<s>[INST] My doctor gave me AcipHex for reflux. After about 4 days of taking it, my b/p has gotten down at times to 85/57. I know it s down because I start to feel cold, then check my b/p and confirm it s low. I bordered on high before. I m pretty sure I am having gall bladder problems due to the pain in my side, and it is better since I ve cut fat almost completely out of my diet. Is my gall bladder causing the low b/p, or the AcipHex? [/INST] Cipher (omeprazole) may cause hypotension. But it's usually associated with hypersensitivity reactions that includes symptoms like facial puffiness, difficulty in breathing and others. If these symptoms are absent, then It's highly unlikely that omeprazole could be causing hypotension. And regarding the gall bladder, not much information is mentioned so that we can comment on it. I would recommend a consultation with your gastroenterologist for that. Hope the above information helps. Thanks. </s>