Midodrine hydrochloride and the treatment of orthostatic hypotension in tetraplegia: two cases and a review of the literature.

STUDY

DESIGN

A report of two cases of orthostatic hypotension in acute tetraplegia that were resistant to classic treatment interventions.

OBJECTIVE

To discuss the use of midodrine hydrochloride for the treatment of orthostatic hypotension in early tetraplegia.

SETTING

Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, Texas, USA.

METHODS

Presentation of two cases.

RESULTS

Midodrine hydrochloride successfully treated two cases of orthostatic hypotension that had been refractory to classic treatment interventions.

CONCLUSION

Midodrine hydrochloride should be included in the armamentarium of the physician treating orthostatic hypotension in spinal cord injury.