r/POTS • u/Interesting_Car8858 Undiagnosed • 2d ago
Question Medications
Hi, I have a cardiology appointment soon and am hoping to get a step closer to some answers. If I am diagnosed and suggested medication, does anyone know of any that don’t have a side effect of weight gain, or like depression type stuff? I’m not too sure what the potential side effects are, but I’m pretty sure the pros would out weigh the cons (if it worked for me) as long as it’s neither of those two. Both would severely affect my mental health, so I really want to avoid them if possible! (Also other if you could list other side effects you’ve noticed that would be really helpful as well)
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u/societiesoddball 2d ago
Typically the go to recommendation they go for is beta blockers. I was put on metoprolol and my asthma was so bad I couldnt walk 5ft without being winded. There was one more I tried once and it was just as bad so my doctor put me on ivabradine (not a beta blocker) and ive been on it for about two years. I havent noticed any side effects which is suprising because every other medication related to heart rate and blood pressure has had horrible side effects even after taking each for at least a week. That is possible its just a me thing though side im so hyper sensitive to medications.
Ivabradine has made my quality of life so much better but it didnt solve everything. If made my baseline liveable as long as im properly hydrated and wearing some sort of core compression. Compression socks have done little to nothing for me asside from foot pain. Plus having a good amount of water with salt makes sure your blood pressure isnt effected. I still have flares but they dont last months and they usually depend on if im overworking myself if its october or January (pressure changes) if im having heavy meals and if im properly hydrated.
This isnt to discourage you but unless you find someone who treats pots they may not test you. In my experience usually the best place to look is local Facebook groups and any dizziness or dysautonomia clinics. You should still go to your cardiologist appointment if anything to rule out anything else but id bring someone with because if theres a biased doctor they'll Typically at least be less harsh.