Midodrine Side Effects
Brand Names: ProAmatine
Please note - some side effects for Midodrine may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).
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For the consumer For the professional
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Side Effects of Midodrine - for the consumer
Midodrine
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Midodrine:
Seek medical attention right away if any of these SEVERE side effects occur when using Midodrine:Abnormal skin sensations or itching, especially of the scalp; chills; goosebumps; increased or frequent urination.
TopSevere allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion or abnormal thinking; decreased urination; fainting; headache; increased or unusual dizziness; pounding in the ears or the chest; slow pulse; vision changes.
For the professional
Midodrine
The most frequent adverse reactions seen in controlled trials were supine and sitting hypertension; paresthesia and pruritus, mainly of the scalp; goosebumps; chills; urinary urge; urinary retention and urinary frequency.
The frequency of these events in a 3-week placebo-controlled trial is shown in the following table:
Adverse Events | ||||
1Includes hyperesthesia and scalp paresthesia | ||||
2Includes dysuria (1), increased urinary frequency (2), impaired urination (1), urinary retention (5), urinary urgency (2) | ||||
3Includes scalp pruritus | ||||
4Includes patients who experienced an increase in supine hypertension | ||||
5Includes abdominal pain and pain increase | ||||
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Placebo n=88 |
Midodrine n=82 |
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| Event | # of reports | % of patients | # of reports | % of patients |
| Total # of reports | 22 | 77 | ||
| Paresthesia1 | 4 | 4.5 | 15 | 18.3 |
| Piloerection | 0 | 0 | 11 | 13.4 |
| Dysuria2 | 0 | 0 | 11 | 13.4 |
| Pruritis3 | 2 | 2.3 | 10 | 12.2 |
| Supine hypertension4 |
0 | 0 | 6 | 7.3 |
| Chills | 0 | 0 | 4 | 4.9 |
| Pain5 | 0 | 0 | 4 | 4.9 |
| Rash | 1 | 1.1 | 2 | 2.4 |
Less frequent adverse reactions were headache; feeling of pressure/fullness in the head; vasodilation/flushing face; confusion/thinking abnormality; dry mouth; nervousness/anxiety and rash. Other adverse reactions that occurred rarely were visual field defect; dizziness; skin hyperesthesia; insomnia; somnolence; erythema multiforme; canker sore; dry skin; dysuria; impaired urination; asthenia; backache; pyrosis; nausea; gastrointestinal distress; flatulence and leg cramps.
The most potentially serious adverse reaction associated with Midodrine therapy is supine hypertension. The feelings of paresthesia, pruritus, piloerection and chills are pilomotor reactions associated with the action of Midodrine on the alpha-adrenergic receptors of the hair follicles. Feelings of urinary urgency, retention and frequency are associated with the action of Midodrine on the alpha-receptors of the bladder neck.
TopMore resources:
Midodrine - Includes detailed dosage instructions.
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