<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have high blood pressure and are on the lowest dose of ramipril, 1.25 mg,howver, my legs are very shaky tonight. I have had this a few times recently. i took my blood pressure tonight and it is sky high 16793. i think i have to call my cardiologist tomorrow. I take ramipril at night. should I dou7ble the dose tonight to 2.5 mg? i have gradually come down slowly from 10 mg 2 years ago, but maybe 1.25 is too low. i have been on it for only 3.5 months.  <response>: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. Ii will give you my opinion. When we treat hypertension our goal is to achieve mean values below 14090 mmHg. A hypertensive patient might have excessive values under physical or emotional stress and this is normal but when we talk about daily mean values they should be under 14090. Only with these values we can say that we have a good and controlled blood pressure. So, if you say that in a random measurement you find high values like 16793 it might be reasonable to rise your medicament dosage. In fact the April dose that you take is a very small one. So my opinion as a cardiologist is that you can rise the dosage to 2.5 and even 5 mg because it cant cause any harm. It will lower your blood pressure values to 12080 and this is our target for you. Of course, it is mandatory to know some blood analyses to do so like your creatinine levels, so I advise you to consult it with your cardiologist. Hope I was helpful. Wish you good health. Best regards. 