my blood presssure reading on a home cuff moniter just read 200 over 121.  It usually runs high in the evening, but this is the highest it has ever read.  I take lisinopril 20 mg twice a day (40 mg total) and metorlol 50 mg twice a day (100 mg total).  Should I go to the emergency room or wait and call my Dr. in the morinig?
Hello, 200/121 BP is very high. As you are already having treatment for hypertension, then this much of high BP is not expected after treatment. * Check your BP once again, if its still high then do consult your doctor immediately as this much BP may lead to bleeding in body. Bleeding can be from nose as epistaxis but if it occurs internally then it might lead to serious outcomes.* Also keep some emergency medicine at home for emergency. You can keep capsule nifedipine (5\u00a0mg) at home and in emergency take it sublingual. You can ask your doctor about this capsule.* Keep an eye on salt in your diet and cut off extra salt from diet and do walk daily. Both these things will help in controlling high BP.* But for now consult your doctor first.* I hope you are satisfied with my answer.  Thank you.