Hello! Thank you for asking on HCM! Regarding your concern, I would like to explain that your symptoms don t seem to be related to the blood pressure changes. These are normal values of blood pressure, and are not causing your symptomatology. The fact that you have forgotten to take your medications, has not influenced very much on your blood pressure (we should expect a higher blood pressure, caused by the lack of the antihypertensive therapy effect). I recommend consulting with your GP for a careful examination, a routine blood test, kidney and liver function tests, blood electrolytes. A Doppler ultrasound of the neck vessels would be necessary to examine the blood flow to the brain and detect possible stenosis of carotid and vertebral arteries. A cervical spondylarthrosis can cause a similar clinical scenario at your age. So a cervical spine x ray is needed to exclude this. Meanwhile, I recommend to take plenty of water. A good hydration is the best in hot weather. Hope to have been of help! Greetings! Dr. Iliri