### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have had elevated blood pressure for about 3 months now. It is as high as 188/100. I get red rash on face, chest, and upper back. I itch all over, not just at rash sites. I ve been on a mild blood pressure pill for about 2 weeks, but I can t tell that it s helping. My blood pressure has always been on the low side, until recently. I get a low grade fever when I have the rash. This mostly occurs in the evening. I do have fibromyalgia, I ve been told. I have anemia. I m 63 year old female. I also have an awful lot of joint pain and stiffness, although, the past week it has been better. Can you help me to figure this out?

### output:

Hello! Thank you for asking on Chat Doctor! As you are having persistently high blood pressure values, it is recommended to optimize your antihypertensive treatment. But before doing this, you must check your actual clinical status biking with a comprehensive physical examination to ad Chat Doctor. In addition, some medical tests, like resting ECG, chest X-ray study, complete blood count, PCR, liver and renal function tests, thyroid hormone levels, electrolytes and fasting glucose, etc. would be necessary to identify any possible organ involvements. If suspicions for allergy of infection are sustained, then further more specific tests would be necessary. Facing possible renal or liver function implications, an appropriate antihypertensive therapy optimization would be feasible. You need to discuss with your attending doctor (internist or cardiologist) to review all medical tests and find the right management strategy for your complaints (possibly addition of combined antihypertensives, treatment of inflammation, etc.). Hope to have been helpful to you! Greetings! 