I live in Sweden and I don't exactly know how off-label use of unapproved drugs/new use of approved drugs in other countries works. Your doctors should know? It is an pretty expensive drug, but it totally changed my life. So I think it's worth the cost. May be Droxidopa will work on just a few of us. An example for better understanding: I have to be in activity all the time otherwise I'll get bad. I "stressed" myself at work, at home, everywhere and so I could avoid to faint or to feel bad. You can guess what I think about sleeping ;-) When I take Droxidopa I don't have to be in action as much as in the past, but I still don't tolerate longer inactivity. I feel disabled in many ways, but now I'm functioning much better and quality of life has changed in a unbelievable way. In the past most days where bad, now I have many god days and there are moments without symptoms. (I hope you understand me . When I moved to Sweden I lost all the languages I've learned and eaven my mothertongue is getting worse... Speaking is easier than writing, but I do my best )