rapidly fluctuating blood pressure may be seen with advancing pd. the pressure may elevate when a patient is in an "off" state and having less mobility. conversely the pressure may drop quite low during periods on better mobility - and dyskinesia. treatment of this problem is difficult but relies on a pd regimen that concentrates on medicine dosing for steady state dosing levels. discuss this strategy with your doctor - and remember to always get your blood pressure taking while sitting and standing in any doctor's office. if your blood pressure is elevated all the time it is not as likely to be related to pd and should be treated. however it may not take as much anti-hypertensive medications as with someone without pd. the anti-pd medicines all lower blood pressure.
is there a relationship between the onset of hypertension and advanced stage parkinson's disease?