When I saw midodrine prescribed on the drug chart I had to think hard. Did I know this drug? Although it sounded familiar I was sure I had never seen it before. So I checked in the BNF to find one line stating that it can be used for hypotension. There was no other information so I next checked the manufacturers information. And found that it is a sympathomimetic and an alpha agonist. The doctor had precribed 2.5mg twice a day. The SPC stated that the dose can be titrated up as high as 10mg three times a day. It's unlicensed so the consultant had to fill out an unlicensed form before it could be ordered. The patients blood pressure readings were very low; 79/50. So we will see how effective this drug is.
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