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midodrine and ANS (Autonomic Nervous System) Diseases

midodrine has been researched along with ANS (Autonomic Nervous System) Diseases in 25 studies

Midodrine: An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION.
midodrine : An aromatic ether that is 1,4-dimethoxybenzene which is substituted at position 2 by a 2-(glycylamino)-1-hydroxyethyl group. A direct-acting sympathomimetic with selective alpha-adrenergic agonist activity, it is used (generally as its hydrochloride salt) as a peripheral vasoconstrictor in the treatment of certain hypotensive states. The main active moiety is its major metabolite, deglymidodrine.

Research Excerpts

ExcerptRelevanceReference
"We describe a man in his 40s with a history of chronic intranasal cocaine use and C5-C7 incomplete quadriplegia complicated by neurogenic orthostatic hypotension, admitted to the intensive care unit for worsening bradycardia and hypotension requiring initiation of dopamine and an increase of his home midodrine dose."8.31Refractory bradycardia and hypotension in patients with autonomic dysfunction treated with pseudoephedrine. ( Curran, C; Davoudi, F; Foster, G; Gordan, P, 2023)
"Midodrine is an alpha-one agonist that produces arterial and venous constriction and leads to a decrease in heart rate by baroreceptor reflexes."6.39A comparison of postspace-flight orthostatic intolerance to vasovagal syncope and autonomic failure and the potential use of the alpha agonist midodrine for these conditions. ( Jankovic, J; McElligott, MA; Piwinski, SE, 1994)
"We describe a man in his 40s with a history of chronic intranasal cocaine use and C5-C7 incomplete quadriplegia complicated by neurogenic orthostatic hypotension, admitted to the intensive care unit for worsening bradycardia and hypotension requiring initiation of dopamine and an increase of his home midodrine dose."4.31Refractory bradycardia and hypotension in patients with autonomic dysfunction treated with pseudoephedrine. ( Curran, C; Davoudi, F; Foster, G; Gordan, P, 2023)
"Midodrine was found to significantly ameliorate excessive decreases in blood pressure and presyncope during a provocative tilt test."2.70Midodrine prevents orthostatic intolerance associated with simulated spaceflight. ( Aljuri, N; Bloomfield, D; Cohen, RJ; Maa, M; Mukkamala, R; Mullen, TJ; Ramsdell, CD; Rostoft, S; Sherman, D; Sheynberg, N; Sundby, GH; Toska, K; Williams, GH; Yelle, J, 2001)
"Midodrine is a peripherally acting alpha-adrenergic agonist useful in the treatment of NOH."2.69A double-blind, dose-response study of midodrine in neurogenic orthostatic hypotension. ( Kaufmann, HC; Low, PA; McElligott, MA; Opfer-Gehrking, TL; Perera, R; Sheng, KN; Wright, RA, 1998)
"Ninety-seven patients with orthostatic hypotension were randomized in a 4-week, double-blinded, placebo-controlled study with a 1-week placebo run-in period."2.67Neurogenic orthostatic hypotension: a double-blind, placebo-controlled study with midodrine. ( Brown, DC; Coghlan, CH; Fouad-Tarazi, FM; Gilden, JL; Hiner, BC; Jankovic, J; Kaufmann, H; Rubin, M, 1993)
"In neurogenic orthostatic hypotension (NOH), inadequate vasoconstriction and cardiac output cause BP to drop excessively, resulting in inadequate perfusion, with predictable symptoms such as dizziness, lightheadedness and falls."2.52Diagnosing and treating neurogenic orthostatic hypotension in primary care. ( Dietrich, E; Espay, AJ; Gelblum, J; Kuritzky, L; Payne, R, 2015)
"Neurogenic orthostatic hypotension is often confused with other disorders of orthostatic intolerance, hypovolemic states and systemic conditions."2.50A practical guide to the treatment of neurogenic orthostatic hypotension. ( Berger, MJ; Kimpinski, K, 2014)
"Midodrine is an alpha-one agonist that produces arterial and venous constriction and leads to a decrease in heart rate by baroreceptor reflexes."2.39A comparison of postspace-flight orthostatic intolerance to vasovagal syncope and autonomic failure and the potential use of the alpha agonist midodrine for these conditions. ( Jankovic, J; McElligott, MA; Piwinski, SE, 1994)
"In case of orthostatic hypotension with an insufficient increase in heart rate, one has to consider autonomic dysfunction."1.72[Dizziness upon standing: consider autonomic dysfunction]. ( Bloem, BR; Deinum, J; Riksen, NP; Rutten, J, 2022)
"Oral midodrine may further increase ejaculation success, while maintaining autonomy."1.35Perceived physiological and orgasmic sensations at ejaculation in spinal cord injured men. ( Bélanger, M; Charvier, K; Côté, I; Courtois, F; Fournier, C; Jacquemin, G; Leriche, A; Raymond, D; Vézina, JG, 2008)
"Primary Sjogren syndrome is considered as the most frequent connective tissue disease."1.33[Sjögren's syndrome with autonomic failure and epilepsy]. ( Attout, H; Guez, S; Martre, A; Series, C, 2005)
"The diagnosis of chronic fatigue syndrome (CFS) is based on patient history and treatment on cognitive behavior therapy and graded exercise."1.32Dysautonomia in chronic fatigue syndrome: facts, hypotheses, implications. ( Naschitz, JE; Rosner, I; Yeshurun, D, 2004)
"Five patients with idiopathic orthostatic hypotension, two of whom had central nervous system manifestations (Shy-Drager syndrome), were treated with midodrine, an investigational alpha-adrenergic agonist, in a dosage of 2."1.26Midodrine. A new agent in the management of idiopathic orthostatic hypotension and Shy-Drager syndrome. ( Fealey, RD; Schirger, A; Sheps, SG; Thomas, JE, 1981)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19902 (8.00)18.7374
1990's6 (24.00)18.2507
2000's11 (44.00)29.6817
2010's4 (16.00)24.3611
2020's2 (8.00)2.80

Authors

AuthorsStudies
Riksen, NP1
Rutten, J1
Bloem, BR1
Deinum, J1
Curran, C1
Davoudi, F1
Foster, G1
Gordan, P1
Berger, MJ1
Kimpinski, K1
Kuritzky, L1
Espay, AJ1
Gelblum, J1
Payne, R1
Dietrich, E1
Asahina, M1
Akaogi, Y1
Yamanaka, Y1
Koyama, Y1
Hattori, T1
Fischer, PR1
Sandroni, P3
Pittock, SJ1
Porter, CB1
Lehwald, LM1
Raj, SR1
Hohler, AD1
Singh, VJ1
Goldstein, DS1
Holmes, C1
Dendi, R1
Li, ST1
Brentzel, S1
Vernino, S1
Naschitz, JE1
Yeshurun, D1
Rosner, I1
Schrage, WG1
Eisenach, JH1
Dinenno, FA1
Roberts, SK1
Johnson, CP1
Low, PA3
Joyner, MJ1
Attout, H1
Martre, A1
Guez, S1
Series, C1
Thijs, RD1
van Dijk, JG1
Singer, W1
Opfer-Gehrking, TL2
Suarez, GA1
Klein, CM1
Hines, S1
O'Brien, PC1
Slezak, J1
Rovit, RL1
Courtois, F1
Charvier, K1
Leriche, A1
Vézina, JG1
Côté, I1
Raymond, D1
Jacquemin, G1
Fournier, C1
Bélanger, M1
Schirger, A1
Sheps, SG1
Thomas, JE1
Fealey, RD1
Piwinski, SE1
Jankovic, J2
McElligott, MA2
Gilden, JL1
Hiner, BC1
Kaufmann, H2
Brown, DC1
Coghlan, CH1
Rubin, M1
Fouad-Tarazi, FM1
Mallipeddi, R1
Mathias, CJ1
Wright, RA1
Kaufmann, HC1
Perera, R1
Sheng, KN1
Grubb, BP1
Karas, B1
Kosinski, D1
Boehm, K1
Hirayama, M2
Koike, Y2
Ieda, T1
Takahashi, A2
Sobue, G1
Ramsdell, CD1
Mullen, TJ1
Sundby, GH1
Rostoft, S1
Sheynberg, N1
Aljuri, N1
Maa, M1
Mukkamala, R1
Sherman, D1
Toska, K1
Yelle, J1
Bloomfield, D1
Williams, GH1
Cohen, RJ1
Watanabe, H1
Kaneoke, Y1
Brannan, T1
Krakoff, L1
Yahr, MD1
Mandeli, J1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Plasma Exchange for Autoimmune Autonomic Failure[NCT00359346]3 participants Observational2006-07-14Completed
Dose Response to the Norepinephrine Precursor Droxidopa in Hypotensive Individuals With Spinal Cord Injury[NCT03602014]Phase 422 participants (Actual)Interventional2018-06-01Completed
Treatment and Prognosis of Neurogenic Orthostatic Hypotension : A Prospective Randomized Study[NCT02308124]Phase 487 participants (Actual)Interventional2014-11-30Completed
Efficacy and Safety of Midodrine and Atomoxetine Treatment in Patients With Neurogenic Orthostatic Hypotension : A Prospective Randomized Study[NCT03350659]Phase 450 participants (Actual)Interventional2018-01-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change of the Depression Score (Beck Depression Inventory-II )

"Change of the depression score after 3-month medical treatment compared to initial results.~21 multiple-choice questions, each of which can be scored from 0 to 3. Higher score represent higher degree of depression.~Score Normal; 0-13, Mild depression; 14-19, Moderate depression; 20-28, Severe depression; 29-63" (NCT02308124)
Timeframe: after 3-month medical treatment.

Interventionpoints (Mean)
Midodrine Only-6.8
Pyridostigmine Only-7.8
Midodrine + Pyridostigmine-3.5

Change of the Orthostatic Hypotension Associated Symptom Questionnaire (OH Questionnaire (OHQ)).

"Change of the OH associated symptom survey result after 3-month medical treatment compared to initial results.~OHQ questionnaire has two components: the OH daily activity scale (OHDAS), which contains 4 items measuring the impact of OH on daily activities, and the OH symptom assessment (OHSA), which contains 6 items measuring the symptoms of OH (dizziness/light headedness, vision disturbance, weakness, fatigue, trouble concentrating, and head/neck discomfort).This questionnaire reflects the severity of OH-related symptoms on a 10-point scale, with 0 indicating the absence of a symptom and 10 indicating maximal severity.~** OHQ total score minimal 0 ~ maximal 100" (NCT02308124)
Timeframe: after 3-month medical treatment.

Interventionpoints (Mean)
Midodrine Only-16.2
Pyridostigmine Only-17.2
Midodrine + Pyridostigmine-12.6

Changes in Health-related Quality of Life

"changes in Short Form (36) Health Survey version 2 (SF-36v2) mental component summary scale (MCS)~SF-36v2 measures eight HRQOL domains (physical functioning, role limitation caused by physical problems, bodily pain, general health, vitality, social functioning, role limitation caused by emotional problems, and mental health) summarized into two summary scales that are normalized to the population (mean=50, standard deviation=10): the physical component summary scale (PCS) and the mental component summary scale (MCS).20 Better HRQOL is reflected by higher SF-36v2 scores." (NCT02308124)
Timeframe: changes at 3 months after treatment

Interventionpoints (Mean)
Midodrine Only5.0
Pyridostigmine Only6.7
Midodrine + Pyridostigmine0.4

Short-form 36 Version 2

"changes in Short Form (36) Health Survey version 2 (SF-36v2) physical component summary scale (PCS) compared to the baseline~SF-36v2 measures eight HRQOL domains (physical functioning, role limitation caused by physical problems, bodily pain, general health, vitality, social functioning, role limitation caused by emotional problems, and mental health) summarized into two summary scales that are normalized to the population (mean=50, standard deviation=10): the physical component summary scale (PCS) and the mental component summary scale (MCS).20 Better HRQOL is reflected by higher SF-36v2 scores." (NCT02308124)
Timeframe: changes at 3 months after treatment

Interventionpoints (Mean)
Midodrine Only5.6
Pyridostigmine Only4.2
Midodrine + Pyridostigmine2.7

Change in Orthostatic BP Drop

Change of orthostatic SBP and DBP drop after 3-month medical treatment compared to initial results. (NCT02308124)
Timeframe: after 3-month medical treatment

,,
InterventionmmHg (Mean)
Changes in SBP dropChanges in DBP drop
Midodrine + Pyridostigmine8.97.4
Midodrine Only11.17.5
Pyridostigmine Only13.611.1

Reviews

3 reviews available for midodrine and ANS (Autonomic Nervous System) Diseases

ArticleYear
A practical guide to the treatment of neurogenic orthostatic hypotension.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2014, Volume: 41, Issue:2

    Topics: Autonomic Nervous System Diseases; Central Nervous System Neoplasms; Cholinesterase Inhibitors; Dise

2014
Diagnosing and treating neurogenic orthostatic hypotension in primary care.
    Postgraduate medicine, 2015, Volume: 127, Issue:7

    Topics: Accidental Falls; Aged; Aged, 80 and over; Autonomic Nervous System Diseases; Disease Management; Dr

2015
A comparison of postspace-flight orthostatic intolerance to vasovagal syncope and autonomic failure and the potential use of the alpha agonist midodrine for these conditions.
    Journal of clinical pharmacology, 1994, Volume: 34, Issue:5

    Topics: Adult; Aged; Autonomic Nervous System Diseases; Blood Pressure; Female; Heart Rate; Humans; Hypotens

1994

Trials

9 trials available for midodrine and ANS (Autonomic Nervous System) Diseases

ArticleYear
Effects of midodrine on exercise-induced hypotension and blood pressure recovery in autonomic failure.
    Journal of applied physiology (Bethesda, Md. : 1985), 2004, Volume: 97, Issue:5

    Topics: Adrenergic alpha-Agonists; Aged; Autonomic Nervous System Diseases; Bicycling; Blood Pressure; Cardi

2004
Pyridostigmine treatment trial in neurogenic orthostatic hypotension.
    Archives of neurology, 2006, Volume: 63, Issue:4

    Topics: Adolescent; Adult; Arteries; Autonomic Nervous System Diseases; Baroreflex; Cholinergic Fibers; Chol

2006
Pyridostigmine treatment trial in neurogenic orthostatic hypotension.
    Archives of neurology, 2006, Volume: 63, Issue:4

    Topics: Adolescent; Adult; Arteries; Autonomic Nervous System Diseases; Baroreflex; Cholinergic Fibers; Chol

2006
Pyridostigmine treatment trial in neurogenic orthostatic hypotension.
    Archives of neurology, 2006, Volume: 63, Issue:4

    Topics: Adolescent; Adult; Arteries; Autonomic Nervous System Diseases; Baroreflex; Cholinergic Fibers; Chol

2006
Pyridostigmine treatment trial in neurogenic orthostatic hypotension.
    Archives of neurology, 2006, Volume: 63, Issue:4

    Topics: Adolescent; Adult; Arteries; Autonomic Nervous System Diseases; Baroreflex; Cholinergic Fibers; Chol

2006
Neurogenic orthostatic hypotension: a double-blind, placebo-controlled study with midodrine.
    The American journal of medicine, 1993, Volume: 95, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Autonomic Nervous System Diseases; Double-Blind Method; Female; Huma

1993
A double-blind, dose-response study of midodrine in neurogenic orthostatic hypotension.
    Neurology, 1998, Volume: 51, Issue:1

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Autonomic Nervous System Diseases; Cross-Over Studies; Dose-

1998
A double-blind, dose-response study of midodrine in neurogenic orthostatic hypotension.
    Neurology, 1998, Volume: 51, Issue:1

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Autonomic Nervous System Diseases; Cross-Over Studies; Dose-

1998
A double-blind, dose-response study of midodrine in neurogenic orthostatic hypotension.
    Neurology, 1998, Volume: 51, Issue:1

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Autonomic Nervous System Diseases; Cross-Over Studies; Dose-

1998
A double-blind, dose-response study of midodrine in neurogenic orthostatic hypotension.
    Neurology, 1998, Volume: 51, Issue:1

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Autonomic Nervous System Diseases; Cross-Over Studies; Dose-

1998
Preliminary observations on the use of midodrine hydrochloride in the treatment of refractory neurocardiogenic syncope.
    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 1999, Volume: 3, Issue:2

    Topics: Administration, Oral; Adolescent; Adrenergic alpha-Agonists; Adult; Aged; Autonomic Nervous System D

1999
[A one-month combined use of selective adrenergic beta 1- and alpha 1-agonists for postprandial hypotension in patients with autonomic failure].
    Rinsho shinkeigaku = Clinical neurology, 2000, Volume: 40, Issue:8

    Topics: Adrenergic alpha-Agonists; Adrenergic beta-Agonists; Aged; Autonomic Nervous System Diseases; Chroni

2000
Midodrine prevents orthostatic intolerance associated with simulated spaceflight.
    Journal of applied physiology (Bethesda, Md. : 1985), 2001, Volume: 90, Issue:6

    Topics: Adrenergic alpha-Agonists; Adult; Autonomic Nervous System Diseases; Bed Rest; Hemodynamics; Humans;

2001
[Effect of combined therapy with selective beta 1- and alpha 1-adrenergic agonists upon postprandial hypotension in patients with progressive autonomic failure].
    Rinsho shinkeigaku = Clinical neurology, 1992, Volume: 32, Issue:11

    Topics: Administration, Oral; Adrenergic alpha-Agonists; Adrenergic beta-Agonists; Adult; Autonomic Nervous

1992
Treatment of orthostatic hypotension due to autonomic failure with a peripheral alpha-adrenergic agonist (midodrine).
    Neurology, 1988, Volume: 38, Issue:6

    Topics: Adrenergic alpha-Agonists; Aged; Autonomic Nervous System Diseases; Clinical Trials as Topic; Double

1988

Other Studies

13 other studies available for midodrine and ANS (Autonomic Nervous System) Diseases

ArticleYear
[Dizziness upon standing: consider autonomic dysfunction].
    Nederlands tijdschrift voor geneeskunde, 2022, 04-25, Volume: 166

    Topics: Aged; Autonomic Nervous System Diseases; Blood Pressure; Dizziness; Humans; Hypotension, Orthostatic

2022
Refractory bradycardia and hypotension in patients with autonomic dysfunction treated with pseudoephedrine.
    BMJ case reports, 2023, Apr-26, Volume: 16, Issue:4

    Topics: Autonomic Nervous System Diseases; Bradycardia; Dopamine; Humans; Hypotension; Hypotension, Orthosta

2023
Differences in skin sympathetic involvements between two chronic autonomic disorders: multiple system atrophy and pure autonomic failure.
    Parkinsonism & related disorders, 2009, Volume: 15, Issue:5

    Topics: Aged; Autonomic Nervous System Diseases; Blood Flow Velocity; Blood Pressure; Female; Fludrocortison

2009
Isolated sympathetic failure with autoimmune autonomic ganglionopathy.
    Pediatric neurology, 2010, Volume: 43, Issue:4

    Topics: Adolescent; Autoantibodies; Autonomic Nervous System Diseases; Humans; Immunoglobulins, Intravenous;

2010
Probable hereditary multiple system atrophy-autonomic (MSA-A) in a family in the United States.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2012, Volume: 19, Issue:3

    Topics: Adrenergic alpha-Agonists; Aged, 80 and over; Anti-Inflammatory Agents; Autonomic Nervous System Dis

2012
Pandysautonomia associated with impaired ganglionic neurotransmission and circulating antibody to the neuronal nicotinic receptor.
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2002, Volume: 12, Issue:4

    Topics: Adrenergic alpha-Agonists; Aged; Autoantibodies; Autoimmune Diseases; Autonomic Nervous System; Auto

2002
Dysautonomia in chronic fatigue syndrome: facts, hypotheses, implications.
    Medical hypotheses, 2004, Volume: 62, Issue:2

    Topics: Arrhythmias, Cardiac; Autonomic Nervous System Diseases; Diagnosis, Differential; Evidence-Based Med

2004
[Sjögren's syndrome with autonomic failure and epilepsy].
    La Revue de medecine interne, 2005, Volume: 26, Issue:2

    Topics: Aged; Anti-Inflammatory Agents; Anticonvulsants; Autonomic Nervous System Diseases; Electromyography

2005
Stress induced hypotension in pure autonomic failure.
    Journal of neurology, neurosurgery, and psychiatry, 2006, Volume: 77, Issue:4

    Topics: Autonomic Nervous System Diseases; Catecholamines; Female; Humans; Hypotension, Orthostatic; Middle

2006
Autonomic failure: observations of a physician-patient.
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2007, Volume: 17, Issue:4

    Topics: Aged, 80 and over; Antibodies; Autoimmune Diseases; Autonomic Nervous System Diseases; Drug Therapy,

2007
Perceived physiological and orgasmic sensations at ejaculation in spinal cord injured men.
    The journal of sexual medicine, 2008, Volume: 5, Issue:10

    Topics: Adolescent; Adrenergic alpha-Agonists; Adult; Autonomic Dysreflexia; Autonomic Nervous System Diseas

2008
Midodrine. A new agent in the management of idiopathic orthostatic hypotension and Shy-Drager syndrome.
    Mayo Clinic proceedings, 1981, Volume: 56, Issue:7

    Topics: Adult; Aged; Autonomic Nervous System Diseases; Blood Pressure; Ethanolamines; Female; Humans; Hypot

1981
Raynaud's phenomenon after sympathetic denervation in patients with primary autonomic failure: questionnaire survey.
    BMJ (Clinical research ed.), 1998, Feb-07, Volume: 316, Issue:7129

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Autonomic Nervous System Diseases; Cold Temperature;

1998