What Medications Cause Orthostatic Hypotension?

Medications that affect the autonomic nervous system may cause orthostatic hypotension.

Beta blockers

Beta blockers are widely used for treating abnormally fast heart beat, hypertension(high blood pressure), AFib, or anxiety. The beta blockers block the beta-adrenergic receptors in the body, so as to decreases the force of heart muscle contracting and reduces blood vessel contraction in the heart, brain and throughout the body. These effects affect the ability of the body to react to position changes.

Examples of Beta blockers include:

  • Acebutolol (Sectral)
  • Atenolol (Tenormin)
  • Bisoprolol (Zebeta)
  • Metoprolol (Lopressor, Toprol-XL)
  • Nadolol (Corgard)
  • Nebivolol (Bystolic)
  • Propranolol (Inderal LA, InnoPran XL)

Medication Such as Vigra

Medications such as Vigra dilate blood vessels, therefore they may cause orthostatic hypotension. The effect can be magnified if taken with nitrates, alcohol, or narcotic pain medications. Such medications include sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).

Medications Treating High Blood Pressure

Medications treating high blood pressure may cause orthostatic hypotension.

Psychiatric medications

Many psychiatric medications have side effects including orthostatic hypotension. These drugs include:

  • Amitriptyline (Endep, Elavil)
  • Nortriptyline (Pamelor, Aventyl)
  • Thorazine
  • Mellaril
  • Compazine
  • Nardil
  • Parnate
* 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.