Treatments for Shy-Drager Syndrome

Treatment list for Shy-Drager Syndrome: The list of treatments mentioned in various sources for Shy-Drager Syndrome includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Symptomatic
• Antiparkinsonian medication
• L-dopa
• Treatments for orthostatic hypotension:
  • High-salt diet
  • High-fluid diet
  • Medications to increase blood pressure
  • Salt-retaining steroids
  • Alpha-adrenergic medications
  • Non-steroidal anti-inflammatory drugs
  • Sympathomimetic amines
  • Sleeping with head raised
• Feeding tube - if feeding or swallowing difficulties require.
• Breathing tube - for breathing difficulty.

Treatments of Shy-Drager Syndrome discussion: Orthostatic hypotension in Shy-Drager syndrome is treatable, but there is not known effective treatment for the progression central nervous system degeneration. The general treatment course is aimed at controlling symptoms. Antiparkinsonian medication, such as L-dopa, may be helpful. To relieve low blood pressure while standing, dietary increases of salt and fluid may be beneficial. Medications to elevate blood pressure, such as salt-retaining steroids, are often necessary, but they can cause side effects and should be carefully monitored by a physician. Alpha-adrenergic medications, non-steroidal anti-inflammatory drugs, and sympathomimetic amines are sometimes used. Sleeping in a head-up position at night reduces morning orthostatic hypotension. An artificial feeding tube or breathing tube may be surgically inserted for management of swallowing and breathing difficulties. ¹

Footnotes:
1. excerpt from NINDS Shy-Drager Syndrome Information Page: NINDS

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