**4.5 Antihypertensive medications**

Because TCR is an effective blood pressure (BP)-lowering treatment, many people taking antihypertensive medications may experience symptomatic hypotension. The first step is to inform your patients about low blood pressure symptoms such as dizziness, orthostasis, and fatigue. Ascertain that patients can monitor their blood pressure at home and quickly communicate the results to you or your healthcare team.

When starting TCR, we do not recommend stopping BP medications automatically unless the baseline BP is consistently below 110/70. However, if patients develop symptomatic hypotension, we advise discontinuing or reducing medicines as needed to alleviate symptoms.
