<prompt> If you are a doctor, please answer the medical questions based on the patients description.30 male smoker 206lbs 5 8 high blood pressure recently controlled with 10mg Lisinopril about 2 months,10mg Amlodipine about 6 months 25mg Hydrochlorothiazide About 6 months. Also take 20.6mg Omeprazole Magnesium on over 5 years for acid reflux and Dasotraline 6mg about 4 months for adhd study. Over the last two weeks I have had High heart rate 100 when wake up 113-128 throughout day thought maybe dasotraline so lowed dose from 8mg to 6mg, avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade Numb and tingle feeling eye line of face to middle of skull for 10-14 hrs a day lower dasotraline seemed to make this not as frequent or sever but still there periodically after 5 days of lower dose however last 24 hours has been much more prevalent from cheekbone to jaw line. Intermittent muscle cramps in calves forearms upper arms lower right back and sidethought dehidration so avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade. Over the last few days could have been longer but I didn t notice I have noticed my stool is green and I am going to the bathroom less frequently than normal. Still at least once a day. Also not falling asleep well, seem to be wanting to smoke more than normal, struggling with concentration and lengthy or purposeful ie: work relatedimportant conversations. I had a tooth ache a couple months ago but it went away and my sister totaled 2 cars in 10 days but everyone s fine and neither directly effected me but I would say I m a little more stressed than usual but never been a problem before. Waiting on lab work from clinical trial, ECG 5 days okay was good other than heart rate. Freaking out as I normally always feel healthy.  <response>: Hi welcome to Chat Doctor. I understand your query and concern. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6gday. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. 