<s>[INST] my 42 yr old husband had a tooth pulled 2-18 under anesthesia (gas). Since then he has had 2 instances of feeling foggy headed and fatigue in his legs that lasted a couple hours. Then again today he experienced it again, I took his blood pressure 178/96. He has had no history of high blood pressure, takes no medications.I ended up taking him to the emergeny room. His bp was 211/102. EKG normal, blood normal, chest xray normal. Sent him home. BP still high 182/102. We have an apt with doc tomorrow.I read that ephedrine in anesthesia can cause high BP to escalate. could this have caused this? Is it temporary? [/INST] thanks for your query, i have gone through your query, you are right local anesthesia with adrenaline is a vasoconstrictor that increases BP but that will be transitory once the local anesthesia effect goes off there wont be any effects of local anesthesia... the increase in BP could be because of tension or stress... it might have not diagnosed previously and now you might have noticed...consult a general physician and keep him under observation and later you can start with antihypertensives if thr BP doesnt comedown.. i hope my answer will help you take care.. </s>