Go lie down NOW: Not sure how much time passed since you posted. Go lie down, hydrate aggressively & call friend to monitor you. Recheck your pulse a few minutes after. A hot shower will cause vasodilatation and drop your pressure enough to increase your pulse if you are already prone to it, which may be the case if you're taking midodrine & pyridostigmine for POTS. Call doc if pulse doesn't normalize quickly.
Answered 12/9/2020
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