I too have a crazy orthostatic hypertension. I was 190/90 in the ER and they did nothing. The felt that my feeling horrible was driving my pressure up; it eventually went down to 150/82 on its own. My pulse is an average between 50-60. At rest I will go to 110/76. Then when I move about it bounces back up. On my beat to beat I did the same thing. I started on Carbidopa last week and guess what, my b/p went up. I have caught at 170/130. I feel awful. As someone else stated, the elevations do not always correlate to my feeling horrible. I also drop at night. This all seems very cyclical. Sometimes I am awakened by dizziness and my pressure is up. What to do???????????????