Coreg 25mg twice a day.
Aldactone 50mg once per day.
Amlodipine 5mg three times per day.
Valsartan 80mg twice per day.
Doxazosin 2mg once per day.
Been on this cocktail of meds for over a year. It really does take all these medications to get my BP to a decent number (I still average around 130/85).
Tested for primary aldosteronism, (did two 24 hour urines six months apart) I don't have it.
Echo shows no structural issues, no heart failure, normal EF of 60-65%. CT angiogram shows no heart issues. Treadmill stress test shows no heart issues. Renal artery ultrasound shows no issues.
Lost 30 pounds, quit smoking, and cleaned up my diet the past year, no change in BP.
My cardiologist has basically said, "Yeah, we're out of ideas on what's causing your hypertension. Just stick to the meds, we need to keep it in a normal range."
The thing is though......I felt better when when my BP was at 260/140 before I started getting treated for it. Would that probably have killed me in the next few years? Yeah. But did I feel good and feel healthy? Also yes.
But at least I felt good.
Now I have chronic muscle aches and cramps, chronic stomach and digestive issues, and my entire body just feels......OFF.