Orthostatic Hypotension in PD

At the regular, Wednesday, December 14th virtual support group meeting, the speaker was:
Mitch Miglis, MD, autonomic specialist, Stanford Neurology.
He described what causes the sign of orthostatic hypotension, how the sign manifests, and treatment (both pharmacological and non-pharmacological). There were lots of good questions from attendees.
Dr. Miglis shared this "orthostatics log," for tracking blood pressure at home . The basic measurements are taken lying flat and then after standing in place for 3 minutes. Measurements should be taken at different times of day.
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Stanford's APDA Information & Referral Center and Stanford Parkinson's Community Outreach coordinate a local Parkinson's Disease (PD) support group in Palo Alto. Since March 2021, we meet virtually, highlighting local resources, Stanford healthcare professionals, and Stanford research.

[@herbertfisher855]

My b/p laying down was 146/90, sitting 106/78 and standing top number 80/40

[@devyncannon8026]

27:10 - 27:45 you say that she definitely needs medication and that it should be the first step 4 separate times and that there are only some exercises that can be done in her hospital room but they wouldn't help much at all.
I'm no doctor so correct me if I'm wrong but wouldn't exercises ( of which there are plenty ) diet and alternative measures be your first steps, not medication of which could have several side effects short term and long term.
strengthening your muscles, cardio and blood flow is definitely better then laying in bed all day taking medication which is just slapping a band aid on a knife wound.

[@dr.froghopper6711]

How common is Orthostatic hypotension in Multiple Sclerosis?