Double-Blind, Placebo-Controlled Study of Pyridostigmine in Postural Tachycardia Syndrome
Mayo Clinic
Summary
This is a 3-day study comparing pyridostigmine versus placebo in the treatment of postural tachycardia syndrome (POTS). The researchers expect pyridostigmine to improve tachycardia and stabilize blood pressure.
Description
The study will be done at the outpatient General Clinical Research Center (GCRC) at Charlton 7 and will involve two visits. Visit 1 will take about 3 hours, and Visit 2 will occur 2 days after Visit 1 and will take about 2 hours. You will be put in one of two groups by chance (as in the flip of a coin). One group will be taking placebo (an inactive substance), the other group 180 mg pyridostigmine in time release formulation. Both placebo and pyridostigmine will look identical and will be taken as one capsule per day for 3 days. Neither you nor the study doctor will know at the time of treatm…
Eligibility
- Age range
- 15–55 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: Diagnosis of postural tachycardia syndrome using the following criteria: * Orthostatic heart rate increment greater than or equal to 30 beats per minute (bpm) within 5 minutes of head-up tilt. * Symptoms of orthostatic intolerance. These include weakness, lightheadedness, blurred vision, nausea, palpitations, and difficulty with concentration and thinking. Both criteria must be fulfilled. Exclusion Criteria: * Pregnant or lactating women * Presence of failure of other organ systems or systemic illness that could affect autonomic function or the patient's ability to coo…
Interventions
- Drugpyridostigmine
one 180 mg capsule per day for 3 days
- DrugPlacebo
one capsule per day for 3 days
Location
- Mayo ClinicRochester, Minnesota