Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: You need to check your blood pressure regularly if high , check with your physician to modify your drugs. *Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.hearing your heart sounds so strong at night ma be due to high blood pressure and that need to be controlled. I suggest my patients the following : low salt diet , check your dry weight and ultrafiltration goal in your dialysis sessions. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about blood pressure readings also echocardiography data if there any. *Conclusion: I suggest you consult your physician about your medication. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.