Anyone have severe Orthostatic Hypertension spikes or severe Blood Pressure Spikes when Tired, Exercising, Stressed, Hungry etc?

I was told to post here: I am trying to find people on Reddit who have the same issue as me. I am suffering for the past four years with dizziness and severe high BP spikes (170/125) which come on randomly after standing for too long or walking at the mall for too long. I have gone to the hospital and they don’t anything to control it and chalk it up to anxiety. Hunger, over exercise, fatigue or lack of sleep can cause it as well for example, I feel more pressure in my neck and head—it’s feel like adrenaline is rushing in my neck and my heart pulses harder. My diastolic is always 85-95 and systolic is normal. My heart rate is normal too. It’s been 4 years and all I am taking is 2.5mg amlodipine which doesn’t help during spikes. I’ve tried atenolol but heart rate goes to 50. I have taken clonidine recently which reduced the BP but doesn’t remove the Anxiety/adrenaline rush aspect of it.

Background: I don’t know if anyone here has any similar stories. This got especially worse since I started tapering off benzodiazepines. I have lost over 40lbs cause my intestinal motility is lazy and I don’t feel the urge to go—that happens every couple of months like a flareup—not sure if it’s related. The situation is effecting me a lot and I have to lay down flat in bed for a few hours to keep whatever adrenaline pressures down. I don’t know if Benzo caused it or was masking some underlying issue but I don’t remember having this issue in my 20’s (now in my 30’s).

The TT test showed a positive tilt table test for Vasovagal Presyncope associated with anxiety and Orthostatic Tachycardia on autonomic testing today. There is evidence of increased beta-adrenergic hypersensitivity. There is no evidence of Autonomic Failure, Baroreflex Failure, POTS and Neurogenic Orthostatic Hypotension.

THE ONLY THING that helps during these attacks is Lorazepam. No it’s not just simple mental anxiety, its very physical!

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u/journeynotarace — 1 day ago
▲ 2 r/hypertension+1 crossposts

CLONIDINE over LORAZEPAM?

Prescribed clonidine for benzodiazepine withdrawal induced anxiety and andrenaline surges accompanied by blood pressure spikes. At what blood pressure reading is it safe to take though? afterall, it is a blood pressure pill! anyone taking this with normal Blood pressure and what dose? it’s funny cause I’m tapering off clonazepam but during emergency blood pressure spikes, the only thing that works is lorazepam, which is counterproductive to take because I’m already trying to get off a certain benzodiazepine. lorazepam presses the breaks but I need something safer so hoping clonidine works… so far I have been scared to take it because during an attack I need a quick fix. I only tried half of the 0.01mg so far with lorazepam and idk if it was effective but I was sleepy the whole day after and BP was still in normal range.

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u/journeynotarace — 13 days ago