Midodrine Flashcards

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Questions and Answers

What is the action of Midodrine?

  • Increases blood flow to the heart
  • Activates alpha-receptors in arteries and veins (correct)
  • Decreases vascular tone
  • Lowers blood pressure

What is the indication for Midodrine?

Symptomatic treatment of orthostatic hypotension

Describe the pharmacokinetics of Midodrine.

Absorbed from the GI tract, metabolized in the liver, and excreted in the urine

Which of the following are contraindications for Midodrine? (Select all that apply)

<p>Supine hypertension (A), Pheochromocytoma (B), Coronary artery disease (CAD) (C)</p> Signup and view all the answers

What are some cautions associated with Midodrine?

<p>Pregnancy and lactation; visual problems</p> Signup and view all the answers

Adverse effects of Midodrine are related to stimulation of ______ receptors.

<p>alpha</p> Signup and view all the answers

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Study Notes

Midodrine Overview

  • Activates alpha-receptors in vascular tissues to enhance tone and elevate blood pressure.

Indication for Use

  • Primarily used for symptomatic treatment of orthostatic hypotension, a condition causing dizziness or faintness upon standing.

Pharmacokinetics

  • Absorption occurs via the gastrointestinal tract, followed by metabolism in the liver.
  • Excretion is primarily through urine.

Contraindications

  • Should not be used in patients with:
    • Supine hypertension (elevated blood pressure while lying down)
    • Coronary artery disease (CAD)
    • Pheochromocytoma (tumor of the adrenal gland)
    • Urinary retention (difficulty in urination)

Cautionary Considerations

  • Use with caution in:
    • Pregnant or breastfeeding individuals
    • Patients with visual disturbances

Adverse Effects

  • Adverse reactions linked to alpha-receptor stimulation include:
    • Chills and rash
    • Hypertension (HTN), bradycardia (slow heart rate)
    • Dizziness and headache

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