Hello! Thank you for asking on HCM! Seems that your blood pressure values are persistently high. Regarding your concern, I would explain that you need to modulate your antihypertensive therapy. A dose increase of Hyzaar would be advisable, also a new drug addition is an alternative option (as there are so many applicable schemes of antihypertensive treatment), but your need to discuss with your attending doctor about this issue. It is recommended to perform periodic medical check ups (including several lab tests), to ensure that your thyroid, renal and kidney function are OK (as they have direct implications when dealing with hypertension management) In addition, a healthy life style, body weight control, frequent daily physical activities, avoidance of close smoking contacts, are strongly encouraged, as they help also on high BP controlling. Hope to have been helpful to you! Greetings! Dr. iliri