You have uncontrolled hypertension. I was that way when I drank and followed a single meds regimen. When I quit drinking, I tried some new docs , one of whom took my present meds and merely split them in half so I had a 2 times a day dose or half the amount at each dose. This actually worked better. My BP was at about 180/105 and then , after the abstinece and new med regimen its down to 120/75 and has been like that for about 8 years.
I pissed off my fisrt carido by getting a second opinion because "it wasnt working". When the 2nd opinion had new ideas, I chose them and later that crew at Lankanau Hospital near Philly. Ive since been under the routine care of an internal med specialist who works with the cardios.
Even though I find you personally uncouth, I feel that we should suffer your lack of couth for as long as possible. Now please stop asking a bulletin board for advice and get a second opinion stat.
You should be on a umadin regimen also. But I believe that unless they practice only shamananaism in ABQ, you probably already are.