Ortostatic hypotension in patients with Parkinsons disease MedDRA version: 14.1 Level: PT Classification code 10031127 Term: Orthostatic hypotension System Organ Class: 10047065 - Vascular disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Idiopatic parkinsons disease - 18 y = age = 80 y - Orthostatic hypotension - Self-reliable - Fertile women must use contraceptives Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: - pregnant or nursing - non-compliance - Parkinson Plus diseases - Heart rhythm problems (except 1. and 2. AV-block) - Congestive heart insufficiency - Diabetes Mellitus - Reduced Kdney function - Severe anaemia (lower than 10% under lower limit) - Metabolic disorders - Other cerebrovascular disorders - treatment using anticholinergic, vasoactive or other medication that would affect the autonomic nervous system - Other diseases that would affect the autonomic nervous system - Mechanical obstruction of the gastrointestinal tract or urinary tract - Peritonitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: - To investigate the blood pressure regulating system in patients with parkinsons disease and ortostatic hypotension before and after treatment with pyridostigmin (mestinon) - To investigate the effect of two different doses of pyridostigmin (Mestinon) in patients with Parkinsons disease and orthostatic hypotension;Secondary Objective: ;Primary end point(s): Changes in systolic (SBP) and diastolic (DBP) blood pressure at baseline and 3 min with 60 degrees head-up tilt;Timepoint(s) of evaluation of this end point: 3 min | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Othostatic symptoms - Symptoms during 24 hours blood pressure monitoring;Timepoint(s) of evaluation of this end point: 6,9,12 og 15 min 24 hours | — |
Countries
Denmark