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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dizziness In Bronchitis Patients

I am experiencing EXTREME dizziness upon standing from a sitting position. My legs are elevated but my head is not reclined.I am taking prednisone, levaquin, and an inhaler Symbicort to treat bronchitis.Blood pressure went from 137/75 to 123/70 to 106/64 in just minutes. I almost blacked out.
Mon, 23 Oct 2017
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Internal Medicine Specialist,  's  Response
This drop in blood pressure from the lying to sitting to standing positions is called "orthostatic hypotension", and is likely what is causing your dizziness when you stand up. The medications you listed are generally not causes of orthostatic hypotension. Common medications that can cause this are blood pressure medications. If you are not such medications, you should see your doctor to evaluate you for various causes that could be doing this, which can vary from endocrine to neurologic causes. In the meantime, take your time when getting up; try to stand up in stages especially in the morning when you are getting out of bed. Sit up first for two minutes, then put your legs over the side of the bed for two minutes, then stand up with support for two minutes, and if at this point you don't feel dizzy, proceed to walking without support.
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Suggest Treatment For Dizziness In Bronchitis Patients

This drop in blood pressure from the lying to sitting to standing positions is called orthostatic hypotension , and is likely what is causing your dizziness when you stand up. The medications you listed are generally not causes of orthostatic hypotension. Common medications that can cause this are blood pressure medications. If you are not such medications, you should see your doctor to evaluate you for various causes that could be doing this, which can vary from endocrine to neurologic causes. In the meantime, take your time when getting up; try to stand up in stages especially in the morning when you are getting out of bed. Sit up first for two minutes, then put your legs over the side of the bed for two minutes, then stand up with support for two minutes, and if at this point you don t feel dizzy, proceed to walking without support.