Hi, A friend has been diagnosed with fibromyalgia several months ago. He was prescribed Methotrexate, Prednisone, D3 and Folic Acid by a rheumatologist he is seeing for fibromyalgia. Not long after diagnoses he also started experiencing hypotension. (He had no previous history of hyper or hypotension nor was he on any Rx.) It appears to be mostly exercise/exertion induced. It is intermittent, the BP crushes to low 70s/low 50s, he experiences dizziness/light-headedness, slow of movement, tiredness, slower speech, even his eyes don t look properly focussed. Some episodes are worse than the others. His GP prescribed Fludrocortisone to combat hypertension, however, unless he does experience the BP crush it keeps his BP abnormally high (for example, upon waking, measured before getting out of bed it measures as high as 164/93. With these BP levels abnormally high majority of the time is he at risk for developing hypertension complications? What can be done to minimise that?