Very low blood pressure

Posted by meryw @meryw, Nov 7 4:59pm

I recently started taking lamictal 25mg once a day and after about a week I started to feel lightheaded all day long. I decided to keep taking it as sometimes side effects wear off and I really need this medication. After two weeks I started experiencing symptoms of very low blood pressure at night, severe dizziness especially when standing up from sitting or lying down. I stopped taking the lamictal 3 days ago but I still have the same symptoms. My doctor couldn’t see me until December 7th so she put me on midodrine. I’ve had low blood pressure pretty much my whole life and have taken this medication in the past but stopped because I felt it was making me dizzy. Should I try it again? Is there a better alternative? If I drink massive amounts of water it gets better but I know that’s not a great solution. Should I go to Urgent Care?

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Yes, my thyroid has been checked multiple times but not for at least a year. I’ll see my doctor soon and ask her to check it. Thanks for the excellent advice!

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@mikereed1946

Droxidopa (formerly Northera) is another drug designed to raise blood pressure. It is very expensive, but if you get through Mark Cuban Cost Plus pharmacy it is VERY much cheaper than anywhere else. Google it!

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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.

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I’ve had low or very low BP for years. I take both Midodrine and droxidopa (formerly Northera). You might want to ask if droxidopa causes the same problem for you. It’s very expensive, but reasonable (?) if you get it through Mark Cuban Cost Plus Pharmacy. (Yes, of Shark Tank and Dallas Mavericks fame.)

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