Conversation: The conversation between human and AI assistant.
[|Human|] I have been taking diovan and inderal for HBP. Occassionaly my readings spike into the danger zone. 188+/110+. This weekend it spiked to 220/120 but I had no symptoms, felt good. For the past six months I have been walking 2 1/2 miles every day, eat healthy, am not overweight, I am a 55 year old female. I have been tested for adrenal insufficency and that is okay. I do have a couple of drinks every day and am wondering if this is causing the sometime spikes. Any other possible reason why you might think this is happpening?
[|AI|]  Hello, I passed carefully through your question and would explain that these spikes could be related to different possible causes: anxiety, physical activity, thyroid gland dysfunction, caffeine intake, etc. For this reason, I would recommend avoiding caffeine intake and checking thyroid hormone levels.  Regular physical activity and a maximal reduction in salt intake would help avoid these spikes in blood pressure values.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.