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There is only a slight reduction in bp while resting,it does seem there is a huge swing when going from sitting to standing to cause dizziness. My doc states the elevated heart rate is common from most alpha blockers. He called it reflex tachycardia. Yes 2mg of dox a day. I had a pretty good effect from 1mg , but then moved to 2. I think I may do a wash out period then try .5mg a day to see if I get some benefits. I also noticed some fatigue, which I am reading is pretty common.