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Treatment options for autonomic neuropathies
Christopher H Gibbons1, Roy Freeman
1Autonomic and Peripheral Nerve Laboratory, Department of Neurology, Beth Israel Deaconess Medical Center, 1 Deaconess Road, Boston, MA 02215, USA.
Current Treatment Options in Neurology
|February 9, 2006
Summary
Autonomic disorders involve various symptoms like orthostatic intolerance and gastrointestinal distress. Effective management focuses on symptom improvement through combined therapies and patient education, rather than a cure.
Area of Science:
- Neurology
- Internal Medicine
- Cardiology
Background:
- Autonomic disorders manifest with diverse symptoms impacting daily life.
- Common symptoms include orthostatic intolerance, gastrointestinal distress, and sexual dysfunction.
Purpose of the Study:
- To outline realistic treatment goals for autonomic disorders.
- To detail therapeutic strategies for various autonomic symptoms.
Main Methods:
- Nonpharmacologic approaches: compression stockings, fluid/salt intake, lifestyle changes.
- Pharmacologic strategies: fludrocortisone, sympathomimetics for orthostatic intolerance.
- Symptomatic treatment for gastrointestinal, urologic, and sexual dysfunction.
Main Results:
- Combined therapies significantly improve symptoms in most patients.
- Patient education empowers individuals in managing chronic conditions.
- Long-term management is often necessary, focusing on symptom control.
Conclusions:
- Autonomic disorder treatment requires a multifaceted approach.
- Patient education and active participation are crucial for effective management.
- While cures are unlikely, significant symptom improvement is achievable.