question: Hi im a 53 yr old male was taking enalapril 10mg bid for months. BP was manageable. 9 days ago at my 3mo follow up my bp went from 134/90 to 177/120. My doctor increased it to 20mg bid. My pressure stayed the same for nine days until I went to VA emergency. they gave me 3 25mg metoprolol over a 3hr period. My pulse was120 also. My pulse came down to 88 but my bp only to 164/118. So they ran ekg no problem sent me home with metprolol 100mg bid with enalapril 20mg bid. I took one of each when I got home. Using my omron arm meter my best bp after1 1/2 hr was 177/120 pulse 96. Should I return to er or give the medicine more time?