<s>[INST] hello i am currently taking blood pressure med and i hve been averaging high normal for several weeks and yesterday i got a spike in my blood pressure. I wasn t stressed or anything of that nature. Why the spike that throws me in a swirl and anxiety because i dont know whats wrong? [/INST] Hi, Our blood pressure is controlled by different factors, both inside our body and out. Several external factors which may cause spikes in blood pressure may include caffeine-containing beverage intake, any vigorous activity, smoking, eating salty food, as well as any stressful condition. A change in lifestyle will help prevent these spikes, on top of compliance with maintenance medications. I suggest frequent follow-ups with your doctor too, for dosage adjustment of your medications. Hope I have answered your query. Let me know if I can assist you further.  </s>