Dysautonomia-POTS

ysautonomia-POTS and Mandarin Wellness Center

Neurally Mediated Hypotension Postural Orthostatic Tachycardia Syndrome

ysautonomia-POTS

In POTS, you cannot retain water without taking in electrolytes because of posterior pituitary dysfunction and insufficient antidiuretic hormone (ADH).  Dehydration occurs.

Hyper-reactive Sympathetic nervous system (fight-or-flight) fires off a very rapid heart rate of 120 – 200.  Sometimes just taking a shower will leave you exhausted as if you’d run a marathon.

The key to treatment is to take in massive quantities of salt and baking soda:

Along with high fluid intake, essential to increase electrolytes:

  • Salt (Hain Iodized Sea Salt +/- Celtic or Himalayan) 1 tsp 2 – 4x/d
  • Baking Soda ½ – 1 tsp 2 – 4x/d or Propel or Smart Water
  • +/- Alka Selzer Gold 1 fizzy 1 – 3 x/d         

If Anti-diuretic Hormone (Arginine Vasopressin) is low, add

   Desmopressin (DDAVP)  0.1 – 0.2 mg bedtime +/- in am   

Options:

  • Beta-Blockers
  • Cymbalta, Effexor, Savella
  • If ADH (anti-diuretic hormone) levels are low, can replace with Desmopressin DDAVP
  • Midodrine
  • Fludrocortisone (Florinef)

For more information:  http://www.potsuk.org/what_is_pots2

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