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

### input:
I woke up this morning and my blood pressure was 159/93.  I had just taken one sip of coffee before thinking of taking my blood pressure.  I take Diovan 160. Im a 58 year old female 53 and weigh 155.  What is normal for my age.  I dont always take my meds as I should - 1/day.  Im retired and sometimes half the pill a day to make it until  I have the money to fill the next prescription.  I do try to check my pressure periodically during the day. If it is up I take the other half pill.  I walk a mile, maybe three times a week.   What can I do when my pressure is up that high in the morning or anytime for that matter.

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that episodes of high blood pressure can be triggered by different causes: -anxiety-physical stress-caffeine intake, etc. But if these episodes are rare during your daily activity they are not harmful and do not need to be treated. But if they are frequent, they may indicate an uncontrolled high blood pressure.  An inefficient antihypertensive therapy may be the cause. Is your blood pressure always high in the morning? I recommend to closely monitor your blood pressure and discuss with your attending physician on the possibility of making some changes to your therapy. You may need to take divan 80 mg twice daily (divide the morning dose), to have a better control of your blood pressure. A calcium channel blocker may also be added (amlodipine, etc.). Meanwhile, I recommend you to modify your diet (reduce salt and caffeine intake) and perform a lot of physical activity (aerobics, walking, etc.) Hope to have been helpful! Best wishes!