recurrent falls when trying to get out of bed or getting up from sitting. She is on some anti-HTN
therapy with no other med prbs. What is the cause of her fall?
a. CCB
b. Vestibrobasiliar insufficiency
c. Thiazide
d. Hypoglycemia
e. Infection
answer: C
Drug induced orthostatic hypotension
I. Causes: Cardiac
Medications
-
Methyldopa
-
Clonidine
-
Alpha adrenergic
blockers (e.g. Prazosin, Doxazosin, Terazosin)
-
Beta Blockers
(e.g. Atenolol)
-
Alpha-Beta
Blockers (Carvedilol, Labetalol)
-
Vasodilator
medications
Nitrates (Nitroglycerin)
Calcium
Channel Blockers
ACE
Inhibitors (e.g. Lisinopril)
Hydralazine
Dipyridamole
(Persantine)
Reserpine
-
Diuretics (e.g.
Furosemide, Thiazide)
-
Quinidine
II. Causes: Genitourinary
Medications
Phosphodiesterase type 5 inhibitors (e.g.
Sildenafil or Viagra)
Anticholinergics (e.g. Oxybutynin or
Ditropan)
III. Causes:
Neuropsychiatric Agents
Parkinsonism agents (Levodopa-Carbidopa,
Bromocriptine)
Barbiturates
MAO inhibitors (e.g. Phenelzine)
Tricyclic Antidepressants (e.g.
Amitriptyline, Doxepin, Trazodone)
Antipsychotics (e.g. Chlorpromazine,
Clozapine, thioridazine)
Muscle relaxants (e.g. Baclofen,
Cyclobenzaprine, Methocarbamol, Tizanidine)
IV. Causes: Miscellaneous
Opioids (e.g. Morphine)
Vincristine
Insulin
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