A Study of Pyridostigmine for Postural Tachycardia Syndrome (POTS)

This study is looking at whether pyridostigmine, a medication, can help people with Postural Tachycardia Syndrome (POTS). POTS is a condition where your heart rate increases significantly when you stand up, causing symptoms like lightheadedness and weakness. Researchers expect pyridostigmine to improve heart rate and blood pressure. You could be eligible if you are between 15 and 55 years old and have a POTS diagnosis, confirmed by a specific heart rate increase when standing and experiencing orthostatic symptoms. The study will measure changes in your symptoms after 3 days to see if pyridostigmine is effective. The current recruitment status is unclear.

Study design
This is an interventional study with 50 planned participants. It is a blinded study, meaning neither you nor the study doctor will know if you are receiving pyridostigmine or a placebo (an inactive substance).
What's involved
You would have two visits to the clinic. The first visit takes about 3 hours, and the second visit, two days later, takes about 2 hours. You would take one capsule daily for 3 days.
Compensation
Not stated in the trial record.
Follow-up
Your symptoms will be measured at 3 days after starting the medication.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT00409435

A Study of Pyridostigmine in Postural Tachycardia Syndrome

Recruiting
PHASE2Ages 15–55InterventionalTreatment
Mayo Clinic
~50 participants
Updated 2026-03-05 on ClinicalTrials.gov
What's tested:pyridostigminePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in orthostatic symptoms using Composite Autonomic Symptom Scale (COMPASS) change
Measured over 3 days
Postural Tachycardia Syndrome

NCT00409435

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Mayo Clinic

    Rochester, Minnesotastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Wolfgang Singer, M.D. · PRINCIPAL_INVESTIGATOR · Mayo Clinic

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Eligibility criteria

Inclusion

Orthostatic heart rate increment greater than or equal to 30 beats per minute (bpm) within 5 minutes of head-up tilt.
Symptoms of orthostatic intolerance. These include weakness, lightheadedness, blurred vision, nausea, palpitations, and difficulty with concentration and thinking.

Exclusion

Pregnant or lactating women
Presence of failure of other organ systems or systemic illness that could affect autonomic function or the patient's ability to cooperate with the study
Hypothyroidism or hyperthyroidism
Clinically significant coronary artery disease
Medications that could interfere with autonomic testing
Previous treatment with pyridostigmine for POTS. Patients must not have taken pyridostigmine in the past month
  • Change in orthostatic symptoms using Composite Autonomic Symptom Scale (COMPASS) change3 days