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This can sometimes cause postural hypotension, especially at this high dose in the elderly. It is much less likely to cause vertigo. 

What else would you consider

minocycline 50mg bid
nitro patch 0.4mg
I have no more suggestions re meds
erythromycin 333mg
gentamicin ear drops
hydroxychloroquine 200mg
hydrochlorothiazide 25mg
ASA 650 mg bid
diphenhydramine 25mg
prochlorperazine 10mg
betahistine 8mg tid

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    • amitriptyline 250mg

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