hypotension florinef

Hi there, I'm new here and am wondering if anyone can help. My 16yr daughter had her dual chamber pm inserted Nov 07. In March 08 she had a syncope episode due to hypotension. Her Cardio prescribed Florinef - it increased her BP within a day but she battled with dizziness for a bout week after starting the treatment. He stopped the Florinef after 1 months treatment. Now, she has had a few sycnope episodes due to hypotension again, he has prescribed Florinef and increased her minimum heart rate. After 1 & half weeks on the florinef, her BP is sort of stable but she is still battling with dizziness and is battling with her vision (focus). She has had the Halter monitor on again, had a syncope with it on and the results are all good. Had EEG - all ok.
Any ideas? The neurologist & cardio are beginning to think it is psychological. She is a very active/sporty child with a very happy go lucky attitude and does not get stressed out by much. No exams, no friends or family issues and no boyfriend at the moment.
We as parents are feeling very frustrated.Thanx for any input.
Kind regards


Hang In There!

by scadnama - 2008-08-10 06:08:19

Hello! I am a 24 year old female and I also received my pacemaker in November 2007. I did really well for the first couple of months with the pacemaker and then I began fainting again. It was due to low bp as well. I am assuming that she has been diagnosed with Neurocardiogenic Syncope or Vaso Vagal Syncope?
I was also prescribed Florinef, and when it didn't work alone, my EP prescribed Midodrine and then Paxil. The Midodrine really helped increase my bp, and it definantly helped with my symptoms, including dizziness. The Paxil was also used, not because of anxiety or depression, but because of the SSRI effect of it on the brain. Apparantly there have been studies done that prove it is effective for people with this condition. I didn't really notice a difference with the Paxil, so I was weened off of it, but everyone is different, so it may be worth a try.
Hang in there...I know that this is a very frustrating thing to deal with. If you have any other questions, I would be glad to talk with you. You and your daughter will be in my thoughts and prayers.

Take care,

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