@jdawgcurtis the current protocol I'm on is 400 mg Labetalol in the evening and 100mg in the early morning to reduce the onset of hypertension. Because mine is one of those cases that swings excessively both ways, it's more difficult to treat. I use 5 mg Midodrine up to 4x/day to offset the hypotension. Once I got off of the 24-hour BP meds, the fluctuations eased up a bit. I take 0.05-0.1 mg Clonidine to treat BP readings over 165. The new doctor I see came up with this protocol during our first meeting, and subsequent reviews of research verified his conclusions. Research discourages using Clonidine for control due to its rebound effects. There is no expectations that this will control my BP, rather it is a matter of quality of life. It is important that you are monitored for hypertension side effects. Your risk of complications is increased as time goes on. It was an EKG that first made me aware that I was experiencing a problem, and it appears more issues have developed. I will mention that Google Scholar is a great resource for the latest research, another bit of information that the new doctor passed along. Good luck.