<s>[INST] I have a 20yr migraine history I also have since Aug had a problem with my blood pressure out of control. I have been checked for heart problems with a clear outcome. I am now on 2 bp meds and a beta blocker taking 6 pills a day bps are anywhere from 120s-185 bottom #70-95. [/INST] Hello and thank you for using HCM.I carefully read your question and I understand your concern .I will try to explain you something and give you my opinion.You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values.To judge if it is necesary to change treatment, rise dosage or add another class its necessary to judge in mean values.If I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to chek electrolyte and the most important one holterblood  monitoring to evaluate your values during day and night.After all this we can judge what to do with your treatment.I will also give you an advise.As you suffer from migraine, be careful and try to avoid analgesics like brufen becouse they rise blood pressure even more.Hope Iwas helpfull.Best regards, Dr.Ervina. </s>