# #188 Orthostatic Hypotension Part 2: Gray Matters Segment

Page: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/188-orthostatic-hypotension-part-2-gray-matters-segment
Text version: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/188-orthostatic-hypotension-part-2-gray-matters-segment.md
Podcast: [Core IM | Internal Medicine Podcast](https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389)
Published: 2025-09-22T08:44:26+00:00
Episode link: https://www.coreimpodcast.com/2025/09/22/orthostatic-hypotension-part-2-gray-matters/
Audio file: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/04447338-2934-4b40-8f1b-53302693d324/stream.mp3
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/188-orthostatic-hypotension-part-2-gray-matters-segment
Duration seconds: 2135

## Resource

Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during treatment. How do those change if someone has autonomic failure? What do you do when your patient has hypertension AND also has orthostatic hypotension? 🔹 Sponsor : Oakstone CME’ Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹 Transcript & Show Notes Timestamps (+/- 1-2 mins): (00:28) | Case Recap: Beyond Non-Pharm Strategies (03:07) | Midodrine: Timing, Testing, & Supine Hypertension (06:23) | Fludrocortisone: Benefits vs. Risks (09:01) | Droxidopa: Evidence, Side Effects, Access Issues (10:11) | Pyridostigmine & NSAIDs: Secondary Options (12:31) | Balancing Hypertension and Orthostatic Hypotension (14:29) | Functional Hypotension & Risk Stratification (18:45) | Symptomatic Patients: What to Stop, What to Continue (20:19) | Autonomic Disease: Supine & Nocturnal Hypertension (21:47) | Bed Elevation, Compression, & Non-Pharm Pearls Tags: Internal Medicine, Geriatrics, Autonomic Dysfunction, Hypertension, Syncope, Falls, Patient Safety, Medical Education, physician assistant, nurse practitioner, hospitalist, primary care, neurology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

## Actions

- request_transcript: `POST https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/188-orthostatic-hypotension-part-2-gray-matters-segment/transcription-requests` — Idempotently request low-priority transcript generation for this episode.
- read_markdown: `GET https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/188-orthostatic-hypotension-part-2-gray-matters-segment.md` — Read the agent-friendly Markdown representation of this episode resource.

A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed.

## Transcript

Full transcripts are not published on public pages unless there is a clear rights basis.