Thank you for posting your worry.
Management of high blood pressure
is multidisciplinary involving both diet, exercise and medications when necessary because a good number of factors can cause your BP to rise and you might not necessarily be termed a hypertensive patient. Given your age, it is highly possible that you are having high BP secondary to another factor and not necessarily having essential hypertension
( over 80% of hypertension with no cause). Increase in BP depends on many factors such as salt and water, stress, underlying diseases ( thyroid hyperactivity or hormonal imbalances, obesity, renal diseases, tumors etc), smoking, heavy alcohol, family history of high BP etc. All of this conditions need to be identified (if present) and measures then taken to regulate your blood pressure.
In your case, 33 years old, having stage 1 hypertension and not stable. Your cardiac evaluations normal except elevated triglycerides
. I do not know if you are overweight
or obese, having a family history, smoke, consume alcohol etc? Your management and advice on your lifestyle will depend on those factors.
For you, I will advice you reduce salt in meals, eat rich fiber meals, avoid too much fatty meals and sugar, exercise regularly, no or reduce alcohol gradually, no or reduce smoking gradually. Basically those are the general conditions to control the BP.
As for your medications Fenolip 145mg is used to reduce the TGL level to normal range and prevent cardiac complications of the coronary artery and the amalong 2.5mg ( is a calcium channel blocker
for regularizing high BP). It is started in low doses of 2.5mg because of your stage. Daily doses might be increased if desired BP not reached. But, if i was to manage your condition, I would have preferred starting with the general measures first and give you an anti-migraine
for the headache. If that is unsuccessful before I place on you on any antihypertensive medication
But your doctor's option is still welcome. You will probably have to take the amalong for 2-4 weeks and a BP control done before your doctor can decide on stopping the medications or not. Visit your doctor in case of any doubts.
Hope this helps