Yeah, I found my body takes a couple weeks to adjust to a jump of 120mg ER. Maybe even longer at the first dose. Tired yes, I like to use the word āflooredā because sometimes I would just lay down on the floor and feel super drained. So, I actually started on 40mg non-ER, cut the tab in half, and then started at 20mg. I found that 20mg was pretty easy in the morning so I quickly added another 20mg at lunch. And then I kept adding half tabs for a while until I could make the jump to my first 120mg ER. Then after I was used to that, I got ambitious and doubled to 240mg total, which wasnāt too bad until a few days passed and then I was floored again for a while. But my body does seem to normalize with time.
The dizzy symptoms didnāt change a whole lot for me at the start, a bit less I suppose. But the big thing for me was the head pressure started to come down significantly. At this point my head pressure is very mild, more of like a slight tightness the forehead with some continued pulsing symptoms, or slight nasal pressure. Of course, all these improvements take weeks and months. I think Iām at about 2 months now total on Verapamil. But only a couple weeks at 240mg. Dizziness improvements are happening at this point - my walks are getting much more comfortable. I might go up to 360mg per my Neurologist advice, but honestly now that Iām able to walk so much Iām not sure I need to and I donāt want to lay around on the floor anymore.
Oh, also, you will probably notice that if you get up fast you may feel like blacking out. Totally normal with a lower blood pressure. Just be near something nice and soft that you can fall onto. And a bit of extra salt might help your blood pressure come up faster if you are comfortable with it.
Good luck! I think its a good med, even for people with low blood pressure it can still be tolerable.
Erik
