<s>[INST] Dear Doctor, I am a chronic High BP patient since 1998. Taking medications Amlodipine 5mg and Atenolol 50mg (AMLO Press-AT). Now the BP reading shows as 160/120. How to lower the blood pressure? [/INST] Hi. Since you are a case of chronic hypertension, you must regularly get your blood pressure checked from a local doctor and the dose needs to be adjusted accordingly either to increase or decrease. Investigations:- Routine investigations must be done including blood sugar, blood urea, serum creatinine, lipid profile, urine complete and ECG. I understand from your query that, you have been taking the same medicine and the same dose, and still the BP has not come down as 160/120 is a very high range and can be risky for your health. The dose and may be the medicine also needs to be adjusted after reviewing your overall health, monitoring your BP for a few days. If you can make a chart of your BP from time to time, day wise to know when and at what time does it increase to manage it properly. Also, take below mentioned precautions: Diet control is very important. Cut down on fats. Reduce the salt intake in your diet. Do not sprinkle additional salt from the top on food. Take plenty of fresh fruits and juices. (I assume that otherwise your health is completely normal and you are not suffering from any other medical or surgical conditions) Take salads. You must go for walk in the morning and evening as your health permits, brisk walking which can be done gradually as per the age and health. Avoid excessive tea, coffee. Avoid fried foods. Avoid alcoholic drinks, non-vegetarian. Take a basic healthy balanced, nutritional diet. Add sprouts and other variants to make your diet healthy. Please get back with the reports to a cardiologist online so that the medicine and dose can be adjusted accordingly --> </s>