If you are having the annoying symptoms, then the best treatment option is to treat for the underlying cause (such as dehydration, heart failure, diabetes, or hypothyroidism, instead of treating the low blood pressure itself.). When the cause by the side effect of any medications then the usual treatment should be changing the dose of that particular medication or stopping it all together.
Low blood pressure medicine
There are different types of medications are available for the low blood pressure treatment based on their causes; they are:
- Nonsteroidal anti-inflammatory drugs.
A corticosteroid is helpful in controlling the amount of sodium and fluids in the body. It is often considering as medication for low blood pressure due to dehydration. This drug helps boost the blood volume, which raises blood pressure.
It is useful to treat low glucocorticoid levels caused by disease of the adrenal gland (Addison's disease, adrenocortical insufficiency, salt-losing adrenogenital syndrome). Glucocorticoids are requiring in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal.
Side effects: This medication is generally well tolerating. However, some may have dizziness, swelling of the hands or feet, rapid weight gain, water retention, skin rash, unusual bruising, severe or continuous headaches, weakness, joint pain.
It is a hypotension medicine, which raises standing blood pressure levels. It is often considering as a low blood pressure medicine for people with chronic orthostatic hypotension. It works by restricting the ability of the blood vessels to expand, which raises blood pressure.
Midodrine is considering only if the patents daily activities are severely affects by their low bp symptoms, even after other treatments proved ineffective (e.g., support stockings).
Suggest this also as a treatment for chronic fatigue syndrome as well as for hepato-pulmonary syndrome. Midodrine should not use if the patients have severe organic heart disease, acute renal disease, urinary retention, or supine hypertension.
Side effects are tingling/itching skin, chills, urinary problems, heart pounding, slow heartbeat, unusual-chest-sensation, fainting, ear blow sensation, headache, blurred vision, vision problems, and rash.
Pyridostigmine (Mestinon®) is useful to improve muscle strength in patients with a muscle disease (e.g. myasthenia gravis). It functions by preventing the breakdown of a certain natural substance (acetylcholine) in our body; acetylcholine is necessary for normal muscle function. Therefore, this drug helps to relieve your fatigue, the most common symptom of low bp.
This medication can be useful to treat postural or orthostatic hypotension; a form of hypotension in which there is a sudden (less than 3 minutes) falls in blood pressure, typically greater than 20/10 mm Hg. It occurs when a person takes a standing position, usually after a prolonged period of rest.
Side effects are of two varieties, muscarinic and nicotinic. Among those in the former group are nausea, vomiting, diarrhea, abdominal cramps, increased peristalsis, increased salivation, increased bronchial secretions, miosis, and diaphoresis. Nicotinic side effects are comprised chiefly of muscle cramps, fasciculation and weakness.
Caffeine is a bitter tasting substance commonly found in coffee, tea, some soft drinks, chocolate, kola nuts, and available as caffeine tablets. Caffeine acts as a central nervous system (CNS) stimulant, and it temporarily stops drowsiness and restoring alertness. It also relaxes smooth muscle, stimulates cardiac muscle, and useful in the treatment of some headaches (e.g. migraine).
Caffeine can cause a temporary short-term dramatic rise in your blood pressure. The amount of raised in systolic pressure can be 3 to 14 mm Hg and rise in diastolic pressure can be 4 to 13 mm Hg.
The cause of spikes in blood pressure is still not clear, but could be due to caffeine property of blocking a hormone that keeps the arteries widen. In addition, caffeine stimulates the adrenal gland to release more adrenaline, which too causes blood pressure spikes.
Side effects: In cases of larger overdoses can cause mania, depression, lapses in judgment, disorientation, inhibition loss, delusions, hallucinations, psychosis and rhabdomyolysis.
Erythropoietin is recommending for low blood pressure treatment, if the cause of low bp is due to anemia. Erythropoietin is the best choice to increase RBC and thus raises blood pressure. Erythropoietin is a type of protein that occurs naturally in the body. It can also make as a medicine. It stimulates the bone marrow to make red blood cells. Erythropoietin can give as a treatment for a low red blood cell count (anemia); it is applicable as an alternative to a blood transfusion. Erythropoietin available in the marker is epoetin (Eprex®, NeoRecormon®), darbepoetin (Aranesp®).
Erythropoietin (EPO) is a hormone secreted by the kidney that increases the production of red blood cells by the bone marrow. The kidney cells that produce erythropoietin are sensitive to low oxygen levels in the blood that reaches the kidney. These cells produce and secrete erythropoietin when the oxygen level is too low. This low-oxygen level may be an indication of anemia, a low number of red blood cells, or hemoglobin molecules that transport oxygen throughout the body.
Erythropoietin stimulates the bone marrow to produce a lot of red blood cells or hemoglobin molecules. The resultant rise in red blood cells indirectly helps to normalize low blood pressure due to anemia.
Side effects are flu-like symptoms, such as joint pains, weakness, dizziness, and tiredness. These are more likely to occur at the start of the treatment. Doctor may prescribe a painkiller, such as paracetamol, to help with these symptoms. Headaches, Skin irritation may occur at the injection site, Skin rash.
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most NSAIDs produce mild elevations of normal blood pressure levels of about 10 mm Hg, and duration were short-lived or chronic. NSAIDs are useful primarily to treat inflammation, mild to moderate pain, and fever; it can use if one has inflammation along with low blood pressure. Specific uses include the treatment of headaches, arthritis, sports injuries, and menstrual cramps. Aspirin (also an NSAID) is useful to inhibit the clotting of blood and prevent strokes and heart attacks in individuals at high risk. NSAIDs also are included in many cold and allergy preparations. Non-steroidal anti-inflammatory drugs available are Aspirin, ibuprofen (Advil®, Motrin®, Nuprin®, etc.) and naproxen (Aleve®).
Side effects are nausea, vomiting, diarrhea, constipation, decreased appetite, rash, dizziness, headache, and drowsiness. NSAIDs may also cause fluid retention, leading to edema. The most serious side effects are kidney failure, liver failure, ulcers, and prolonged bleeding after an injury or surgery.