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Multiple system atrophy
Alternative Names: Shy-Drager syndrome; Neurologic orthostatic hypotension; Shy-McGee-Drager syndrome; Parkinson's plus syndrome Treatment: There is no cure for MSA, and there is no known means to slow progression. Treatment is aimed at controlling symptoms such as postural hypotension and parkinsonian movements. Text Continues Below Anticholinergic medications may be used to reduce early or mild tremors. Levodopa may improve movement and balance. Carbidopa may reduce the side effects of Levodopa and make it work better. However, the response to medications may be disappointing. Many affected individuals respond poorly to treatment with anticholinergics or Levodopa. Medications that may be used to treat low blood pressure include the following: Vasoconstrictors (midodrine) Beta-blockers MAO inhibitors Vasopressin 9-fluohydrocortisone A pacemaker programmed to stimulate the heart to beat at a rapid rate (faster than 100 beats per minute) may increase blood pressure for some people. Constipation can be treated with a high-fiber diet and laxatives. Impotence may be treated with drugs that enhance erections. Expectations (prognosis): The probable outcome is poor. There is a progressive loss of mental and physical functions until general debilitation develops. Early death is likely. Rate of progression differs in every case and speed of decline may vary widely in individual patients. Complications: Progressive loss of ability to walk or care for self Difficulty performing daily activities Injuries from falls/fainting Side effects of medications Calling your health care provider: Page:  1 | 2 | Next >>