This is mostly probably due to venlafaxine. High blood pressure is very common in those who are using venlafaxine, especially in patients with high blood pressure. You have written reason for venlafaxine. You must be using it for depression. You can shift fluoxetine or citalopram or escitalopram. Fluoxetine, citalopram, and escitalopram do not increase blood pressure. but these are prescription based medicine and you need written prescription from registered medical professional. Advice 1. Continue blood pressure medicines as suggested 2. Fluoxetine or citalopram or escitalopram instead of venlafaxine 3. Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP include walking, jogging, cycling, swimming or dancing. 4. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol 5. Consume less salt 6. Avoid smoking, alcohol, coffee and caffeinated beverages 7. Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters) 8. Reduce your metal stress because stress activates sympathetic system and increases BP 9. Measure your BP regularly and be in touch with your doctor I hope this information will help you. I will be happy if you ask another question Thanks