A 74-year-old woman with a recent diagnosis of Parkinson's disease on Levodopa/Benserazide reports that she often feels faint when standing up from a ...

Question

A 74-year-old woman with a recent diagnosis of Parkinson's disease on Levodopa/Benserazide reports that she often feels faint when standing up from a chair. Her lying BP is 148/86 and standing BP at 3 minutes is 112/64. She has no additional antihypertensive medications. What is the MOST appropriate non-pharmacological management of her orthostatic hypotension?

Accepted Answer

Advise adequate fluid and salt intake, slow positional changes, waist-high compression stockings, and elevation of the head of the bed at night

Answer

Advise bed rest to avoid standing

Answer

Prescribe Fludrocortisone immediately

Answer

Add an antihypertensive to lower her lying blood pressure

Answer

Withhold Levodopa as it is causing the problem

uk-dgm MCQ (SBA): Non-Pharmacological Management of Orthostatic Hypotension in PD