WARNING

Droxidopa is a medication primarily used to treat orthostatic hypotension, a condition where blood pressure drops significantly upon standing. Like any medication, it comes with potential risks. Some of the risks associated with taking Droxidopa include:

• Increased blood pressure: Droxidopa can raise blood pressure, which may lead to hypertension or exacerbate existing hypertension.
• Supine hypertension: While Droxidopa helps with orthostatic hypotension, it can sometimes cause high blood pressure when lying down (supine hypertension), which may require careful monitoring and management.
• Cardiac issues: There is a potential risk for cardiac events such as arrhythmias (irregular heartbeats) or palpitations.
• Fluid overload: Droxidopa can cause fluid retention, leading to edema (swelling) and potentially exacerbating heart failure or other conditions related to fluid overload.
• Neurological effects: Some individuals may experience dizziness, headache, or nervousness as side effects of Droxidopa.
• Interactions with other medications: Droxidopa may interact with certain medications, such as those for hypertension or antidepressants, potentially causing adverse effects or reducing efficacy.

It’s crucial for individuals considering Droxidopa to discuss the potential risks and benefits with their healthcare provider, especially if they have pre-existing medical conditions or are taking other medications.

Why is this medication prescribed?

Droxidopa is prescribed primarily for the treatment of orthostatic hypotension (OH). Orthostatic hypotension is a condition characterized by a sudden drop in blood pressure when a person stands up, leading to symptoms such as dizziness, lightheadedness, blurred vision, and even fainting. Droxidopa works by increasing the levels of norepinephrine, a neurotransmitter that helps regulate blood pressure, thereby improving blood flow to the brain and other vital organs, reducing symptoms of orthostatic hypotension.

Droxidopa is typically used in patients with conditions like Parkinson’s disease, multiple system atrophy, pure autonomic failure, and other disorders that cause orthostatic hypotension as a symptom.

How should this medicine be used?

As for how Droxidopa should be used, it’s essential to follow the dosage instructions provided by a healthcare professional. Generally, Droxidopa is taken orally, usually with food to minimize potential gastrointestinal side effects. The dosage can vary depending on individual factors such as the severity of orthostatic hypotension and the patient’s response to the medication. It’s typically started at a low dose and gradually increased under medical supervision to achieve the desired therapeutic effect while minimizing side effects.

Patients should not exceed the prescribed dose and should take Droxidopa at the same time each day to maintain consistent levels in the bloodstream. It’s essential to continue taking the medication as prescribed, even if symptoms improve, unless instructed otherwise by a healthcare provider.

Since Droxidopa can interact with certain medications and may have side effects, it’s crucial for patients to discuss their medical history and any other medications they are taking with their healthcare provider before starting Droxidopa. Regular follow-up appointments are also essential to monitor the medication’s effectiveness and any potential side effects.

Other uses for this medicine

Some of these potential uses include:

• Neurogenic orthostatic hypotension associated with conditions such as Parkinson’s disease, multiple system atrophy, and pure autonomic failure.
• Fibromyalgia-associated orthostatic hypotension.
• Hypotension associated with hemodialysis in patients with end-stage renal disease.
• Vasovagal syncope.

What special precautions should I follow?

Regarding special precautions for Droxidopa, patients should follow these guidelines:

• Medical history: Inform your healthcare provider about any medical conditions you have, especially heart disease, kidney disease, liver disease, or any history of hypertension.
• Medication interactions: Droxidopa may interact with certain medications, including antidepressants, MAO inhibitors, and medications that affect blood pressure. Inform your doctor about all prescription, over-the-counter, and herbal supplements you are taking to avoid potential interactions.
• Pregnancy and breastfeeding: It’s essential to discuss the risks and benefits of Droxidopa if you are pregnant, planning to become pregnant, or breastfeeding. The effects of Droxidopa on fetal development and its presence in breast milk are not well-studied.
• Allergies: Inform your healthcare provider of any allergies you have, especially to medications like Droxidopa, as well as any other allergies, such as food or preservatives.
• Driving and operating machinery: Droxidopa may cause dizziness or drowsiness in some individuals. If you experience these side effects, avoid driving or operating machinery until you know how Droxidopa affects you.
• Alcohol: Avoid excessive alcohol consumption while taking Droxidopa, as it can exacerbate dizziness and drowsiness.
• Fluid intake: Ensure adequate fluid intake while taking Droxidopa, as it can lead to fluid retention and potential complications if not managed properly.

It’s essential to follow your healthcare provider’s instructions closely and attend regular follow-up appointments to monitor your response to Droxidopa and any potential side effects.

What special dietary instructions should I follow?

• Food intake: Droxidopa can be taken with or without food. However, taking it with food may help reduce the risk of gastrointestinal side effects such as nausea.
• Fluid intake: Ensure adequate fluid intake unless otherwise instructed by your healthcare provider. Hydration is important, especially since Droxidopa can cause fluid retention in some individuals.

What should I do if I forget a dose?

• Take it as soon as you remember: If you miss a dose, take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
• Consult your healthcare provider: If you’re unsure about what to do if you miss a dose, or if you frequently forget doses, consult your healthcare provider for guidance. They can provide personalized advice based on your specific situation.

What side effects can this medication cause?

Droxidopa, like any medication, can cause side effects. Not everyone will experience these side effects, and their severity can vary from person to person. Common side effects of Droxidopa may include:

• Headache: Some individuals may experience headaches while taking Droxidopa. This side effect is usually mild and transient.
• Dizziness: Dizziness is a common side effect of Droxidopa, especially when standing up suddenly. It’s important to be cautious when changing positions to minimize the risk of falls or injury.
• Nausea: Droxidopa may cause nausea or upset stomach, particularly if taken on an empty stomach. Taking it with food can help reduce gastrointestinal side effects.
• High blood pressure (hypertension): Droxidopa can increase blood pressure in some individuals, which may lead to hypertension if not managed properly. Regular monitoring of blood pressure is essential.
• Orthostatic hypertension: While Droxidopa is used to treat orthostatic hypotension, it can sometimes cause high blood pressure when lying down (supine hypertension). This may require careful monitoring and management.
• Fluid retention: Droxidopa may cause fluid retention, leading to swelling (edema) in the legs, ankles, or other parts of the body. Monitoring fluid intake and weight regularly is important.
• Heart palpitations: Some individuals may experience heart palpitations or irregular heartbeat (arrhythmias) as a side effect of Droxidopa.
• Nervousness or anxiety: Droxidopa may cause feelings of nervousness or anxiety in some individuals.
• Fatigue: Fatigue or tiredness is a potential side effect of Droxidopa, though it is less common compared to other side effects.
• Other side effects: Less common side effects of Droxidopa may include vomiting, constipation, dry mouth, flushing, and difficulty sleeping (insomnia).

It’s essential to report any side effects you experience while taking Droxidopa to your healthcare provider. They can provide guidance on managing side effects and may adjust your dosage or prescribe additional medications if necessary. In some cases, severe or persistent side effects may require discontinuation of Droxidopa or further medical evaluation.

What should I know about storage and disposal of this medication?

When it comes to storing and disposing of Droxidopa:

• Storage: Store Droxidopa at room temperature away from light and moisture. Avoid storing it in the bathroom or kitchen where it could be exposed to moisture. Keep the medication out of reach of children and pets.
• Disposal: Dispose of any unused or expired Droxidopa tablets properly. Do not flush them down the toilet or pour them down the drain unless instructed to do so. Instead, check with your pharmacist or local waste disposal company on how to safely dispose of medications.

In case of emergency/overdose

In case of an emergency or overdose, such as accidentally taking too much Droxidopa, seek immediate medical attention or contact your local poison control center. Symptoms of overdose may include severe headache, increased blood pressure, rapid heartbeat, and agitation. Do not attempt to treat an overdose without medical supervision.

What other information should I know?

• Inform healthcare providers, including dentists and surgeons, that you are taking Droxidopa before any medical procedures or surgeries.
• Do not share Droxidopa with others, even if they have similar symptoms. The medication is prescribed based on individual medical needs.
• Attend all scheduled follow-up appointments with your healthcare provider to monitor your response to Droxidopa and adjust your treatment plan if necessary.
• Keep a list of all medications you are taking, including Droxidopa, and carry it with you at all times. This list can be helpful in case of emergencies or when seeing new healthcare providers.
• If you have any questions or concerns about Droxidopa or its use, do not hesitate to discuss them with your healthcare provider or pharmacist.

By following these guidelines for storage, disposal, and handling of Droxidopa, as well as knowing what to do in case of emergency or overdose, you can help ensure the safe and effective use of this medication.