PMID- 27614923 OWN - NLM STAT- MEDLINE DCOM- 20171204 LR - 20220331 IS - 1878-7436 (Electronic) IS - 1878-7436 (Linking) VI - 10 IP - 10 DP - 2016 Oct TI - Long-term safety of droxidopa in patients with symptomatic neurogenic orthostatic hypotension. PG - 755-762 LID - S1933-1711(16)30451-X [pii] LID - 10.1016/j.jash.2016.07.010 [doi] AB - The long-term safety of droxidopa for the treatment of symptomatic neurogenic orthostatic hypotension in patients with Parkinson disease, pure autonomic failure, multiple system atrophy, or nondiabetic autonomic neuropathy was evaluated in a phase 3, multinational, open-label study in patients who previously participated in a double-blind, placebo-controlled clinical trial of droxidopa. A total of 350 patients received droxidopa 100 to 600 mg three times daily. Mean duration of droxidopa exposure was 363 days (range, 2-1133 days). Rates of serious adverse events (AEs), cardiac-related AEs, and supine hypertension were 24%, 5%, and 5%, respectively. Most AEs, including those of a cardiovascular nature, were not attributed by investigators to droxidopa. In this large cohort of patients with neurogenic orthostatic hypotension, droxidopa was well tolerated during long-term use. CI - Copyright (c) 2016 The Author. Published by Elsevier Inc. All rights reserved. FAU - Isaacson, Stuart AU - Isaacson S AD - Parkinson's Disease and Movement Disorders Center of Boca Raton, Boca Raton, FL, USA. Electronic address: isaacson@ParkinsonsCenter.org. FAU - Vernino, Steven AU - Vernino S AD - Department of Neurology & Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA. FAU - Ziemann, Adam AU - Ziemann A AD - Lundbeck LLC, Deerfield, IL, USA. FAU - Rowse, Gerald J AU - Rowse GJ AD - Lundbeck LLC, Deerfield, IL, USA. FAU - Kalu, Uwa AU - Kalu U AD - Lundbeck LLC, Deerfield, IL, USA. FAU - White, William B AU - White WB AD - Division of Hypertension and Clinical Pharmacology, Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, CT 06032, USA. LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20160804 PL - United States TA - J Am Soc Hypertens JT - Journal of the American Society of Hypertension : JASH JID - 101312518 RN - 0 (Prodrugs) RN - 0 (Vasoconstrictor Agents) RN - J7A92W69L7 (Droxidopa) RN - X4W3ENH1CV (Norepinephrine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Autonomic Nervous System/drug effects MH - Blood Pressure/*drug effects MH - Droxidopa/*adverse effects/therapeutic use MH - Female MH - Heart Rate/drug effects MH - Humans MH - Hypertension/*chemically induced/epidemiology MH - Hypotension, Orthostatic/*drug therapy/etiology MH - Long Term Adverse Effects/chemically induced/epidemiology MH - Male MH - Middle Aged MH - Multiple System Atrophy/complications/drug therapy MH - Norepinephrine/*adverse effects/therapeutic use MH - Parkinson Disease/complications/drug therapy MH - Prodrugs/*adverse effects/therapeutic use MH - Pure Autonomic Failure/complications/drug therapy MH - Vasoconstrictor Agents/*adverse effects/therapeutic use MH - Young Adult OTO - NOTNLM OT - Supine hypertension EDAT- 2016/09/12 06:00 MHDA- 2017/12/05 06:00 CRDT- 2016/09/12 06:00 PHST- 2016/05/13 00:00 [received] PHST- 2016/07/15 00:00 [revised] PHST- 2016/07/18 00:00 [accepted] PHST- 2016/09/12 06:00 [pubmed] PHST- 2017/12/05 06:00 [medline] PHST- 2016/09/12 06:00 [entrez] AID - S1933-1711(16)30451-X [pii] AID - 10.1016/j.jash.2016.07.010 [doi] PST - ppublish SO - J Am Soc Hypertens. 2016 Oct;10(10):755-762. doi: 10.1016/j.jash.2016.07.010. Epub 2016 Aug 4.