Removal/reduction of offending medications.
Lifestyle modifications:
Arise slowly.
Don’t strain, cough, and walk in hot weather because these activities reduce venous return and worsen orthostatic hypotension.
Adequate hydration
Acute boluses of water e.g. drinking one to two large glasses of water up to 500 ml total at once can raise BP by up to 20 mmHg for up to two hours.
Abdominal binders
Use lower extremity compression e.g. compression socks. Use custom fitted elastic stockings that allow the application of graded pressure to the LE and abdomen, thus minimizing peripheral blood pooling.
Actively stand with legs crossed
Squat to alleviate symptomatic orthostatic hypotension
Exercise: Sometimes cardiovascular deconditioning rather than chronic autonomic failure is the cause of orthostatic hypotension. Exercise helps with that.
Isometric, lower-extremity physical exercise
Toe raises, thigh contractions, and bending over at the waist have been recommended
Physical maneuvers (e.g., squatting, bending at waist)
Sodium may be supplemented by adding extra salt to food or taking 0.5- to 1.0-g salt tablets. May supplement up to 1 to 2 g three times per day.
