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 an Alpha-1 adrenergic agonist presented as a tablet for oral use. It raises blood pressure by inducing peripheral vasoconstriction and is indicated for the treatment of orthostatic hypotension in adult patients.

GNH India supplies Midodrine Tillomed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for each batch. We support global logistics and offer flexible packaging options to meet diverse market requirements.

Manufacturer / TM Owner

Tillomed Pharma Gmbh

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Midodrine acts on the peripheral vascular system to counteract low blood pressure associated with orthostatic disorders.

  • Orthostatic hypotension: Improves standing blood pressure and reduces dizziness or fainting episodes.
  • Neurogenic orthostatic hypotension: Increases vascular tone in patients with autonomic failure, enhancing orthostatic tolerance.
  • Symptomatic hypotension: Elevates blood pressure in conditions such as chronic fatigue or post‑ural hypotension, providing symptomatic relief.

How It Works

  • Midodrine is a pro‑drug that is rapidly converted to desglymidodrine, a selective alpha‑1 adrenergic receptor agonist. By stimulating these receptors on peripheral vascular smooth muscle, it causes vasoconstriction, which increases systemic vascular resistance and raises arterial blood pressure, thereby alleviating symptoms of hypotension.

Side Effects

Midodrine may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

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

Serious or Rare Side Effects

  • Severe hypertension, especially when lying down
  • Cardiac arrhythmias or myocardial infarction
  • Angina pectoris
  • Anaphylactic or severe allergic reactions
  • Peripheral ischemia

Precautions & Warnings

When prescribing Midodrine, clinicians should observe several safety measures.

  • Blood pressure monitoring: Check supine and standing pressures regularly.
  • Supine hypertension risk: Avoid lying flat for several hours after dosing.
  • Cardiovascular disease caution: Use carefully in patients with ischemic heart disease.
  • Renal impairment adjustment: Dose may need modification in severe renal dysfunction.
  • Contraindications: Do not use in patients with severe organic heart disease or pheochromocytoma.
  • Store at ambient temperature: Keep tablets in the original container, protect from moisture and light.

Avoid Interactions

Midodrine can interact with other medications that affect vascular tone or blood pressure.

Major Interactions (Avoid)

  • Other alpha‑adrenergic agonists (e.g., phenylephrine) – additive hypertensive effect.
  • Monoamine oxidase inhibitors – risk of excessive vasoconstriction.
  • Direct vasopressors (e.g., norepinephrine) – may cause severe hypertension.

Moderate Interactions (Monitor Closely)

  • Diuretics – may amplify blood pressure changes.
  • ACE inhibitors or ARBs – potential for unpredictable blood pressure response.
  • Beta‑blockers – may mask tachycardia associated with hypertension.
  • Anticholinergic agents – increased risk of urinary retention.
  • Non‑steroidal anti‑inflammatory drugs – may affect renal handling of the drug.

Frequently Asked Questions

Midodrine Tillomed contains the active ingredient midodrine, which is prescribed to treat orthostatic hypotension and related forms of low blood pressure. By increasing vascular tone, it helps patients maintain adequate blood pressure when moving from a lying to a standing position, reducing dizziness and fainting.

Midodrine is a pro‑drug that is converted in the body to desglymidodrine, a selective alpha‑1 adrenergic receptor agonist. Activation of these receptors on peripheral blood vessels causes vasoconstriction, raising systemic vascular resistance and consequently increasing arterial blood pressure.

The dosage of Midodrine Tillomed is individualized by the prescribing clinician based on the patient’s blood pressure response, severity of symptoms, and overall health status. The prescriber determines the appropriate starting dose, titration schedule, and maximum daily amount.

Safety data for midodrine during pregnancy and lactation are limited. It is classified as pregnancy category unknown, and the drug should only be used if the potential benefit justifies any potential risk to the fetus or infant. Breastfeeding mothers should consult their healthcare provider before use.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Midodrine Tillomed. 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.

The most common alternative for orthostatic hypotension is fludrocortisone, a mineralocorticoid that expands plasma volume. Midodrine raises blood pressure by direct vasoconstriction, offering a faster onset and more predictable effect, whereas fludrocortisone works more slowly and may cause electrolyte disturbances.

Midodrine tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children.

Midodrine Tillomed is taken orally with a full glass of water. It is usually administered during the day, and patients are advised not to lie down for at least three to four hours after each dose to reduce the risk of supine hypertension.

The most critical safety concerns are severe or supine hypertension, which can lead to cardiovascular complications, and rare but serious events such as myocardial infarction, arrhythmias, or severe allergic reactions. Patients should monitor blood pressure regularly and seek medical attention if they experience chest pain, rapid heartbeat, or signs of an allergic reaction.

Midodrine is contraindicated in patients with severe organic heart disease, pheochromocytoma, or uncontrolled hypertension. It should also be avoided in individuals who are unable to sit or stand upright for extended periods, as the risk of supine hypertension is higher in these populations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.