<s>[INST] hello. i am a 52 yr old female and have been taking tablets for high bp for 2 years. recently my bp has been very high and i dont know how to get it down. i take my tablets properly but still its going up. last reading was 224 over 107. can u advise me [/INST] Hello, Regarding your concern, I would explain that your antihypertensive therapy does not seem to be effective in controlling your blood pressure values.  For this reason, I recommend consulting with your attending physician as soon as possible and discussing the possibility of increasing the doses or adding new antihypertensive Chat Doctor.  It is also important performing some blood lab tests in order to exclude any possible metabolic disorders (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, thyroid hormone levels).  Hope I have answered your query. Let me know if I can assist you further.  </s>