Hi, I hope you are feeling ok today. I dealt with sitting blood pressures down to 60/40 for years. It is not ok, no way to live. I was young when it started, and I am still fairly young and have a new life frankly. I got answers. I was treated humanely and well and expertly. Even after failing pyridostigmine, midodrine, home IV fluids, and droxidopa (trade name Northera) and told sorry, no treatment arrange your affairs in Boston. No! Then Mayo doctors figured me out. You don't need to feel like that, keep trying. Ask more for solutions. Be absolutely clear about how you are feeling and how it is affecting your ability to live and move around in the world. Assertive is warranted. Again, I don't know your history or medical issues but if you talk it over with your doctor(s), droxidopa a.k.a. Northera can be preapproved by your physician and then many insurance plans will cover it for $45/month if deemed necessary. But remember: you have to talk to your doctors not just anyone of us, and please be careful with where you go with information. Go to Mayo. (But that's just my humble opinion as a Harvard-trained doctor.). Take care and let us know if you wish.