For the past year I've been experiencing severe lightheadedness and fatigue. My doctor called it orthostatic hypotension, which made sense. My blood pressure was low (~80/50) and my doctor suggested I stop taking one of my medications (spironolactone 100 mg). That did seem to increase my blood pressure some, it testing at 120/70 last time it was checked, but the problem has persisted.
Lately (about a month ago) it's gotten worse and more persistent, now coupled with shortness of breath. I have been to my doctor three times about this and the emergency room once and none of them have been able to find anything wrong with me.
My sleep has also been very poor lately. I've had problems with staying asleep and with my sleep not being restful, no matter how much sleep I get.
A few minutes ago I fainted upon standing. My vision blurred very suddenly, I fell down, involuntarily got back up, wobbly and uncontrollably yelling and panting. About 30 seconds later I came to again. I never fully lost consciousness.
My medications are:
Estradiol (8mg) for gender transition
Buproprion XL (300mg) for depression