<s>[INST] My blood pressure is extremely high, no amount of meds they give, doesn't bring it down. I was never sick a day until a year ago, I was diagnosed with conjestive heart failure/fibulation. They have me on 200 Mg Pacerone, 40 mg Lisinopril, 160 mg Diovan, 50 mg Metropolol plus others. I am desperate. I am 77, 5'2", 160 lbs [/INST] Hi,There are very good and effective BP medicine are available. Besides what you mentioned here, you can discuss with your doctor regarding Amlodipine, Prazosin or Arkamine. Also maintain healthy lifestyle like avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s>