Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that episodes of high blood pressure can be triggered by different causes: -anxiety -physical stress -caffeine intake, etc. But if these episodes are rare during your daily activity they are not harmful and do not need to be treated. But if they are frequent, they may indicate an uncontrolled high blood pressure. An inefficient antihypertensive therapy may be the cause. Is your blood pressure always high in the morning? I recommend to closely monitor your blood pressure and discuss with your attending physician on the possibility of making some changes to your therapy. You may need to take diovan 80 mg twice daily (divide the morning dose), to have a better control of your blood pressure. A calcium channel blocker may also be added (amlodipine, etc). Meanwhile I recommend you to modify your diet (reduce salt and caffeine intake) and perform a lot of physical activity (aerobics, walking, etc.) Hope to have been helpful! Best wishes! Dr. Iliri