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Midodrine

Midodrine is an active ingredient of the class «butyroxan».

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Peripheral alpha-1 agonist used for the treatment of dysautonomia and orthostatic hypotension

Informational only — not medical advice. Ask a doctor or pharmacist; never change a dose on your own.

Boxed warning (US label)

Because midodrine hydrochloride can cause marked elevation of supine blood pressure, it should be used in patients whose lives are considerably impaired despite standard clinical care.

What it is used for

Midodrine hydrochloride is indicated for the treatment of symptomatic orthostatic hypotension (OH).

US label

How it works

Class: butyroxan

Common side effects

The most frequent adverse reactions seen in controlled trials were supine and sitting hypertension; paresthesia and pruritus, mainly of the scalp; goosebumps; chills; urinary urge; urinary retention and urinary frequency.

US label

Who should not take it

Midodrine hydrochloride is contraindicated in patients with severe organic heart disease, acute renal disease, urinary retention, pheochromocytoma or thyrotoxicosis.

US label

Pregnancy and breastfeeding

: Pregnancy Category C. Midodrine hydrochloride increased the rate of embryo resorption, reduced fetal body weight in rats and rabbits, and decreased fetal survival in rabbits when given in doses 13 (rat) and 7 (rabbit) times the maximum human dose based on…

: It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when midodrine hydrochloride is administered to a nursing woman.

Excerpts from the US prescribing label (public domain), copied without changes.

Interactions

Recorded interactions from open sources (Wikidata, US labels). The list is not complete — ask a pharmacist.

Brand names

United States

Proamatine

Canada

Apo-Midodrine · Jamp Midodrine · M-Midodrine · Mar-Midodrine

Other trade names

Bramox · Gutron · Midon · Orvaten · Pro-amatine

Approval status

US Food and Drug Administration
prescription · since 1996
Health Canada
prescription · marketed
First approval anywhere
1996

Codes

ATC
C01CA17
RxNorm CUI
6963
ChEMBL
CHEMBL1201212
PubChem CID
4195
UNII
6YE7PBM15H
Wikidata
Q415051

Frequently asked questions

What is Midodrine used for?

Midodrine is used for: Urinary incontinence, Orthostatic hypotension, and Cardiovascular disease.

What kind of medicine is Midodrine?

Midodrine is an active ingredient of the class «butyroxan».

What are the brand names of Midodrine?

Brand names of Midodrine include Proamatine, Apo-Midodrine, Jamp Midodrine, M-Midodrine, Mar-Midodrine, Bramox, Gutron, and Midon.

Medicines in the same class

Sources and licences

Updated November 15, 2026