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 upon standing that reduces blood flow to the brain. Also known as postural hypotension, it’s more than a momentary dizzy spell—it’s your body’s blood pressure system failing to adjust quickly enough. This isn’t rare. About 20% of people over 65 experience it, and it can happen to younger people too, especially if they’re dehydrated, on certain meds, or have nerve damage from diabetes or Parkinson’s.

Blood pressure drop, the core mechanism behind orthostatic hypotension happens because gravity pulls blood down into your legs when you stand, and your body should respond by tightening blood vessels and speeding up your heart. But if your autonomic nervous system, the part of your nervous system that controls automatic functions like heart rate and blood pressure is sluggish or damaged, that response is too slow or too weak. That’s when you get lightheaded, blurry vision, or even faint. It’s not just uncomfortable—it raises your risk of falls, fractures, and hospital visits. And while it’s often linked to aging, it’s also common in people taking blood pressure meds, diuretics, or drugs for Parkinson’s, depression, or erectile dysfunction.

What makes this tricky is that many people ignore the warning signs. They think, "It’s just old age," or "I’m just getting up too fast." But if you’re getting dizzy more than once a week, it’s not normal. Simple fixes—like drinking more water, standing up slowly, wearing compression socks, or avoiding hot showers—can make a big difference. In some cases, your doctor might adjust your meds or suggest a salt supplement. The key is recognizing the pattern: dizziness right after standing, not while sitting or lying down.

Below, you’ll find real, practical posts that dig into how medications, aging, and other conditions tie into this issue. You’ll see what works, what doesn’t, and what to ask your doctor if you’re dealing with this daily. No fluff. Just clear, evidence-based info to help you stay steady on your feet.