Conversation: The conversation between human and AI assistant.
[|Human|] I have a 20yr migraine history I also have since Aug had a problem with my blood pressure out of control. I have been checked for heart problems with a clear outcome. I am now on 2 bp meds and a beta blocker taking 6 pills a day bps are anywhere from 120s-185 bottom #70-95.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. To judge if it is necessary to change treatment, rise dosage or add another class It's necessary to judge in mean values. If I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to check electrolyte and the most important one holterblood monitoring to evaluate your values during day and night. After all this we can judge what to do with your treatment. I will also give you an advice. As you suffer from migraine, be careful and try to avoid analgesics like broken because they rise blood pressure even more. Hope Was helpful. Best regards, Chat Doctor.