Many conditions can cause orthostatic hypotension, including: The risk factors for orthostatic hypotension include: Medications. It's important to see your doctor if you have frequent symptoms of orthostatic hypotension because they can signal serious problems. 2017 ACC/AHA/HRS Guideline for the evaluation and management of patients with syncope. you might be dehydrated, have low blood sugar, or be taking medication that changes your blood pressure. Orthostatic hypotensionis the sudden drop in blood pressure when suddenly standing or changing position. Using medications that treat high blood pressure with other prescription and over-the-counter medications may cause low blood pressure. U.S. Food and Drug Administration.https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/203202Orig1s000TOC.cfm. https://www.uptodate.com/contents/search. Some blood pressure meds will drive your pressure up instead of … It is defined as a fall in systolic (maximum) blood pressure of at least 20 mm Hg or diastolic (minimum) blood pressure of at least 10 mm Hg when a person assumes a standing position. Feeling dizzy and tired at the same time could be a symptom of various conditions. However, long-lasting orthostatic hypotension can signal more-serious problems, so it's important to see a doctor if you frequently feel lightheaded when standing up. This condition can occur because of some medications used for Parkinson’s disease, heart conditions or diabetes. Deer Tick: What’s the Difference? The baroreceptors send signals to centers in your brain, which signals your heart to beat faster and pump more blood, which stabilizes blood pressure. Surges up to 200/120 due to stress are impressive, and out of the ordinary. People with orthostatic hypotension may feel dizzy when they stand up. Accessed April 10, 2020. National Heart, Lung, and Blood Institute. AskMayoExpert. Some people may faint or lose consciousness. These include: Mayo Clinic does not endorse companies or products. Typical symptoms are dizziness, light-headedness, blurred vision, shoulder pain. Heart Rhythm. This raises the blood pressure for a short time, anywhere from 20 minutes to an hour or two. The symptoms will usually go away when sitting or lying down. “People with masked hypertension are actually at higher risk than those with white coat hypertension, since their blood pressure is high for 23 hours of the day,” he says. barbara. for Orthostatic hypotension (postural hypotension), Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Orthostatic hypotension (postural hypotension), Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. It may cause dizziness and fatigue. Stand up slowly when getting out of a chair or bed. Lowering blood pressure to less than 140 mm Hg systolic and less than 90 mm Hg diastolic with medication and lifestyle changes is the long-standing treatment target, he said. She was hospitalized with blood pressure that dropped from 200/78 in bed to 60/40 sitting up. Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. 2017; doi: 10.1007/s00415-016-8375-x. Hypotension, or simply low blood pressure, is a condition whereby your blood pressure is not as high as it should be at your age. The condition is often mild and lasts for just a few minutes after standing.