HI, thanks for using healthcare magic
There are some persons with
resistant hypertension, this means that they require three or more medications for control of their
high blood pressure.
At present you are using 4 medications from different family of medications in an attempt to control your blood pressure. The
metoprolol works by helping to relax blood vessels and
heart rate, it should cause a decrease not incresae.
If you are are having palpitations , it may be a complication of the hypertension or the medication, you and your doctor would need to determine this.
There are a number of proven complications that are associated with high blood pressure ,this is the reason your doctor is trying to get your numbers down.
In terms of lifestyle changes, at least 150 minutes of activity a week along with diet changes would help.
There is the D.A.S.H diet, which is designed to help reduce blood pressure, details online.
I hope this helps