All week I have felt intensely nervous and light headed at times and at times my verbiage when I m speaking is not in order, my systolic is 142 diastolic is 91 pulse is 91 and these numbers are the average over the last 4 days. Should I be alarmed? I am 35 years old, 6 1, 195 pds, i do smoke approx a half a pack each day of cigarettes, however i do not drink nor use any illegal substances. I am epileptic and take anticonvulsant meds 3 times daily. Should I be concerned?