Divya Medha Vati Extra Power may be taken with blood pressure medicines, but it is advisable to consult your doctor before combining them. This product contains several herbal ingredients, including Brahmi, Shankhpushpi, Ashwagandha and Valerian, which may have calming effects and could potentially affect blood pressure. Taking it along with blood pressure medicines may sometimes cause blood pressure to become lower than expected, which can lead to dizziness, weakness or lightheadedness. The risk depends on the type and dose of your blood pressure medicine and your overall health. If your doctor approves its use, monitor your blood pressure regularly and watch for any unusual symptoms, especially when starting the product. Take your medicines as prescribed, and do not reduce or stop your blood pressure medicine without medical advice. If you develop severe dizziness, fainting, unusual weakness or very low blood pressure, seek medical advice promptly.