Hello! Thank you for asking on HCM! Regarding your concern, I would explain that your symptoms seem to be related to physical or psychological stress, or any changes to your lifestyle. I agree with your doctor, in the fact that during these episodes another BP pill would help. I recommend you to closely monitor your blood pressure different times during the day. If your blood pressure values are above 130/900mm Hg most of the time, some permanent changes to your actual therapy should be done (an increase in the dose, or adding another drug). Meanwhile I would also recommend performing a careful physical examination, a resting ECG and some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, thyroid hormone levels, fasting glucose, cortisol plasma levels, blood electrolytes,etc), to exclude other possible secondary causes of these changes to your blood pressure. A healthy lifestyle (avoid salt and caffeine intake, lose weight and perform a lot of physical activity) would be helpful, in maintaining your blood pressure under control. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings! Dr. Iliri