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Originally Posted by pinkflower17
I have POTS as well as neurogenic orthostatic hypotension and autonomic failure if you ever want to talk more about it. You want to avoid anything that lists orthostatic hypotension as a possible side effect (some of the SSRIs, trazodone, remeron, the atypical antipsychotics, most of the TCAs etc).
This is going way back to pharmacology in med school, but I believe trazodone bind more preferentially to the alpha adrenergic sites than does remeron. Not positive. They both have alpha adrenergic properties.
I don't know what treatment you're doing for your POTS. For my various autonomic dysfunctions, I'm on droxidopa, midodrine, florinef, use compression stockings, have elevated the head of my bed, stand up veeerry sllooowwwllly and get every other day IV saline infusions. All of this has more or less stopped the almost daily fainting episodes I was having and I'm asymptomatic a lot of the time and am able to do pretty much whatever I want to (when I'm not in the stupid hospital).
Like I said, PM me if you ever want to discuss it further. I've kind of made it a personal mission to read every article ever written about POTS, neurogenic orthostatic hypotension and autonomic failure, so I've learned a lot...
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Im in the same category as you meaning ive really immersed myself
into all of the published info about POTS. I feel based on the new research, leaked info, and success of midodrine, that POTS is clearly its own sutoimmune disease classified by alpha antagonistic and beta agonistic antibodies. Unfortunately for me I just cant sleep without trazodone or remeron.. Unless i take xanax. I also take melatonin and benadryl nightly. I really need to know the lesser of two evils, traz or rem, when it comes to which is more of an alpha antagonist. I think youre right, its probably traz. I think a lower number means more of an affect. I also think the 'cure' for pots is PEX, IVIG or maybe prednisone combined w exercise.