Blood pressure 181/88. Should I go to er. Age 80.
I would recommend as follows:
Welcome and thank you for asking on Ask a Doctor service!
Your blood pressure values are really high, but I would first recommend taking nifedipine or Captopril one tab sublingually, if you have any of these drugs at home.
Another option would be to take another pill of amlodipine 10mg.
If your blood pressure values do not drop within the next hour, I would recommend going to the ER.
High blood pressure at your age can lead to an increased risk for intracranial bleeding.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Dr.Ilir Sharka, Cardiologist