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Nonpharmacologic treatments for orthostatic hypotension

Liberalization of salt consumption

Liberalization of water intake (up to 2.5 L/day)

Sleeping with the head of the bed raised 30 to 45 degrees with the help of an electric bed or mattress

Physical activity with recumbent exercises (eg, stationary bicycle, rowing machine) or in a swimming pool

Physical countermaneuvers (eg, standing up slowly, leg crossing, buttock clenching)

Abdominal binder

Waist-high compression stockings producing at least 15 to 20 mmHg pressure (knee-high or thigh-high stockings are typically not useful)

From: Palma JA, Kaufmann H. Management of orthostatic hypotension. Continuum 2020; 26:154. DOI: 10.1212/CON.0000000000000816. Copyright © 2020 American Academy of Neurology. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.

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