Conversation: The conversation between human and AI assistant.
[|Human|] I am a white female 86 years old height five feet weight 155 with a long history of hypertension.  I am taking metropolol 100 mg two times a day, Lisinopril 40 mg two times a day, Atacand 32 mg one time a dayand a Catapres TTS 3 patch one every week. (I have taken it for two weeks so far).  My BP has measured over 200/100 for several days.  Today it was 228/102.  I have had no symptoms except tiredness all the time.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your blood pressure values are really high. It seems that your actual therapy is not effective in controlling your blood pressure. From the other hand, I would not recommend taking both lisinopril and Atacama as they are of similar pharmacological classes and can cause severe adverse effects when used concomitantly. I would recommend going to the ER for a physical exam and some blood lab tests (complete blood count, blood electrolytes, kidney and liver function tests). I would recommend discuss with your doctor on making some changes to your actual therapy: - stop taking lisinopril-add a calcium channel blocker to your therapy (amlodipine, amlodipine, etc.)- add a central nervous system antihypertensive agent (methyl dopa, moonshine, etc.) if your blood pressure is not under control with the above changes. Hope to have been helpful! Kind regards,