Drug |
Dosage |
Diagnostic tests |
Side effects |
Orthostatic hypotension |
9-α-fluoro hydrocortisone |
0.1 mg titrated to 0.5 to 2.0 mg/day |
Measure B.P. by active standing test and passive head up tilt testing (HUT)
Measure catecholamines |
Ankle edema, hypokalemia, congestive heart failure |
Sympathomimetic agents |
|
|
Ephedrine |
25-50 mg t.i.d. |
Sympathetic symptoms |
Pseudoephedrine |
30-60 mg t.i.d. |
Phenylpropanolamine |
12.5-25 mg t.i.d. |
α-agonist |
|
Midodrine (FDA approved) |
2.5-10 mg t.i.d. |
Anxiety and tachycardia |
Clonidine |
0.1-0.5 mg |
Hypotension |
Octreotide |
0.1-0.5 μg/kg/day |
Injection site pain and diarrhea |
Supplementary therapy like cox-inhibitor, caffeine etc. can be used |
Diabetic Gastroparesis |
Metoclopramide |
10 mg q.i.d. |
Antroduodenal manometry
Breath test
Magnetic response imaging
Ultrasonography
Gastric emptying study
Electrogastrography |
Dystonic reactions, hyperprolactinemia, extrapyramidal symptoms |
Erythromycin |
250 mg t.i.d. |
Nausea, vomiting, abdominal pain, antibiotic resistance |
Domperidone |
10-20 mg t.i.d. |
Galactorrhea |
Bethanechol |
20 mg q.i.d. |
Salivation, blurred vision, abdominal cramps, bladder spasm |
Levosulpiride |
25 mg t.i.d. |
Galactorrhea |
Botulinum toxin type A |
---- |
---- |
Sepiapterin |
20 mg.kg b.w. |
|
---- |
Diabetic Diarrhea |
Elementary diet |
---- |
Sensation tests of anus
Rectal examination of sphincter muscles
Endoscopy examination of GIT
72 hr stool examination-tests for pancreatic enzyme function |
---- |
Pancreatic extracts |
---- |
---- |
Antidiarrheal agents |
---- |
---- |
Loperamide |
2 mg q.i.d. |
Toxic megacolon |
Anion exchange resin |
|
|
Cholestyramine |
4 g 1-6 times/ day |
---- |
Long acting somatostatin |
|
|
Octreotide acetate |
50 μg t.i.d. |
Aggravated nutrient malabsorption |
Metronidazole |
250 mg t.i.d. |
Fungal overgrowth |
α2-receptor agonist |
|
|
Clonidine.HCl |
0.1 mg t.i.d. |
Orthostatic hypotension |
Gastrokinetics and anticholinergics |
|
|
Aclatonium napadisilate |
|
|
Trimebutine maleate |
|
|
Tiquizium bromide |
|
|
Cispride |
|
|
Macrolides |
|
|
EM523L |
i/v infusion |
|
Cystopathy |
Bethanechol |
10 mg q.i.d. |
Cystometrogram
Postvoiding sonography |
Salivation, blurred vision, abdominal cramps, bladder spasm |
Doxazosin |
1-2 mg t.i.d. |
Hypotension, headache, palpitations |
Erectile Dysfunction |
Sildenafil |
50 mg o.d., 1 hr. before sexual activity |
Ultrasound
Urinalysis
Blood test to check testosterone level
Overnight erection test |
Headache, flushing, nasal congestion, dyspepsia, muscular skeletal pain, blurred vision |
Vardenafil |
Up to 20 mg/day, 1 hr. before sexual activity |
Tadalofil |
Up to 10 mg/day, 1 hr. before sexual activity |