What Treatments Do You Offer for POTS that Are Different?

Dr. David Saperstein discusses the treatment approaches for POTS, emphasizing that while many treatments are common, the way they are applied can differ significantly. He highlights the importance of correctly dosing medications like beta blockers, midodrine, and fludrocortisone to ensure they are adequately trialed before being deemed ineffective. Dr. Saperstein also notes that understanding the cause of POTS in each patient is crucial, as comorbid conditions like MCAS can affect treatment efficacy. In cases where typical POTS medications fail, addressing these comorbidities or considering alternative medications, such as Carbidopa for hyperadrenergic POTS, may be necessary. The key to successful management lies in personalized care, recognizing the complexity of POTS, and not giving up on treatments too quickly.