Sarah- it stays about the same, but I can feel it beating out of my chest because all of my other symptoms have calmed down. So it's almost like it feels like it's worse, but when they take it, it is still very high about where it was, but I just feel it pounding more because everything else has started to calm down.   When I first started taking Epi, by blood pressure would plummet to about 50/30. But after the first three times and me learning now I need fluids after I get it, this has stopped.