Treatment Options for POTS
While there is no cure for POTS, several treatments can help manage the condition:
- Lifestyle and Dietary Changes:
- Increased fluid and salt intake: Drinking plenty of fluids and increasing salt intake helps increase blood volume, which can improve symptoms.
- Compression garments: Wearing compression stockings or abdominal binders can help improve blood circulation and prevent blood from pooling in the legs.
- Exercise: A graded exercise program (starting slowly and gradually increasing) can help improve blood circulation and overall autonomic function.
- Small, frequent meals: This can help prevent postprandial hypotension (low blood pressure after eating), which is common in people with POTS.
- Medications:
- Beta-blockers: These medications can help control the increased heart rate.
- Fludrocortisone: A medication that helps the body retain salt and fluid to improve blood volume.
- Midodrine: A drug that constricts blood vessels to increase blood pressure.
- Pyridostigmine: This can be helpful for improving the autonomic response and blood flow.
- Ivabradine: A medication specifically used to control the heart rate.
- Physical Therapy:
- Tailored physical therapy programs to strengthen muscles and improve circulation can also be helpful.