It's kinda hard to read can you put another pic or something?
The answer would be beta blocker.
Beta blocker is an antihypertensive drug that works by <span>decreasing norepinephrine release. The reduce of norepinephrine would prevent vasoconstriction and increased heart rate. This two effect contribute to the orthostatic hypotension the patient describe.
Some of the drugs are lipophilic which means it can pass blood </span>brain barrier, cause some effect like vivid dreaming. That is why the drug best to take on morning, not evening.
It really depends on where in the north west you are. In and around Maine, it's normally pretty cold; even in the summer (at least where I live) but in Rhode Island, Massachusetts, New York, etc. I'm pretty sure it isn't always cold. In the summer, the thermometer can reach up to 110 degrees, but the temperature can lower all the way down to -45 degrees and possibly lower.
Dimples, tounge rolling, freckles, curley or straight hair, eyes, hairline shape,etc,.