This is likely to be a compensatory rise in both of these hormones as a reaction to a low blood volume, most likely due to an inability of the kidney to retain salt.
I recommend treating patients with an individualized combination of increased salt consumption, a synthetic form of aldosterone called Florinef (fludrocortisone), or a drug used to raise blood pressure, called Midodrine (proamantine).
Salt is the most benign of the treatments and salt tablets can be purchased in a drug store or a patient can add an extra teaspoon of salt to their food per day.
Sea salt can be purchased at www.productosweb.com/30506-SEA-SALT-500-TABLETS.html/ or thermotabs (biosalt tabs) can be bought at http://www.immunesupport.com/thermotabs.htm/
Florinef comes in 0.1 mg pills and I usually start with 1/2 pill in the morning for a week or two and then go up to one pill in the morning if no side effects occur. The main side effects are headache and swelling in legs (edema).
Midodrine comes in 5 mg pills and I usually start with 5 mg pills in the morning and noon. I may go up to two pills three times a day and sometimes need to use both Florinef and Midodrine, as well as extra salt.
The side effects of Midodrine include high blood pressure, itching, goosebumps, numbness and the feeling of writing on your skin or scalp. Many of these side effects go away with use and both drugs are unlikely to cause long term damage.
Most patients taking Florinef and Midodrine, as well as extra salt, report an improvement in their symptoms of palpitations and dizziness/lightheadedness on standing, while many report an improvement in fatigue and cognitive dysfunction. Licorice, available as a tea from Alvita, may help with mild cases.
For more information about Dr. Friedman’s practice, go to www.goodhormonehealth.com/
Edited by Jody Smith