Uncontrolled blood pressure rise

Male patient of age 55 Comes in opd with complain of uncontrolled blood pressure rise Chief Complaints Blood pressure high ranges systole 160-190 and dystole 90-110 since two months History History of taking medication for Pulmonary tb since 5 months Taking medication for DM 2 since 5 years Antiepileptic drug eptoin since one year last seizure come in March Vitals Rbs:180 Bp:170/110 Pulse:80 Physical Examination Anemic+ Pallor+ Investigations Cbc/Lft/kft : WNL Lipid profile WNL CT head: few chronic lacunar Infarct in left caudate,thalamus and right lentiform Diagnosis Dm 2 Epilepsy Htn Management Drug history On ATT regimen Tab:Remozen plus one bd Tab:pan 40 one bbf Tab:Telma Am one bd Tab:Natrilix sr one od Tab:Metxl 50 one hs Tab:Ecosprin av 75/10 one hs Patient taking this medication but Blood pressure goes unchanged ranging as mention above What to do ????????

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Add B blockers also

Can add TAB.ARKAMIN 0.1 MG 1 TABLETS TDS.CAN BE EXTENDED UPTO 2 TAB TDS TO QDS

Add arkamin

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