This is Dr. David
sertraline is used to treat depression and anxiety and can cause fatigue and dizziness
pramipexole is to treat parkinsons disease and can cause dizziness.
benicar is used to treat high blood pressure and can cause dizziness .
anxiety symptoms can cause you to feel dizzy
parkinsons can cause you to feel dizzy.
high blood pressure which is not controlled can cause dizziness.
so as you can see you have conditions which could be causing your symptoms
or your medications could be causing them
you need to see your doctor for evaluation.
you might need your medications to be changed if they are causing too much side effects.
you need your thyroid hormone levels checked as well
so many issues could be causing your dizziness and sleepiness.
let me know if you have questions.