Unfortunately, there are no treatments for multiple system atrophy (MSA) that delay or cure the disorder. Instead, doctors focus on managing the disabling symptoms of MSA.
Managing low blood pressure that causes fainting and a feeling of being lightheaded may be treated by adding salt to the diet, eating light meals and not drinking alcohol. Tilting the head of the bed up and use of a compression body stocking also help manage sudden drops in blood pressure. Medications such as beta-blockers vasoconstrictors, may be prescribed to help treat low blood pressure. In some cases, a pacemaker may be surgically inserted to make the heart beat faster, raising blood pressure.
Other treatment options for MSA symptoms include medications such as impotence drugs and diuretics, and drugs to reduce mild tremors and improve coordination and balance. Physical therapy builds muscle strength and encourages a person to maintain mobility. For some people, problems with swallowing and breathing may require the use of artificial feeding tubes and breathing tubes. Bladder care medications can help manage frequent urge to urinate, and limiting fluids in the evening may reduce problems with bedwetting.