Clinical recommendation	Evidence rating	References
Consider head-up tilt-table testing in patients with symptoms of orthostatic hypotension despite normal vital signs, or in patients who are unable to stand for orthostatic vital sign measurements.	C	6, 14
Patients with chronic orthostatic hypotension should be counseled to avoid large carbohydrate-rich meals, limit alcohol intake, and ensure adequate hydration.	C	6, 22
Fludrocortisone, midodrine, and pyridostigmine (Mestinon) are effective therapies for chronic orthostatic hypotension.	B	26, 28, 29