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midodrine

α1-selective adrenergic receptor agonist (prodrug) · Vasopressor

α1-selective adrenergic receptor agonist (prodrug)VasopressorATC C01CA17
CDSCO approvedATC C01CA17
EXCRETION
not curated
INTERACTIONS
6 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 6
  • DihydroergotamineSevereDatabaseDDInter
  • ErgometrineSevereDatabaseDDInter
  • Ergotamine TartrateSevereDatabaseDDInter
  • LinezolidSevereDatabaseDDInter

Mechanism

Midodrine is a prodrug, converted to desglymidodrine, which is a direct-acting α1 adrenergic receptor agonist. It causes rises in blood pressure by contracting both arterial and venous smooth muscle.

Indications

autonomic insufficiencypostural hypotension

Dosing

Adult
2.5 to 10 mg three times daily (titrated)
Max dose
not specified, but careful titration

Pharmacokinetics

Peak effect
about 1 h (desglymidodrine)
Half-life
about 3 h (desglymidodrine)
Protein binding
duration of action about 4 to 6 h

Side effects

Serious
  • supine hypertension

Drug interactions

Dihydroergotamine
Severe
Database

Clinical effect not specified

Source: DDInter

Ergometrine
Severe
Database

Clinical effect not specified

Source: DDInter

Ergotamine Tartrate
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Linezolid
Severe
Database

Clinical effect not specified

Source: DDInter

Methylergometrine
Severe
Database

Clinical effect not specified

Source: DDInter

Methysergide
Severe
Database

Clinical effect not specified

Source: DDInter

6 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team