Thank you very much for the useful information Sherri.
The current symptoms you have are a result of persistently high blood pressure readings you have, and if not controlled, such levels of persistently high blood pressure will greatly increase your risks for heart attack, stroke and kidney failure.
You clearly need escalation of dose of your blood pressure medications.
Either toprol be increased to 100mg daily,
Norvasc increased to 10 mg daily.
Norvasc has a more strong anti-hypertensive effect compared to Toprol, so my first choice would be to increase the dose of norvasc to 10mg once daily while monitoring your blood pressure.
If this gets under control---good.
If still it doesn't, toprol can be increased gradually.
But honestly, it is up to your treating physician to decide which specific drug's dose he need to increase first.
If at any time the blood pressure readings go above 180/110 ----- go to ER.
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