Q. I have orthostatic hypotension and REM sleep disorder. Am I destined for Parkinson's disease?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on Oct 09, 2021

Hi doctor,

What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs. But cardio is fairly good as I can ride a bike far and fast. Hiking causes funny vision and some dizziness when doing hills or inclines. I have had a few dreams where I have yelled out or moved a bit. Is it a REM sleep disorder? I am afraid these two mean I am destined for Parkinson’s disease.

Kindly help.



Welcome to icliniq.com.

I understand your concern.

Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.

REM sleep disorder is another common complication of Parkinson's disease, and it may be diagnosed in the early stages of Parkinson's disease. I recommend doing a polysomnogram (sleep study) to investigate possible REM sleep disorder and a head-up tilt test for orthostatic hypotension.

I suggest you take the tablet Clonazepam for the sleep disorder. Regarding orthostatic hypotension, I advise taking plenty of fluids and wearing compressive socks can help too.

I remain at your disposal for any further questions whenever you need me.

Kind regards.

The Probable causes:

Orthostatic hypotension, REM sleep disorder, Parkinsons disease.

Hi doctor,

Thanks for your reply.

I do not have Parkinson's disease but I am scared of getting it. Does having REM sleep disorder mean I will get it soon? Does a drop in systolic blood pressure of 10 to 20 mmHg is orthostatic hypotension? Do a drop in blood pressure from 140/90 mmHg to 110/80 mmHg is considered a normal and healthy blood pressure or is it a hypotension?

Kindly help.



Welcome back to icliniq.com.

There is no reason to panic about Parkinson's disease, as orthostatic hypotension does not lead to this disease. Instead, this is a late complication of the disease, after many years since the diagnosis. There is nothing to worry about. This blood pressure drop is suggestive of orthostatic hypotension. I would recommend checking CBC (complete blood count) for anemia, blood electrolytes for possible electrolytes imbalance, and thyroid hormone levels for possible thyroid gland dysfunction. These metabolic disorders can trigger orthostatic hypotension.

I hope you will find this information helpful.

If you have any other questions, please do not hesitate to ask me again.

I wish you all the best.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I weaned off Klonopin over six months, now have withdrawal. What can I do?

Most blood pressure medications tend to cause dizziness or postural hypotension or other symptoms of imbalance ...   Read full

Parkinson's disease patient fell down and unable to walk, why?

The second possibility is of mild stroke which is again common at this age due to combination of medications and other risk factors ...   Read full

Do I need a drug other than Clonazepam to control non-stop panic attacks?

.. understand your concern. Anxiety and panic disorders are serious disorders and tend to recur. Clonazepam is a benzodiazepine drug and have good efficacy in controlling the symptoms of anxiety. The drug can control panic symptoms effectively but is...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»
Nighttime Skin Routine for Clear Skin
A skin that gets all the attention during the day requires a chance to repair, rejuvenate and replenish from day damage ...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.