Consult superspecialist like md physician  as such fluctuating bp. Till you can try Telmisertan40 one before breakfast.

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you will definitely need medication

Your BP readings at 140/90 and >180/100 indicates that you have stage 2 hypertension.At this stage you have to take the antihypertensive medicines, your doctor has prescribed along with the life style management,to prevent the complications .

At 39 years, with: • Resting BP ~140/90 mmHg • Spikes to 160–180 / 100–110 during anxiety • Palpitations up to 130 bpm • Normal cardiac evaluation You are not dealing with “only anxiety” anymore. This pattern fits early (Stage 1–2) hypertension with anxiety-triggered sympathetic surges. Important points you must understand: • Repeated readings ≥140/90 at rest = true hypertension, not just stress • Anxiety does not create hypertension, but it exposes it • BP of 180/110 is dangerous, even if episodic • White-coat hypertension usually normalizes outside clinic — yours does not So your doctor’s concern is valid and appropriate.

Hypertension or increased blood pressure is multi-faceted and is usually due to a variety of causes, of which anxiety can also be one. A thorough evaluation of your symptoms along with a detailed medical history can definitely help in the long run to establish a baseline of your symptoms.

Consult for medical treatment

You need salt restrictions And need more details Kindly consult

Need some more details kindly consult

It's not like that, first you need to control and manage your anxiety first.about medicine you need to take ,that's right but you need to improve via more with lifestyle modifications and dietary habits change, these plays a big role.

Few more details needed for further evaluation. Kindly consult

Start BP medicine

Hello Thanks for query First managment of BP and anxiety both required Control your BP ith medication And Anxiety with proper concelling and if requred then support of pshycotherapy or with mediction BP medication need to monitor blood pressure then according increase the dose and decrease dose (Dont do your self)

Better start BP medicine before u go for stroke

Need a few more details please consult for further evaluation and treatment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management