Treatment

General treatment:

            Increase fluid and salt intake if required

Specialist treatment:

Regulate heart rate using a beta blocker, or Ivabradine

Boost BP using Fludrocortisone, Midodrine, or Desmopressin

Selective serotonin reuptake inhibitors (SSRIs) such as Fluoxetine, Paroxetine, Citalopram, Escitalopram, or Sertraline, and noradrenaline reuptake inhibitors (SNRIs)  such as Venlafaxine, Duloxetine can be helpful in dysautonomia. SSRIs tend to be more effective in Autonomic Mediated Syncope, SNRIs in PoTS

Clonidine – centrally acting medication

Frequent small meals may be helpful if abdominal symptoms predominate