Effects of Melatonin to Reduce Nocturnal Hypertension in Patients With Neurogenic Orthostatic Hypotension
Hypotension, Orthostatic, Hypertension, Autonomic Nervous System Diseases
About this trial
This is an interventional treatment trial for Hypotension, Orthostatic focused on measuring Melatonin, Yohimbine, Anti-hypertensive agents
Eligibility Criteria
Inclusion Criteria:
- Control population: Healthy males or females between the ages of 18-80.
- Patient population: Males or females who have been previously diagnosed with Neurogenic Orthostatic Hypotension.
Exclusion Criteria:
Patient population:
- Medical therapies or medications which could interfere with testing of autonomic function.
- Clinically significant heart disease.
- Presence of unrelated nerve damage in the peripheral nervous system.
- Pregnant or breast feeding females.
- The presence of failure of other organ systems or systemic illness that can affect autonomic function or your ability to cooperate. These include dementia, heart failure, kidney or liver disease, severe anemia, alcoholism, any new and abnormal cell growth identified as malignant, hypothyroidism, surgical procedures where the nerves of the sympathetic nervous system have been cut, or cerebrovascular disease.
Exclusion criteria for monitoring the effects of melatonin
1. All the above PLUS No lying/night time hypertension as determined by 24-hour blood pressure monitoring
Exclusion criteria for healthy controls:
- Presence of ANY autonomic dysfunction
- Medical therapies or medications which could interfere with testing of autonomic function.
- Clinically significant heart disease.
- Presence of ANY nerve damage in the peripheral nervous system.
- Pregnant or breast feeding females.
- The presence of failure of other organ systems or systemic illness that can affect autonomic function or your ability to cooperate. These include dementia, heart failure, kidney or liver disease, severe anemia, alcoholism, any new and abnormal cell growth identified as malignant, hypothyroidism, surgical procedures where the nerves of the sympathetic nervous system have been cut, or cerebrovascular disease.
Sites / Locations
- University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Effects of Yohimbine
Effects of melatonin on blood pressure
Investigation into the integrity of post-ganglionic sympathetic nerves in patients with idiopathic neurogenic orthostatic hypotension
Investigation into the effects of melatonin at two separate dosages (2 and 5mg) on nocturnal blood pressure in NOH patients with intact versus denervated post-ganglionic sympathetic nerves