Orthostatic Hypotension: Causes, Risks, and What You Can Do

When you stand up too fast and feel like the room is spinning, that’s not just being clumsy—it could be orthostatic hypotension, a sudden drop in blood pressure when standing up from sitting or lying down. Also known as postural hypotension, it’s more common than most people think, especially in older adults or those on certain medications. This isn’t just a momentary dizzy spell. It’s your body struggling to keep blood flowing to the brain when gravity pulls it downward. If this happens often, it increases your risk of falls, injuries, and even long-term brain health issues.

What causes it? Sometimes it’s simple—dehydration, standing too long, or heat. But it can also be tied to blood pressure medications, drugs like beta blockers, diuretics, or ACE inhibitors that lower blood pressure too much. It can also show up with nerve disorders, like Parkinson’s or diabetes-related nerve damage, which mess with your body’s ability to adjust blood flow. Even pregnancy or long bed rest can trigger it. The key is recognizing the pattern: dizziness, blurred vision, or nausea right after standing. If it happens often, it’s not normal—it’s a signal.

Managing orthostatic hypotension doesn’t always mean stopping your meds. Small changes make a big difference. Drink more water. Stand up slowly. Wear compression socks. Avoid hot showers or long periods of standing. If you’re on heart or blood pressure drugs, your doctor can adjust the dose or timing. It’s not about avoiding movement—it’s about moving smarter. The posts below cover real cases and practical tips: from how carvedilol can cause dizziness to how vitamin D deficiency might worsen blood pressure control. You’ll find clear, no-fluff advice on what to watch for, what to ask your doctor, and how to stay safe every day.