title: Taste and Smell Disturbance Resulting From Midodrine.
abstract: OBJECTIVE
  To report a case of dysgeusia and dysosmia following midodrine initiation.
  A 58-year-old male started midodrine 5 mg tablets 3 times a day for orthostatic hypotension. Two weeks after starting, he began complaining of dysgeusia and dysosmia. He also reported less of an appetite at this time but did not realize it was due to symptoms. He reported his symptoms as tolerable and chose to continue the medicine. At follow-up contact 7 days later, the symptoms were still present but diminishing.
  Midodrine is used for symptoms of orthostatic hypotension. Dysgeusia and dysosmia are not common adverse events and are not included in the manufacturer's labeling. There is only one other published case report of this reaction. Our patient only admitted to slight appetite suppression, but it may be more profound in some. The reaction may be dose related, but there is not enough information to make this conclusion.
  
  
  CONCLUSIONS
  Using midodrine may result in dysgeusia and dysosmia. According to this case, both adverse effects may lessen or resolve over time with the use of the medication.
authors.affiliation: Department of Pharmacy Practice, Wilkes University, Wilkes-Barre, PA, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Horger
authors.affiliation: Department of Pharmacy Practice, Wilkes University, Wilkes-Barre, PA, USA.
authors.forename: Stacy
authors.initials: S
authors.lastname: Kandrac
authors.affiliation: Department of Pharmacy Practice, Wilkes University, Wilkes-Barre, PA, USA daniel.longyhore@wilkes.edu.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Longyhore
mesh_terms: D004408:Dysgeusia / Q000139:chemically induced*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008879:Midodrine / Q000009:adverse effects*; D000857:Olfaction Disorders / Q000139:chemically induced*
chemical_list: D008879:Midodrine
keywords: adverse drug reaction; dysguesia; dysosmia; midodrine; orthostasis