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Autonomic nervous system disorder

Also known as Autonomic Disease

Your autonomic nervous system is the part of your nervous system that controls involuntary actions, such as the beating of your heart and the widening or narrowing of your blood vessels. When something goes wrong in this system, it can cause serious problems, including

  • Blood pressure problems
  • Heart problems
  • Trouble with breathing and swallowing
  • Erectile dysfunction in men

Autonomic nervous system disorders can occur alone or as the result of another disease, such as Parkinson's disease, alcoholism and diabetes. Problems can affect either part of the system, as in complex regional pain syndromes, or all of the system. Some types are temporary, but many worsen over time. When they affect your breathing or heart function, these disorders can be life-threatening.

Some autonomic nervous system disorders get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms.

NIH: National Institute of Neurological Disorders and Stroke

Source: MedlinePlus

What are the symptoms?

Within all the people who go to their doctor with autonomic nervous system disorder, 52% report having leg pain, 37% report having loss of sensation, and 37% report having skin lesion. The symptoms that are highly suggestive of autonomic nervous system disorder are pupils unequal, although you may still have autonomic nervous system disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with autonomic nervous system disorder often receive complete physical skin exam performed (ml), hemoglobin a1c measurement, other diagnostic procedures (interview; evaluation; consultation), lipid panel, ultrasonography, wound care management, echocardiography and physical therapy exercises .

Common Medications

The most commonly prescribed drugs for patients with autonomic nervous system disorder include gabapentin, insulin glargine (lantus), glyburide, carbidopa / levodopa, fenofibrate (tricor), midodrine, fludrocortisone, imipramine, sitagliptin (januvia), metaxalone (skelaxin), amiodarone, doxazosin and tolterodine (detrol) .

Gabapentin
$25
(28 days)
Insulin Glargine (Lantus)
$155
(28 days)
Glyburide
$12
(28 days)
Fenofibrate (Tricor)
$83
(28 days)
Midodrine
$106
(28 days)
Fludrocortisone
$23
(28 days)
Imipramine
$29
(28 days)
Sitagliptin (Januvia)
$177
(28 days)
Metaxalone (Skelaxin)
$223
(28 days)
Amiodarone
$18
(28 days)
Doxazosin
$8
(28 days)
Tolterodine (Detrol)
$121
(28 days)

Who is at risk?

Groups of people at highest risk for autonomic nervous system disorder include race/ethnicity = other, age 60-74 years and age 45-59 years.

Age

< 1 years
0.5x
1-4 years
0.5x
5-14 years
0.5x
15-29 years
0.4x
30-44 years
0.5x
45-59 years
1.6x
60-74 years
2.1x
75+ years
1.3x

Sex

Male
1.1x
Female
0.9x

Race/Ethnicity

Black
0.4x
Hispanic
0.5x
White
1.3x
Other
1.6x
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