Product image of Midodrine Medical Valley (Midodrine Hydrochloride) supplied by GNH India

Midodrine Medical Valley

Active Ingredient:
Midodrine Hydrochloride
Origin:
EU

Midodrine Medical Valley (Midodrine Hydrochloride)

Midodrine, the active ingredient in Midodrine Medical Valley, is a Alpha-1 adrenergic agonist presented as an oral tablet for oral use. It raises standing blood pressure and is used to treat orthostatic hypotension in adults.

GNH India supplies Midodrine Medical Valley as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Medical Valley Invest Ab

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Indications & Clinical Uses

Midodrine acts on the peripheral vascular adrenergic system to counteract low blood pressure conditions.

  • Orthostatic hypotension: raises standing systolic pressure and reduces dizziness.
  • Neurogenic orthostatic hypotension: improves cerebral perfusion in autonomic failure.
  • Postural hypotension: helps maintain blood pressure upon standing.

How It Works

  • Midodrine is a prodrug that is rapidly converted to the active metabolite desglymidodrine. Desglymidodrine selectively stimulates peripheral alpha‑1 adrenergic receptors, causing vasoconstriction of arterioles and veins, which increases systemic vascular resistance and elevates blood pressure.

Side Effects

Midodrine may cause several adverse reactions that vary in frequency and severity.

Common Side Effects

  • Piloerection (goose‑flesh skin)
  • Pruritus (itching)
  • Urinary retention
  • Supine hypertension
  • Headache
  • Paresthesia or tingling sensations

Serious or Rare Side Effects

  • Severe hypertension, especially when lying down
  • Bradycardia or other arrhythmias
  • Ischemic cardiac events
  • Peripheral ischemia or gangrene
  • Acute renal failure in predisposed patients

Precautions & Warnings

Midodrine requires careful monitoring and patient education to minimise risks.

  • Blood pressure monitoring: check supine and standing pressures regularly.
  • Supine positioning: avoid lying flat for prolonged periods; elevate head of bed.
  • Cardiovascular disease: use with caution in patients with coronary artery disease or heart failure.
  • Renal/hepatic impairment: dose adjustment may be needed in severe dysfunction.
  • Elderly patients: start at lower dose and titrate slowly.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Midodrine can interact with several drug classes, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other sympathomimetic agents (e.g., ephedrine): additive pressor effect leading to severe hypertension.

Moderate Interactions (Monitor Closely)

  • Diuretics: may enhance orthostatic hypotension when combined.
  • Antihypertensive agents (ACE inhibitors, ARBs, beta‑blockers): may blunt desired pressor response.
  • Tricyclic antidepressants: potential for increased blood pressure.
  • NSAIDs: can affect renal perfusion and alter blood pressure control.

Frequently Asked Questions

Midodrine Medical Valley contains the active ingredient midodrine hydrochloride and is prescribed to increase blood pressure in patients with orthostatic or neurogenic hypotension, helping to reduce dizziness and fainting when standing.

Midodrine is a prodrug that is converted to desglymidodrine, which selectively activates peripheral alpha‑1 adrenergic receptors. This activation causes vasoconstriction of blood vessels, raising systemic vascular resistance and thereby increasing standing blood pressure.

The dosage of Midodrine Medical Valley is determined by the prescribing clinician based on the individual’s blood pressure response, severity of symptoms, and tolerability. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

The safety of midodrine in pregnancy and lactation has not been established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Midodrine is unique as an oral alpha‑1 agonist that directly induces vasoconstriction, whereas other agents such as fludrocortisone increase blood volume. Midodrine often provides a faster rise in standing blood pressure, but individual response and side‑effect profiles guide the choice of therapy.

Midodrine tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use after the expiry date.

Midodrine Medical Valley is taken orally, usually with a full glass of water. It is commonly prescribed to be taken during the day, avoiding doses within four hours of bedtime to reduce the risk of supine hypertension.

The most serious risks include severe or supine hypertension, which can lead to cardiovascular complications, and rare cases of ischemic events such as myocardial infarction or peripheral gangrene. Patients should be monitored closely for any signs of excessive blood pressure elevation.

Midodrine is contraindicated in patients with known hypersensitivity to the drug, severe organic heart disease, acute renal failure, or uncontrolled hypertension. It should also be avoided in individuals who cannot safely assume an upright position due to severe orthostatic intolerance.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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