High blood pressure can usually be managed by your general practitioner, but in some situations, specialist review may be useful for some further advice.
Usually this occurs if:
- your blood pressure has been difficult to control with common medications
- you have had side effects with common blood pressure medications
- your blood pressure is often high but sometimes too low
- you have been found to have high blood pressure at a young age, when screening for specific “secondary” causes and advice on specific treatments is recommended
Orthostatic (postural) hypotension can be a significant problem for some people, particularly with increasing age and with neurological conditions such as Parkinson’s disease.
This condition leads to a sudden drop in blood pressure with symptoms such as lightheadedness when arising from a chair or bed. Post-prandial hypotension (low blood pressure occurring after meals) is often an additional issue for patients with this condition.
Orthostatic hypotension can be a very challenging issue to manage and treatment needs to be individualised to your specific situation. A thorough assessment including lying and sitting/standing blood pressures (and in some instances, an overnight blood pressure monitor) is important to develop a plan for treatment. Targets for your blood pressure control may need to be reviewed, and the type/ timing of your blood pressure medications may also need to be adjusted to improve your symptoms.