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Medical Forum / Diseases and Disorders / Epilepsy / October 2003

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Low blood pressure

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M - 21 Oct 2003 12:11 GMT
Upon changing doctors, I had to have yet another medical and my blood
pressure was again pronounced v. low and on the boundaries of
hypotension (90/60).  Is this due to AEDs or epilepsy, or is it just
genetic and something I have to live with?

It doesn't cause any problems except when eg. I'm squatting down in the
book shop and stand up, and then I fall over.
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Malcolm    

Bob - 21 Oct 2003 16:09 GMT
> Upon changing doctors, I had to have yet another medical and my blood
> pressure was again pronounced v. low and on the boundaries of
> hypotension (90/60).  Is this due to AEDs or epilepsy, or is it just
> genetic and something I have to live with?

My BP has been lower since I started taking AED's in recent years, not hypo
but much lower. It must be due to the AED's.

> It doesn't cause any problems except when eg. I'm squatting down in the
> book shop and stand up, and then I fall over.

Similar. I would tend to have a fainting feeling.

> Malcolm

Bob
CyberCafe - 21 Oct 2003 16:40 GMT
> Upon changing doctors, I had to have yet another medical and my blood
> pressure was again pronounced v. low and on the boundaries of
> hypotension (90/60).  Is this due to AEDs or epilepsy, or is it just
> genetic and something I have to live with?

The temporal lobe epilepsies can cause fast or slow heart rates.  There is
a list of things that could cause orthostatic hypotension at
http://aafp.org/afp/971001ap/engstrm.html  (take with a grain of salt
because for some people a cause is never found).

> It doesn't cause any problems except when eg. I'm squatting down in the
> book shop and stand up, and then I fall over.

The above web site mentions a few solutions.  The site didn't mention this,
but I've heard of a few people using compression hose-type garments (I
think high enough to include the abdomen) to equalize their blood pressure
so they don't pass out when they suddenly change position.  The thing about
avoiding hot showers and baths (or even hot tubs) is because the veins
dilate and contract depending on body temperature and a person could faint
from that quick change in the blood vessels.

When you visit the web site, anything with "brady" in front of it means
slow and "tacky" means fast.

I've only seen one AED that could cause hypotension (it almost sounded like
an injectable form of the drug).

Barb

> --
> Malcolm
Situation_Toasted - 22 Oct 2003 02:24 GMT
I've always had a low b.p. & slow pulse rate. My first neuro referred me to
a cardiologist who had me wearing a halter monitor for 24 hours. His
diagnosis was there was a small but insignificant abnormal activity. His
advice to the neuro was that it was irellavent. It had nothing to do with
aeds.

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> Upon changing doctors, I had to have yet another medical and my blood
> pressure was again pronounced v. low and on the boundaries of
[quoted text clipped - 3 lines]
> It doesn't cause any problems except when eg. I'm squatting down in the
> book shop and stand up, and then I fall over.

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