Escitalopram (Nexito 10 mg) usually does not meaningfully lower blood pressure (BP), while Inderal (propranolol 20 mg) can lower BP and heart rate and is the more likely cause of your low readings and discomfort when taken twice daily.

⚕️ What this likely is

• Inderal effect: Propranolol (Inderal) is a beta‑blocker that commonly lowers BP and pulse — this fits your symptoms.
• Possible interaction: Escitalopram may modestly increase propranolol levels (via liver enzymes), potentially amplifying its effect — tentative.
• Other contributors: dehydration, taking doses too close together, or another medicine could also lower BP.

💊 Medication effects

• Escitalopram (Nexito 10 mg): Rarely causes low BP or orthostatic dizziness.
• Inderal (propranolol 20 mg): Expected to reduce BP and slow heart rate; doubling effect can cause lightheadedness.
• Do not stop beta‑blockers suddenly — this can cause rebound problems.

🏥 Immediate actions

• Measure: Check BP and pulse (sitting and standing) and note values.
• If mild: Sit/lie down, hydrate, avoid sudden standing, and contact the prescriber for advice.
• Do not stop Inderal without discussing with the prescribing doctor.
• Prepare: Bring med names/doses to the appointment.

⚠️ Warning signs — seek urgent care

• Loss of consciousness or fainting.
• Chest pain, severe shortness of breath.
• Very low BP (systolic <90 mmHg) or very slow pulse (<50 beats/min).

🩺 When to see a doctor

• Contact the doctor who prescribed your blood pressure medication promptly; consider a cardiologist for BP management and a psychiatrist for escitalopram–medication review.

🩺 FOLLOW_UP

• What are your current BP and pulse readings (sitting and standing)?
• When did you start Nexito and Inderal, and are you taking both simultaneously?
• Do you feel dizzy, faint, have chest pain, or shortness of breath?