If you’re experiencing dizziness, lightheadedness, or fatigue upon standing, these symptoms may be caused by a condition called neurogenic orthostatic hypotension, or “nOH”
What is nOH?Neurogenic orthostatic hypotension (nOH) causes a drop in blood pressure after standing or changing positions. In patients with diseases like Parkinson’s, OH may be caused by damage to the nervous system (“neurogenic”). Due to this damage, the body may not release enough of a chemical called norepinephrine, which normally helps keep blood pressure from dropping too low. Without enough norepinephrine, blood pressure remains low after standing. This can lead to feelings of dizziness, lightheadedness, fatigue, blurred vision, and other symptoms. People often think the symptoms of nOH are due to their underlying nervous system disorder, such as Parkinson’s, and assume the symptoms are something they must learn to live with. However, nOH is a separate condition with symptoms that can also be managed.
What else do I need to know about nOH?
Talking with your doctor about nOH?
- It’s important to discuss how your symptoms are affecting you so that you and your doctor can develop a management plan together
- This is very important for diagnosing nOH and determining your management options
- When meeting with your doctor, it may be helpful to have a list of questions to ask to help you better understand nOH and its management
There are different approaches to treating the symptoms of nOHLiving with nOH can be challenging, but your doctor may suggest some lifestyle changes that may help manage your symptoms. Always talk to your doctor before making any changes to your nOH management plan or your daily routine.
To hear about the experience of other patients and their care partners, check out the videos below. You can learn more about nOH and download additional resources at nOHmatters.com.
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