Low blood pressure that either doesn't cause signs or symptoms or causes only mild symptoms rarely requires treatment.
If you have symptoms, treatment depends on the cause. For instance, when medication causes low blood pressure, treatment usually involves changing or stopping the medication or lowering the dose.
If it's not clear what's causing low blood pressure or no treatment exists, the goal is to raise your blood pressure and reduce signs and symptoms. Depending on your age, health and the type of low blood pressure you have, you can do this in several ways:
Use more salt. Experts usually recommend limiting salt in your diet because sodium can raise blood pressure, sometimes dramatically. For people with low blood pressure, that can be a good thing.
But because excess sodium can lead to heart failure, especially in older adults, it's important to check with your doctor before increasing the salt in your diet.
- Drink more water. Fluids increase blood volume and help prevent dehydration, both of which are important in treating hypotension.
Wear compression stockings. The elastic stockings commonly used to relieve the pain and swelling of varicose veins can help reduce the pooling of blood in your legs.
Some people tolerate elastic abdominal binders better than they do compression stockings.
Medications. Several medications can be used to treat low blood pressure that occurs when you stand up (orthostatic hypotension). For example, the drug fludrocortisone, which boosts your blood volume, is often used to treat this form of low blood pressure.
Doctors often use the drug midodrine (Orvaten) to raise standing blood pressure levels in people with chronic orthostatic hypotension. It works by restricting the ability of your blood vessels to expand, which raises blood pressure.
Lifestyle and home remedies
Depending on the reason for your low blood pressure, you might be able to reduce or prevent symptoms.
- Drink more water, less alcohol. Alcohol is dehydrating and can lower blood pressure, even if you drink in moderation. Water, on the other hand, fights dehydration and increases blood volume.
Pay attention to your body positions. Gently move from a prone or squatting to a standing position. Don't sit with your legs crossed.
If you begin to get symptoms while standing, cross your thighs in a scissors fashion and squeeze, or put one foot on a ledge or chair and lean as far forward as possible. These moves encourage blood flow from your legs to your heart.
Eat small, low-carb meals. To help prevent blood pressure from dropping sharply after meals, eat small portions several times a day and limit high-carbohydrate foods such as potatoes, rice, pasta and bread.
Your doctor also might recommend drinking one or two strong cups of caffeinated coffee or tea with breakfast. Don't drink caffeine throughout the day because you will become less sensitive to caffeine, and caffeine can cause dehydration.
- Exercise regularly. Aim for 30 to 60 minutes a day of exercise that raises your heart rate and resistance exercises two or three days a week. Avoid exercising in hot, humid conditions.