations in ICU where orthostatic hypotension delays transfer out
of ICU. Usual dose is 60 mg PO up to 3 times per day.
Reference:
Gales BJ, Gales MA. (2007).
"Pyridostigmine in the treatment of orthostatic intolerance". Annals of
Pharmacotherapy 41 (2): 314–8
Singer W; Sandroni P;
Opfer-Gehrking TL; Suarez GA; Klein CM; Hines S; O'Brien PC; Slezak J; Low PA.
"Pyridostigmine Treatment Trial in Neurogenic Orthostatic Hypotension." Archives
of Neurology, April 2006, Vol. 63, No. 4, pp. 513-518 .
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