Could a nerve drug tame POTS? new trial tests pyridostigmine

NCT ID NCT00409435

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This phase 2 trial tests whether pyridostigmine, a drug that affects nerve signals, can reduce symptoms of postural tachycardia syndrome (POTS) like rapid heartbeat and dizziness. Fifty adults with POTS will take either pyridostigmine or a placebo for three days. The study aims to see if the drug improves symptom scores and stabilizes heart rate during tilt-table testing.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
pyridostigmine
What this could lead to
If it works, this could point toward a short-term treatment to ease POTS symptoms like rapid heartbeat and dizziness.
What could go wrong
This is a small, early-phase trial with only 50 people and a 3-day treatment period, so results may not apply broadly or last long.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Mayo Clinic

    RECRUITING

    Rochester, Minnesota, 55905, United States

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