hello, Stress can certainly increase the bp, as the reason for stress could not be omitted, we need to optimize the medicine. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then medicine needs to be increased and bp should preferably be below 130/85. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Get your lipid profile tested once.. If possible, try relaxation techniques like deep breathing and yoga to relieve stress.