<s>[INST] I went to the dr today because my blood pressure has been running extremely high. They added to the medication (blood pressure) and hopefully it will help get it down in a few days. However, I have been having extreme headaches with the BP being so high. They prescribed Tramadol HCL 50 mg for the headaches. However, because of new laws, the prescription being filled is pending approval from the insurance company. My headaches are so bad, however, I cannot even rest. So, I wondered if I could take hydrocodone acetaminophen (that I had from a previous issue) until I can get my prescription. I didn t want to take anything that would interfere with my medications or cause my BP to increase more. I am taking Amlodipine Besylate 5 mg and Edarbyclor 40-12.5 mg for BP. Blood pressure has been averaging 200/110. [/INST] Hi, I suggest you to add more medications for high blood pressure until your BP be in a normal range and to do not cause you headache (take amlodipin twice a day). Hidrocodone is alike with Tramadol, but I suggest you to control your blood pressure. Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Anila Skenderi, General & Family Physician </s>