Q: I have OrthoStatic-Hypotension. My BP is very high when I lie down, when I sit it instantly drops some, and when I stand it drops even lower. I get so dizzy that I often fall or need to lie down right away. I take many meds (i.e. Zocor, Actonel, ToprolXL, Avodart). Do you think my condition could be caused by the meds?
A: Orthostatic hypotension is a known side effect of ToprolXL. It is important to get up slowly to prevent this from occurring. As this has resulted in a fall and it is not clear that your blood pressure is in good control, you would be wise to discuss your current medication regimen with your doctor.