Drug-induced hypotension
Alerts and Notices
Synopsis

Medications are a common cause of hypotension, particularly in the elderly. Medications most commonly cause orthostatic hypotension. In severe cases, drug-induced orthostatic hypotension can lead to syncope, falls, or ischemia to vital organs. Rapid changes in medications or new illnesses may exacerbate drug-induced orthostatic hypotension. Many drugs are implicated in orthostatic hypotension, but some of the more common ones include calcium channel blockers, beta blockers, diuretics, vasodilators, dopaminergic drugs, and antipsychotics. Discontinuing the offending drug usually resolves the hypotension.
Codes
ICD10CM:
I95.2 – Hypotension due to drugs
SNOMEDCT:
234171009 – Drug-Induced Hypotension
I95.2 – Hypotension due to drugs
SNOMEDCT:
234171009 – Drug-Induced Hypotension
Differential Diagnosis & Pitfalls
- Hypovolemia
- Sepsis
- Anaphylaxis
- Neurogenic shock
- Adrenal insufficiency (primary, secondary)
- Bradycardia (eg, sinus bradycardia)
- Pneumothorax
- Cardiac tamponade
- Cardiac valve disease (eg, mitral valve prolapse)
Best Tests
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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Last Updated:04/13/2016