Product image of Midodrine Tillomed (Midodrine Hydrochloride) supplied by GNH India

Midodrine Tillomed

Active Ingredient:
Midodrine Hydrochloride
Origin:
EU

Midodrine Tillomed (Midodrine Hydrochloride)

Midodrine, the active ingredient in Midodrine Tillomed, is a Alpha-1 adrenergic agonist presented as a tablet for oral use. It raises blood pressure in patients with orthostatic hypotension, helping to reduce dizziness and fainting on standing.

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

Manufacturer / TM Owner

Tillomed Pharma Gmbh

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Indications & Clinical Uses

Midodrine acts on the peripheral vascular system to treat conditions characterized by low standing blood pressure.

  • Orthostatic hypotension: increases standing systolic pressure and lessens dizziness or syncope.
  • Neurogenic orthostatic hypotension: improves autonomic regulation of blood pressure in patients with nervous system disorders.
  • Postural hypotension: stabilises blood pressure during postural changes, reducing fall risk.

How It Works

  • Midodrine is a pro‑drug that is rapidly converted to desglymidodrine, an active metabolite that selectively stimulates peripheral alpha‑1 adrenergic receptors. Activation of these receptors causes arteriolar and venous vasoconstriction, which raises systemic vascular resistance and consequently increases arterial blood pressure, counteracting the fall in pressure that occurs on standing.

Side Effects

Midodrine may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Piloerection (goose‑bumps)
  • Pruritus (itching)
  • Urinary retention
  • Supine hypertension
  • Headache
  • Nausea

Serious or Rare Side Effects

  • Severe hypertension, especially when lying down
  • Bradycardia or arrhythmias
  • Allergic reactions such as rash or angioedema
  • Chest pain or angina
  • Myocardial infarction
  • Ischemic events in peripheral vessels

Precautions & Warnings

Before prescribing Midodrine, clinicians should consider several safety measures.

  • Blood pressure monitoring: check supine and standing pressures regularly.
  • Supine hypertension: avoid lying flat for extended periods after dosing.
  • Renal impairment: adjust use in patients with reduced kidney function.
  • Cardiovascular disease: use cautiously in patients with coronary artery disease.
  • Concomitant antihypertensives: review other blood‑pressure‑lowering agents.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Midodrine can interact with other medicines that affect blood pressure or the autonomic nervous system.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other vasopressors (e.g., phenylephrine): additive pressor effect.
  • Clonidine withdrawal: may cause severe hypertension.

Moderate Interactions (Monitor Closely)

  • Diuretics: may amplify blood‑pressure changes.
  • Antihypertensive agents (ACE inhibitors, ARBs, beta‑blockers): require close BP monitoring.
  • Tricyclic antidepressants: can increase pressor response.
  • Selective serotonin reuptake inhibitors (SSRIs): may modestly raise blood pressure.

Frequently Asked Questions

Midodrine Tillomed is used to treat orthostatic hypotension, a condition where blood pressure falls upon standing, leading to dizziness, light‑headedness, or fainting. By raising standing blood pressure, it helps patients maintain better upright tolerance and reduces the risk of syncope.

Midodrine is a pro‑drug that is converted to desglymidodrine, which selectively activates peripheral alpha‑1 adrenergic receptors. This activation causes blood vessels to constrict, increasing systemic vascular resistance and raising arterial pressure, especially when a person stands up.

The dose of Midodrine Tillomed is individualized by the prescribing clinician based on the patient’s blood‑pressure response and tolerability. The prescriber determines the appropriate strength, frequency, and timing to achieve the desired therapeutic effect while minimizing side effects.

The safety of Midodrine in pregnancy and lactation has not been fully established, and the product label lists the pregnancy category as unknown. Clinicians should weigh potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing patients.

To order Midodrine Tillomed, 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 an oral alpha‑1 agonist that directly raises vascular tone, whereas other options such as fludrocortisone increase blood volume, and non‑pharmacologic measures focus on compression garments and fluid intake. Midodrine’s rapid onset makes it useful for patients needing prompt symptom relief, but it requires monitoring for supine hypertension.

Midodrine Tillomed tablets should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and light. No refrigeration is required, and the product should be kept out of reach of children.

Midodrine Tillomed is taken orally, usually with a full glass of water. It is commonly prescribed to be taken during the day, with the last dose at least four hours before bedtime to reduce the risk of supine hypertension.

The most serious risks include severe supine hypertension, which can lead to cardiovascular complications, and rare cases of myocardial infarction or ischemic events. Patients should be educated to monitor blood pressure while lying down and report any chest pain or unusual symptoms promptly.

Midodrine is contraindicated in patients with severe organic heart disease, acute renal failure, or known hypersensitivity to the drug. It should also be avoided in individuals who have experienced uncontrolled hypertension while supine, as the medication can exacerbate this condition.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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