What to do if…
you get an unexpectedly low blood pressure reading and feel weak or lightheaded
Short answer
Stop what you’re doing, get to a safe position (sit or lie down), and treat this as a “fainting risk” until you feel steady. If you might pass out, lie down with your legs raised and get help.
Do not do these things
- Do not “push through it,” keep standing, or try to walk it off if you feel faint.
- Do not drive, cycle, use ladders, or take a shower/bath while you feel lightheaded.
- Do not take an extra dose of any blood pressure/heart medicine to “fix” a number.
- Do not keep standing up repeatedly just to re-check your blood pressure—rest first.
- Do not ignore severe symptoms (confusion, chest pain, severe breathlessness, collapse) just because you think the monitor is wrong.
What to do now
- Get into a safer position immediately (prevent a fall).
- If you feel like you may faint: lie down on your back and raise your legs (on a chair/pillows).
- If you can’t lie down: sit down and lean forward with your head lowered (supported if possible). Stay still.
- Call for help if you’re alone.
- If someone is nearby, tell them you feel faint and ask them to stay with you for a few minutes.
- Call 999 now if any emergency warning signs are present.
- You collapse, you’re unresponsive, you’re hard to wake, or you faint and do not wake quickly.
- New chest pain, severe breathlessness, signs of stroke (face droop, arm weakness, speech problems), or severe confusion.
- Heavy bleeding, or you look/feel like shock (very pale/clammy with extreme weakness).
- If you’re pregnant (especially later pregnancy) and you faint or feel very faint:
- Lie on your side while recovering (rather than flat on your back), and get urgent medical advice if you don’t quickly improve.
- If you’re fully awake and can swallow: take small sips of water.
- This is most relevant if you’ve been hot, unwell, vomiting/diarrhoea, or haven’t had much to drink.
- If you’re drowsy, confused, or actively nauseated/vomiting, don’t take anything by mouth.
- Re-check the reading once you’re settled (not repeatedly).
- Rest quietly for about 5 minutes, arm supported at heart level, cuff fitted correctly, then re-check once.
- Treat symptoms as more important than the exact number.
- Stop likely triggers you can stop right now.
- Hot bath/shower, alcohol, missed meals, dehydration, standing up quickly, recent fever/infection, or overexertion. Keep resting and only stand up slowly when steady.
- Get same-day advice if symptoms persist, recur, or are unexplained.
- Call NHS 111 if you still feel weak/lightheaded after rest and fluids, if you fainted, or if this is new/unexplained.
- If you have repeated episodes, arrange a GP review even if you recover.
What can wait
- You do not need to decide what the “cause” is right now.
- You do not need to keep checking your blood pressure every few minutes.
- You do not need to change or stop prescribed medicines without clinician advice (unless you’re told to urgently by a professional).
Important reassurance
Feeling weak or lightheaded with a low reading is frightening, but many episodes are triggered by temporary things like dehydration, heat, illness, or standing up quickly. The safest approach is to prevent a fall, watch for serious warning signs, and get same-day advice if it’s not clearly settling.
Scope note
These are first steps to reduce immediate risk (fainting/falls) and decide whether you need urgent help. Ongoing patterns or medication questions should be reviewed with a clinician.
Important note
This is general information, not a diagnosis. If you feel severely unwell, collapse, have chest pain, severe breathlessness, stroke-like symptoms, or cannot stay awake, call 999.
Additional Resources
- https://www.nhs.uk/conditions/low-blood-pressure-hypotension/
- https://www.nhs.uk/symptoms/fainting/
- https://www.sja.org.uk/first-aid-advice/fainting/
- https://www.nhs.uk/tests-and-treatments/first-aid/
- https://www.nhsinform.scot/illnesses-and-conditions/a-to-z/low-blood-pressure-hypotension/
- https://www.guysandstthomas.nhs.uk/health-information/postural-hypotension