<s>[INST] Hello, I m a 44 year-old psychiatrist and have had severe headaches in the temporal and frontal areas for 5 days, along with an increased pressure of around 140/85 every morning which becomes normal in the afternoon and then increased to around 135/80 in the evenings. I had an EKG done in the office which was NSR with pulse of 58.I have a strong family history of HTN with all 3 siblings taking meds now (all 40 years old). How often do you see HTN to be the cause of headaches? Or do believe it to be the other way round? I started Bystolic 5 mg today and see no change in the rate or pressure. How long do you reckon this will take to help? My headache is unchanged.Thanks [/INST] Hello doctor! Thank you for asking on Chat Doctor! I would not recommend a beta-blocker for controlling HTN at your young age NAD regarding your heart rate; you can try a calcium Chanel blocker (like Amlodipine or Lercanidipine), or an ACE/ARB (whichever is available). In fact your BP values are in the upper limit of normal, so nothing to worry so much. That severe pain you are experiencing for 4 days, may not be related to your mildly elevated BP. Probably a tensile type of headache. Nevertheless, a visit to a neurologist college would be necessary for a differential diagnosis of your headache. Greetings!  </s>