Hello. Thank you for your question and welcome to HCM. I understand your concern. It is normal for the blood pressure to fluctuate for some times a day. There are various physiological mechanisms running in the human body that can cause this, such as physical activity, sudden or chronic psychological stress and normal hormonal level fluctuations that happen throughout a day. I can see you are already on therapy for hypertension. Now, if the blood pressure, for the vast part of the day, remains under 140/90 mmHg, then it is called a controlled blood pressure. But if the blood pressure remains higher than these levels, for most parts of the day, then another drug addition to your therapy would be in order, at this time, because higher than above mentioned blood pressure figures can cause and trigger end-organ damages, especially in organs such as the eye and kidneys, which are rich in small-calibre arteries (arteries that are fragile to high blood pressure figures). If the reason you are having these jumps in blood pressure, as you provided, is the psychological factor, then I would recommend you first consulting with a psychiatrist or a clinical psychologist, to evaluate the possibility of a 10-14-day trial of treatment with benzodiazepines. Because, on the other hand, if we add blood pressure-lowering therapy, we risk that, in moment with no psychological stress, we can produce lower than normal blood pressure levels, which is also undesired and not our aim. As for the symptoms of weakness, drowsiness and dizziness, I would recommend, first, a complete blood count to assess the levels of hemoglobin. If there are normal levels found, then I would recommend a consult with an ear-nose-throat (ENT) doctor, to understand if these are symptoms coming from the inner ear or common ear infections. I hope I was of help. Take care. Kind regards, Dr. Meriton