Ok, DXM increases Serotonin and Seroquel (As in Quelling Serotonin) blocks this activity so no, there would not be any issues beyond the negation of any Serotonin related drugs that are used in combo with Seroquel.
You are correct that Seroquel does reduce blood pressure. This effect is obvious when it takes effect and the increased heart rate is a certain indicator of this but is never uncomfortable or concerning. In theory combining this with alcohol would be a bad idea however i often take my Seroquel for sleep while intoxicated to a very large degree. I have never noticed any inceased issues due to this beyond the combo resulting in increased sedation and rapid unconciousness.
The biggest issue I have ever had with Sereoquel is using it to stop amphetamines after 3 days of binging without sleep or food. In this situation your physical state combined with the effects and the reduced BP usually results in certain fainting where you to be on your feet longer then 5 minutes.
I usually recommend being in the position that would be best for a long period of sleep or unconciousness before taking Seroquel in a situation of sleep, hydration, sugar and food deprivation. For some reason it seems that an unhleathy physical state somehow potentiates the effects of Seroquel. Its wierd but true.
This is my experience however u dont imply it is safe at all, just that it works.