You didn't say why you had to come off Florinef, so I'm curious about that. When you're on it, you really need to push fluids and salt so that it can do its "thing". Did it give you some kind of side effect or didn't you think it was doing any good? How much were you taking? You can take Florinef with Zoloft and midodrine. You can take all 3 at once...if that's what works for you. If you "felt off" when you stopped taking Florinef, wouldn't you want to stay on it? Anyway, as for Zoloft - don't rule it out because of your mom's experience with antidepressants. SSRI's are a whole different animal than the heavy duty antidepressants. And, you might be able to get away with taking a very, very small dose and get some great benefit. It's used "off label" for lots of folks with POTS with very good results. And, I'm a midodrine proponent. Yes, you may have to take it 2 or 3 times per day [some even take it 4x/day], but that's because it only stays in the body about 3 hours. It's a great medication and can really help get the blood out of the extremeties and back to the head/heart. It works wonders for many. Again, you can start on a very low dose and work up from there. The "hair raising" side effect is not harmful. When you first take midodrine it does cause a creepy, crawly scalp feeling - or goode bumps - It usually goes away after taking the med awhile. Besides, the feeling means the med is doing its job - increasing blood flow. If I were you, I'd try both meds - starting one at a time to see if you get a good effect. I don't know which one I'd start first..... After you start one, you might want to add the other to see if you get add'l benefits. That's OK, too. It may take a while to get the right dose for you. Go slow. Give them a chance to work. In the meantime, keep drinking the water and salt. And, let us know why Florinef didn't work for you.