<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am 68 years old and I am having trouble with my BP pulse rate. My MD has me on Verapamil but my kidney MD changed it to nifedipine a few days ago. When I tried the new med, my BP and pulse started having problems. I quit taking the nifedipine and went back to verapamil, but this morning, I took my pulse BP and it was 16080, pulse 139, so I took a verapamil and rested and it reduced to 9049, pulse 103. Now I am worried the BP is too low and pulse still too high. My MD is out of town. Should I go to the emergency room or shold I just consult another MD from the walk-in clinic?  <response>: You didnt mention dose of Verapamil anyway if these Chat Doctor. One thing I want to know about your pulse is whether it is regular or not. If its regular then choice is gabardine 5 MGH twice a day.it wont effect your BP and only control your heart beat. If its irregular then check with ECG about rhythm then appropriate medicine. Likely cause if Atrial fibrillation then lanolin can be a better option. 