What causes low BP? Mine starts OK then goes down 50-60 pts

@gil101
Good questions for you medical providers to answer and consult with you.

My opinion, but just from my experience not a medical opinion, is that your BP should go down when sleeping and of course will rise when you get up and then go back down. Some individuals BP rising quickly and also goes down quickly versus others being more a mild change. Everyone different.

When are you taking your BP? Do you immediately take it after standing up from bed? If so try waiting for a while to let your body adjust from lying down to asking it to get up quickly. When I have my BP taken at Mayo Clinic they have me lie down and take it, then sit and take it, and then stand up and take it. That way they can see the differences in body position and movement.

You say it goes down 60 points. I assume that is the systolic you are talking about and that would be 90. 90 is low but not something that is dangerous unless you feel faint. My BP goes down into 90 systolic to 60 dystolic when my weight is down. This is caused by medications I take Entresto and Carvididol. My HF says if goes below 90 may need to take my medication apart not together.

There are all kinds of things that can cause your BP to rise in the mornings and then go down drastically. It can be heart, cardiovascular, medications, anxiety, stress, or asking your body to move quickly after being in a lying condition. These are things that were given to me about BP by my HF doctor and not my personal opinions.

Have you tried getting out of bed slowly and not force the BP to react to getting up quickly from a lying position. If you BP is low when sleeping and lying down it will react when you stand up quickly trying to bring BP up.

Some individuals (like me) their BP does not rise quick enough when standing up and you can feel faint as your head is not flat. I learned to sit on bed, do a little foot exercise and then stand up. This worked for me and I consulted with my HF doctor and said good thing to do and agreed!

I would really do a consultation with your medical providers and go over excactly what you have written. They are the ones to guide you and give you medical advise including medications. If you don't have access to a well known clinic or medical provider I would reach out to them for consultation. It appears to me that this is affecting your lifestyle and quality of life thus need to address with your medical providers.