Hello, Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem. HBP is major risk factor major disease like IHD,Stroke etc.. HBP can be many reasons but mostly it is due to unknown reason called idiopathic hypertension,n less causes are renal, metabolic,endocrine etc..1st pt is adve to do lif style modification quit smoking/drinking,daily exercise,dec weight n monitor bp for upto 6 month n still it goes high then med are given to lower it...once pateint is put on med is also advised to chart bp so dose can be adjusted if 1 drug doesnt work then add therapy is used like 2nd drug is added etc..if u were my pateint i will take good hstory like r u taking med? not drining/smoking ?then will optimise the dose n then add 1 drug n ask to monitor bp n then optomise dose to control bp...some time bp ca be inc due to some pain stres etc n will rule such causes too before optimising or adding tx... I hope this answered your question, if you have more feel free to ask. Regards. Dr.Asad Riaz. General and Family Physician.