From the question you Posted, I consider 1st change or treatment that you need would be stress management and lifestyle management ( regular exercise, sleep and salt restriction). 2nd thing is I'm concerned about whether you measured BP at home accurately or not. Coz loose or tight cuff, both may show increased BP. Please check your BP at a hospital or clinic atleast once. 3rd get your lipid profile, ECG ,2D echo and renal function tests to look for other causes. High cholesterol, long standing BP can change heart size and kidney issues can also increase BP other than stress. If any issue among these are found we need to add another medicine along with telmesartan 40mg.

Do consult

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY MANAGE SLEEP N STRESS. JUST TOUCH  UPPER LEVEL  OTHERWISE ITS NORMAL.

What you are describing is largely expected behaviour for a person on antihypertensive medication. Blood pressure is not a fixed constant — it naturally fluctuates throughout the day based on activity, stress, meals, posture, temperature, and caffeine. No medication can suppress these physiological variations entirely. Readings of 140/80 on a busy day and 150/90 under acute stress are transient and considered acceptable, especially when your morning resting BP is in the normal range (which is actually the most meaningful and reliable measurement). Telmisartan 40 mg is a once-daily medication that works best on baseline resting BP, and stress-induced spikes are largely driven by adrenaline — which is a normal body response the medication does not fully block.

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Its considered as normal.because stress and anxiety causes increases heart rate and heart pump the blood fast ,so ultimately bp is increased slightly. So dont take unnecessary stress ,its affect all over body.

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

Needs evaluation

Add amlodipine 2.5mg one daily along with telmisartan,  frequent hikes of b.p. not good.

You can add one more tables and diet control regular exercise

Change meds

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you