I’ve recently been having low blood pressure attacks. Not dehydrated.

Hello @mhaney, I am so glad you found Mayo Clinic Connect. What you are experiencing sounds scarey. It is really important continue communicating with your doctor that has prescribed your medication and get your symptoms addressed immediately if they happen again.

I am not a medical professional so I looked at what Mayo Clinic has to say about low blood pressure. It does sound reasonable to rule out dehydration and as a contributor, so it is a good thing you have made this progress. It is important to let your doctor know this so you get the appropriate treatment. https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465

You mention multiple providers. Have you discussed this with the one that prescribed your blood pressure medication? You may already be doing this, but do you take your blood pressure regularly and keep a log to show your doctor?

While you may have controlled your hypertension for some time, it doesn't follow that other changes have taken place that are typically associated with aging. You may have heart failure, as an example, or a blockage of an important artery, or mitral valve or aortal valve prolapse or failure....all quite aside from your medically controlled hypertension. These things can cause low blood pressure as they impair cardiac function. Impaired cardiac function can lead to blackouts and syncope. You must relay these events to your cardiologist or internist.

Thanks for reply’s and they do confirm my thoughts. I’m using VA for my doctoring and have relayed all to my PCP. Labs looked good and about to have my heart checked. TKS

@mhaney
Mike, did you tell your PCPs about taking yourself off BP medications?

You mentioned about a year ago having BP diagnosed and on medications. What there a weight gain back then? Where you exercising? Any undue stress? All those can affect BP but your numbers were high.

When you started having low BP did you start another medication at same time? Did you lose weight, start exercising?

My BP is around 120 over 70 almost all the time with present weight. But when I lose weight it can go down to 90/60 just because of weight loss. At that weigh I will get a lot of dizzy feelings if stand up to fast. My heart failure doctors says separate my medications if my BP gets that low and see if helps.

Sounds like you are doing the right thing though as you said heart checked. Are you going ot a cardiolgist to do that? If not consider asking to see one.

The VA cardiologist should check you for orthostatic hypotension.
It can happen in patients with hypertension as well.
Medication is the prime suspect.
They might check you with a portable monitor for rhythm
problems.
Some routine labs such as B12,
thyroid and cortisol were part of my workup testing.
Some cases are related to autonomic function and faulty nerve reflexes. Find the cause and watch out for falls. When it started with me heat was a trigger.
I was embarrassed and I would kneel down for a minute and tie my shoes! Ended up with neuropathy.

I HAD A LOW BLOOD PRESSURE ATTACK 80/40 AND ENDED UP IN HOSPITAL AFTER BOOD TESTS I WAS FOUND TO BE LOW ON MAGNESIUM AND POTASSIUM. I WAS GIVEN IV WITH THE MINERALS AND AS I WATCHED THE BLOOD PRESSURE MONITOR I COULD SEE MY BLOOD PRESSURE RETURN TO MY NORMAL 126/65. I HAVE BEEN TAKING THE MAGNESSIUM AND POTASSIUM SINCE AND HAVE NOT HAD ANOTHER LOW BLOOD PRESSURE ATTACK AND MY BLOOD PRESSURE STAYS CLOSE TO 126/65. HOPE THIS WILL HELP YOU.

I can confirm that magnesium helps. I found huge variations in the particular form of magnesium used. For me, Epson salts (magnesium sulfate) soaks worked, but pills of magnesium had spotty effects. There are several forms of these magnesium supplements and each is different.

I also recommend the electrolyte hydration drink called Roar. For me, there is a mild, gentle improvement in how I feel and the stability of my BP.