<s>[INST] I am a dialysis patient and I am recently having trouble with HTN in between dialysis treatments. I currently take Metoprolol 100 mg BID along with Hydralizine 100 mg BID and it is not controlling my BP between treatments. I was on 50 mg. each BID but was recently increased to 100 each BID but they are still not controlling my BP in between treatments. This has only been very recent. perhaps the last two weeks. I have informed my nephrologist but no changes in medications have been made. Any recommendations?fr [/INST] Hi,Calcium channel blocker (Amlodipine/Cilnidipine) is a safe & effective drug to control bp in CKD patients. You can discuss it with your doctor for the addition of the medication.Thanks </s>