Neurally Mediated Hypotension - Does treatment cure it?

Even when successfully treated, the medications for neurally mediated hypotension do not cure the problem. Rather, they help control symptoms. When medications are stopped and when salt intake is reduced, symptoms frequently reappear. Many of the adolescents and adults with the problem also have symptoms resurface or worsen at busy or stressful times (making an oral presentation in class, having company over for Thanksgiving, rushing for a meeting on a hot day and forgetting to drink). Many women describe a worsening of symptoms in the days around the start of a menstrual period.

The question of what happens over the long term has not been adequately studied, and the optimal duration of medical treatment is still being worked out. Unfortunately, despite appropriate doses of the available medications for neurally mediated hypotension, some individuals with abnormal tilt table tests do not experience an improvement in symptoms, and some are intolerant of the medications. This emphasizes the need for more research on this problem. Many women who have NMH describe an improvement in symptoms when they have been pregnant, and often describe pregnancy as the time when they felt “the best ever.” The improvement may be due to an expansion of blood volume that occurs with pregnancy.

* The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.