<s>[INST] Sir,My age is 21 years my blood pressure increased before 1 year after this I met to Dr.C.B.Maddhesia in Gorakhpur he suggested me some medicines of deprasion and a 0.25 alprazolam tab.My medicines are continue till now.but my blood pressure level is not decreasing I checked blood pressure yesterday it was 152/88.Some time I feel that some light pain in heart.Please suggest me what should i do ?? [/INST] Hi, welcome to Chat Doctor. Thanks for writing to us. At such a young age hypertension is unlikely though it may be present. At this point of time you should go some preliminary test to find out the cause of hypertension or any associated comorbidity. The following tests are necessary:1.complete blood count.2.lipid profile3.fasting and pp blood sugar4.serum urea and creatinine.  Regularly monitor the pulse and BP, at least once in 2 weeks. In addition to that you can have antihypertensives like AMLODIPINE after consulting with your doctor. Hope I have answered your query. Stay fit, good luck. </s>