Hello, I've had hypertension for about 15 years, but usually under control with the meds I'm taking. However, I've had a moderate to severe headache for weeks, frequent dizziness, low urine volumes, fatigue and poor sleep. I don't normally keep track of my BP, idiotic as that may sound. But I saw my doctor last Thursday for these symptoms and my BP was 197/119, pulse 52. He added 5mg of amlodipine to my meds and said to monitor BP for a week. I'm doing so every couple hours, but it is staying between 150-186 systolic and 94-110 diastolic, pulse 48-56. Should I consider going to the ER?