Blodtrycket regleras trögare med stigande ålder. Det kan leda till ortostatism, blodtrycksfall, vid uppresning eller i stående. Symtomen är vanligen yrsel, ostadighetskänsla, svimning eller kognitiva störningar, vilket innebär ökad känslighet för preparat med blodtryckssänkande effekter. Ompröva användning och dosering av vissa läkemedel om patienten beskriver eller uppvisar symtom på ortostatism. Utredningen bör åtminstone omfatta blodtrycksmätning i stående och liggande eller sittande.

Läkemedel och läkemedelsgrupper som kan orsaka eller förvärra ortostatism ATC-kod
Kärlvidgande medel för hjärtsjukdomar (nitrater) C01D
Antihypertensiva medel C02
Diuretika C03
Beta-receptorblockerande medel C07
Kalciumantagonister C08
Medel som påverkar renin-angiotensinsystemet C09
Medel vid benign prostatahyperplasi, alfa-1-receptorblockerande medel G04CA
Medel vid parkinsonism, dopaminerga medel N04B
Antipsykotiska läkemedel N05A exklusive N05AN
Antidepressiva medel N06A

Mosnaim AD, Abiola R, Wolf ME, Perlmuter LC. Etiology and Risk Factors for Developing Orthostatic Hypotension. Am J Ther. 2009 May 15.

Indikator

Andelen personer (procent) som:

  • får sin läkemedelslista omprövad i anslutning till att symtom på ortostatism noteras.

Standard

Andelen personer (procent) ska vara så hög som möjligt.

Berörda preparat

Preparat (länk till FASS)
Adancor
Cluvot
Corvaton
Erwinase
Gammagard
Glyceryl
Glycerylnitrat
Glytrin
Ikorel
Imdur
Ismo
Isodur
Isosor
Isosorbidmononitrat
Linezolid
Minitran
Monoket
NITRO
Nitroglycerin
Nitrolingual
Nitromex
Rectogesic
Sorbangil
Suscard
Transiderm-Nitro
Trinipatch
Zyvoxid
Aldomet
Alfadil
Altargo
Apresolin
Betmiga
Bosentan
Cardosin
Cardura
Carduran
Catapres
Catapres-TTS
Catapresan
Copegus
Creon
Dixarit
Doserix
Doxacor
Doxastad
Doxatens
Doxazocin
Doxazosin
Doxazosin-Ratiopharm
Ebrantil
Eudemine
Fucidin
Funginix
Guanethidine
Guanfacine
Hypovase
Intuniv
Ismelin
Kapvay
Klonidin
Kreon
Loniten
Lonolox
Minipress
Minoxidil
Minoxin
Moxonidin
Nepresol
Nitropress
Physiotens
Prazosin
Prazosin-Ratiopharm
Presinol
Proglicem
Proglycem
Prostasin
Recrea
Regaine
Revexan
Rogaine
Roquinna
Salonpas
STAYVEER
Tenex
Terbinafin
Terbisil
THELIN
Tracleer
Volibris
Accupro
Accusol
Actelsar
Addex-Kaliumklorid
Aldactone
Amiloferm
Amilorid
Amilorid/Hydroklortiazid
Angiosan
Asolzid
Atacand
Avancardo
Bendroflumetiazid
Bicaflac
Bifril
Bloketangil
Blopresid
Blopress
Burinex
Candanzid
Candecombi
Candemox
Candesarstad
Candesartan/Hydrochlorothiazide
Candexetil
Canthiazi
Celsior
Centyl
Chlorthalidone
Clericol
CoAprovel
Coepratenz
Colisoft
Copalia
Corixil
Cotenahyp
Cozaar
Dafiro
Dicalac
Dicalys
Diovan
Diural
Diuril
Dynorm
Dyrenium
Edecrin
Edecrina
Ekiprine
Enacostad
Enalapril
Enalapril/Hydrochlorothiazide
Endofalk
ENERGAID
Eplerenon
Eplerenone
Esidrex
Evalsan
Exforge
FLUDEX
Fortzaar
Forzaar
Fosinopril/Hydroklortiazid
Fourchestra
Frusol
Furix
Furosemid
Furosemide
Gelaspan
Glucos
Glukonak
Glukos
Glukosel
Haemovex
Hemofiltrasol
Hemofiltrationslösning
Hemolactol
Hesra
Hydrochlorothiazide
Hydroklortiazid
Hydromed
Hygropax
Hygroton
Hypoloc
Ifirmacombi
Imprida
Impugan
Indapamid
Indapamid-ratiopharm
Inhibace
Inibace
Inspra
Ionolyte
Irbesartan
Irbesartan/Hydrochlorothiazide
Irbesartan/Hydroklortiazid
Jinarc
Kabiven
Kaleorid
Kalium
Kaliumklorid
Kandrozid
Karvezide
Kinamed
Kinamitil
Kinapril/Hydroklortiazid
Kinapromed
Kinaprosil
Kinasil
Kinasimil
Kinastad
Kinatabs
Kinoprilam
Kinoresal
Kinzalkomb
Kiprimed
Kiprisil
Kipristad
Klean-prep
Lacrofarm
Lasilix
Lasix
Laxabon
Laxaherm
Laxido
Laxiriva
Lesamor
Linatil
Lioresal
Lisinopril/Hydrochlorthiazid
Lisinopril/Hydroklortiazid
Losamyl
Losarstad
Losartan/Hydrochlorothiazide
Losartan/hydroklortiazid
Losathia
Losatrix
Losazid
Magenterol
Marozid
Metolazon
MicardisPlus
Midamor
Midert
Miras
Mitor
Moduretic
Monopril
Movicol
MOVPREP
Moxalole
Multibic
Nebilet
Neuvamin
Normorix
Nutradex
Oestriol
Oliclinomel
OLIMEL
Omnicol
Parapres
Perfadex
Pharmamix
Phoxilium
Plasmalyte
Plasmodex
Presval
PRILACTONE
Prismasol
PritorPlus
Quatriga
Quinapril/Hydrochlorothiazid
Quinapril/Hydrochlorothiazide
Ramipril/Hydrochlorothiazide
Ramipril/Hydroklortiazid
RasilezHCT
Rasitrio
Ratacand
Renitec
Reomax
Ringer
Ringer-Acetat
Ringer-Dextran
Ringerfundin
Riprazo
Salures
Salures-k
Samsca
Schiwalys
SmofKabiven
Softicol
Soldactone
Sparkal
Spironolactone
Spironolakton
Sprimeo
StructoKabiven
Synerpril
Tanlozid
Tareg
Telmisartan/Hydrochlorothiazide
Telmisartan/Hydroklortiazid
Tetraspan
Teveten
Tohexal
Tolucombi
Torahexal
Torarese
Torase
Torasemid
Torem
Triatec
Unat
Valsartan/Hydrochlorothiazide
Valsartan/Hydrochlorotiazide
Valsartan/Hydroklortiazid
Valsartore
Valsarzid
Valtsu
Valzydroc
Vamin
Vamin-Glukos
Vascace
Vilantal
Vitrimix
Vivendal
Volulyte
Zaroxolyn
Zestoretic
Zofenil
Apo-Acebutolol
Apocarvo
Aquanil
Arteoptic
Atenolol
AZARGA
Betaloc
Betoptic
Betoptic/Pilo
Bisocard
Bisomerck
Bisomyl
Bisoprolol
Bisostad
Blocadren
Blockard
Bloxazoc
Brevibloc
Cardelex
Cardicor
Carvanja
Carveblock
Carvedilat
Carvedilol
Carvelix
Carveratio
Carvetabs
Carvetone
Carvex
Carvsanna
Catrilop
Celectol
Celiprolol
Combigan
Corgard
Corsodyl
Cosopt
Costad
Crediol
Dekria
Dociton
Dortimvision
Dorzolamid/Timolol
Dorzolamide/Timolol
Duokopt
DuoTrav
Duplikarv
Ebivolam
Emconcor
Esmocard
Fotil
Ganfort
Generokarv
Glauprostol
HEMANGIOL
Implicor
Inderal
Karveacta
Karvedilol
Kerlon
Kerlone
Kravol
Kredex
Latacomp
Latanoprost/Timolol
Latiotim
Libracor
Logimat
Metohexal
Metomylan
Metoprolol
Metoratio
Mozoc
Nebivolol
Optimol
Pindolol
Propal
Propra-ratiopharm
Propranolol
Sectral
Selectol
Selokeen
Seloken
SelokenZOC
Sotacor
Sotalol
Speridol
Sumial
Symtrend
Taptiqom
Tavu
Tenormin
Timolol
Timoptol
Timosan
Timpilo
Tirzodol
Trandate
Trasicor
Viskén
Xalcom
Adalat
Aloclon
Amlodipin/Valsartan
Amlodipine
Amlodipine/Valsartan
Amlodistad
Angizem
ANTROLIN
Cardene
Cardizem
Cleviprex
Coramil
DILTIAZEM
Duopressil
ENEAS
Isoptin
Lerkanidipin
Lipoplus
Lipoven
Lizam
Lomir
Midotens
Nicardipine
Nifedipin
Nifehexal
Nimotop
Norvasc
Ramipril/Amlodipin
Ramipril/Amlodipine
Tarka
Tildiem
Vasolipid
Verapamil-Ratiopharma
Viazem
Zanitek
Actaprilana
Agepin
Amias
Amlardin
Amlarrow
Amlibon
Amloberga
Amlobesyl
Amlocard
Amlodikon
AmlodiLich
Amlodipin
Amlopin
Amlopress
Amloratio
Amloreg
Amlori
Amlosig
Amlotaksin
Amlovita
Amlox
Aprovel
Artelac
Artican
Azepezil
Banacep
Bion
Candesartan
Capecitabine
Capoten
Captopril
Cibacen
Cilazapril
COPALIA
Coverex
Coversyl
Cuenca
DAFIRO
Ecansya
Edarbi
Ednyt
Elicator
Enacard
Enap
Entresto
Enviage
Felodipin
Felohexal
Fenosimed
Fortekor
Forzepril
Fosavis
Fosiact
Fosinamed
Fosinopril
Gopten
Hydac
Hyprosan
Ifirmasta
IMPRIDA
Ipreziv
Isopto-Plain
Kairasec
Karvea
Kenzen
Kinzalmono
Ladipon
Lercadip
Lercanidipine
Lercastad
Lisigen
Lisinopril
Lisopress
Lodipamol
Logimax
Lorista
Lorzaar
Losagen
Losaprex
Losartan
Losindia
Lostankal
Medokinal
Micardis
Mildetispes
Milodimyl
Milsertan
Miprasan
Misafar
Natrilix
Nelio
Neparvis
Nircadel
Norvas
Oculac
Odrik
Olmesartan
Olmetec
ONDUARP
Perindopril
Pidolma
Piera
Plendil
Pramace
Prilacaps
Prilafosina
Prilamedana
Prilben
Primylin
Primylis
Pritor
Promisofar
Quinapril
Racanda
Ramipress
Ramipril
Ramitab
Raprilix
Rasilamlo
Rasilez
Riprosil
Sabervel
Selmatran
Sigacaps
Solartan
Staram
Talam
Tardipan
Tazko
Tear-Drop
Tears
Tekturna
Telmisartan
Telspes
Tensolidim
Tevetenz
Tolura
Tordinespes
TWYNSTA
Unimax
Valfox
Valmed
Valmilano
Valsartan
Vapress
Vasotop
Verapamil
Vivatec
Zanacodar
Zaneril
Zanidip
Zestril
Zofenomyl
Zofenopril
Zofymyl
Zymler
Alfuro
Alfuzosin
Alfuzovita
Danafusin
Hytrinex
Lafunomyl
Omix
Omnic
PLIFUSIL
Silodyx
Sinalfa
Tamsulosin
Terazosin
Terazostad
Terstad
Urorec
Urozosin
Xatral
ADARTREL
Amantadin
Apo-go
Apomorfin
Arnalevocap
AZILECT
Cabarsuss
Cabaser
Cabergin
Cabergodura
Cabergoline
Cabergonicht
Cabergoteva
Calmolan
Carbidopa
Carbidopa/Levodopa
Carposekkur
Clarium
Comtan
Comtess
Corbilta
Daquiran
Dazonay
Derinik
DopaJel
Dostinex
Duodopa
Eldepryl
EMSAM
Entacapone
Entakapon
Flexilev
Galastop
Glepark
Ixense
Kabergolin
Kabergostad
Leganto
Levobezid
Levocar
Levodopa/Benserazid
Levodopa/Carbidopa
Levodopa/Carbidopa/Entacapone
Levodopa/Karbidopa
Levodopa/Karbidopa/Entakapon
Lifodol
Madopar
Madopark
MIRAPEXIN
Modopar
Namizlev
Neupro
Numient
Oprymea
Parlodel
Pentiro
Pergolid
Pergolida
Perxele
Pipexus
Pramipexol
Pramipexole
Pramithon
Pravidel
Rasagilin
Rasagiline
Requip
Ropinirol
Ropinirole
Sastravi
Selegilin
Sifrol
Sinemet
Stalevo
Symmetrel
Taluvian
Tapidola
Tasmar
Trivastal
Uprima
Vunexin
Xilopar
Zipereve
Abilify
Abriact
ADASUVE
Alcartis
Alzen
Amisulpride
Aprisan
Aripiprazol
Aripiprazole
Arkolamyl
Belivon
Buronil
Carbolithium
Chlorpromazine
Cisordinol
Cisordinol-Acutard
Clopixol
Clopixol-Acutard
Clozahein
Clozapine
Decentan
Depixol
Dipiperon
Dogmatil
Dridol
Droperidol
Esucos
Fentazin
Fluanxol
Fluphenazine
Geodon
Haldol
Haldol-Janssen
Haloperidol
Haloperidol-Grindeks
Haloperidol-neuraxpharm
Haloperidol-ratiopharm
Hibernal
Hibernal-embonat
IMAP
INVEGA
Ketipinor
Largactil
Lemilvo
Leponex
Levomepromazin
Levomepromazine
Litarex
Lithionit
Lithiumcarbonaat
Lithmax
Litiumkarbonat
Litiumklorid
Lyogen
Mallorol
Medirisp
Melleril
Modalina
Nantarid
Neulactil
Neuleptil
Neurocil
Nozinan
Olanzapin
Olanzapine
Olazax
Orap
Oryprotia
Paliperidone
Peratsin
Perfenazine
Perphenazin-Neuraxpharm
PERPHENAZINE
Priadel
Proklorperazin
Quelento
Queloran
Quetiapin
Quetiapine
Quetiratio
Ridalux
Rinarisp
Rispalan
Rispemyl
Risperat
Rispercol
Risperdal
Risperidon
Risperoc
Rispid
Rispolept
Rolyprexa
Semap
Serdolect
Serenase
Seroquel
Siqualone
Solian
Sperinar
Speron
Stelazine
Stemetil
Sulpirid
Sycrest
TERALITHE
Thioridazin-Neuraxpharm
Tiapridex
TREVICTA
Trifluoperazine
Trilafon
Truxal
Xeplion
Zalasta
Zapilux
Zeldox
Ziprasidon
Ziprasidone
Zopridoxin
ZYPADHERA
Zyprexa
ADT
Aminess
Aminogran
Aminoven
Amiped
Amitriptylin
Anafranil
Apertia
Ardeydorm
Ardeytropin
Ariclaim
Aritavi
Arketis
Aurorix
Bellcital
Bindial
Biopram
Bupropion
Cilomed
Cilopram
Cipralex
Cipram
Cipramil
Citalomed
Citalopram
Citalostad
Citamocal
Citapram
Citapriwa
Citavie
Citoglan
Clinimix
Clomicalm
CYMBALTA
Davedax
Deoxatine
Deproxam
Desital
Duloxetin
Duloxetine
Dumichel
Durnit
Edronax
Efexor
Entact
Eoxat
Escitalopram
Esertia
Euplix
Fevarin
Fluoxetin
Fluoxetine
Fluvosol
Fluxantin
Fontex
Glavamin
Insidon
Isoxatine
Ixel
Jatrosom
Kalma
Klomipramin
L-Tryptophan-Ratiopharm
Laroxyl
Levotonine
Linasert
Lofepramin
Lofepramine
Ludiomil
Magerion
Maprotilin
Marplan
Mediparox
Medoxatine
Meradel
Mianserin
Miralix
Mirtachem
Mirtazapin
Mirtin
Mixamin
Moclobemid
Moclobemide
Moklobemid
Molipaxin
Mysimba
Nardil
Nefazodone
Noritren
Norpramin
Oleptro
OliClinomel
Optimax
Oralin
Paluxetil
Paraxodil
Parnate
Parocetan
Paroxat
Paroxetabs
Paroxetin
Paroxiflex
Paroximed
Paroxin
Paroxistad
Premalex
Pretrive
Prilect
Primoxatine
Pristiq
Protriptyline
Prozac
Reboxetin
Reconcile
Remeron
Remeron-S
Resact
Rezelec
Saroten
Sensaval
Serlin
Serodur
Seromeg
Seroplex
Seroxat
Sertatres
Sertrabt
Sertralet
Sertralin
Sertraline
Sertranat
Sertraparma
Sertrasen
Sertratab
Sertraver
Sertrawinthrop
Sertraxea
Sertrone
Serunato
Setaloft
Siloxezol
Smeltamir
Stangyl
Surmontil
Talocit
Thymanax
Tifisertral
Titroxatine
Tofranil
Tolvon
Tranylcypromine
Trazodon
Trazodon-neuraxpharm
Trazolan
Trevilor
Trimazimyl
Trimipramine
Tript-OH
Triptyl
Trittico
TRYPTAN
Tryptizol
Tryptofan
Valdoxan
Vaminolac
Vandral
Vefamyl
Venette
Venlafaxin
Venlafaxine
Venlahex
Venlanidda
Venlapress
Venlix
Vivactil
Voxra
Wellbutrin
XERISTAR
YENTREVE
Ziral
Zoloft
Zyban