Conversation: The conversation between human and AI assistant.
[|Human|] i am 44 yr old female, 130 lbs, dont smoke drink occasionally, eat fairly healthy, not enough excersise, and have been on 40mg lisinipril for 1 1/2 yrs.  my head feels like its going to blow up when my blood pressure gets too high.  i have had a headache for 12 days now, nothing cures it.  took blood pressure today 144/100.  any suggestions?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain 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. If you have mean values that exceeds 140 / 90 mmHg than we should arrange your medical treatment. If I was your treating doctor I would ask some examination to evaluate your actual situation like a cardiac echo, a full blood analyze to check renal function and maybe a holder pressure monitoring. After these we can better judge what we could do. My opinion would be to add another class of medication like blocker, calcium blocker, but you should discuss this with your doctor after the examinations I mention before. Hope I was helpful. Best regards, Chat Doctor.