Hi I am 51 years old, weigh approx 58kg. I had a Kenalog shot into shoft tissue 6 weeks ago and since then my BP has been all over the place and I can feel my heart beating in my chest (mainly when trying to sleep). I am having difficulty sleeping because of it and feel lethargic also. I went to see a Cardiologist who has prescribed me Physiotens 0.2mg (moxonidine) per day to lower my BP. My average BP for the past couple of weeks has been 128/93, pulse 71. Of course it fluctuates sometimes (rarely to 102/100). The medications does not seem to be helping lower my BP and I have been on this med for 5 weeks now. Went back to Doc yesterday and he said that if my BP goes higher than 150/90 then to take 1/2 of a water pill. When trying to get to sleep I am having small involuntary muscle jerking which can waken me out of sleep. Also, my Cardiologist sent my form a CT scan on my brain, which was normal. I am British but live in Bahrain in the Middle East at present. Any suggestions as I don t think the meds are working. Could this episode have been caused by a reaction to the Kenalog shot? Confused.