<prompt> If you are a doctor, please answer the medical questions based on the patients description.Im 62 in good health. I take Verapamil SR 120mg. My BP is usually 13082. I rarely check it. It seems to have spiked o 16095, Pulse 85. I feel my usual good self. No other medications and a few supplements. Vegetarian diet - high fiber. Biggest vice is coffee with half and half. What could cause sucha spike? 95 year old mother has lifetime hx of high BP.  <response>: Hi, thanks for posting a question on our site. In this kind of situation from my clinical experience can be caused by coffee intake, smoking or salt consumption etc. I usually advise my patients in this type of situation to continue taking medications as prescribed and make sure to check blood pressure medications first thing in the morning for 3-4 days, if it continues to be high then I review prescribed medications. I suggest you consult your physician if you continue to get high measurements. Furthermore, I hope this helps. 