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Factors that may increase the likelihood of experiencing dizziness include: Rapid dose escalation without adequate titration Pre-existing cardiovascular conditions or autonomic dysfunction Concurrent use of medications that lower blood pressure or blood glucose Dehydration or inadequate fluid intake Older age or frailty Patients with type 2 diabetes using these medications may be at particular risk if they are also taking insulin or sulphonylureas, as the combination can increase the risk of hypoglycaemia, which commonly presents with dizziness or light-headedness