>>11116263That's fucking stupid. The first thing any doctor worth their insanely high tuition rate would recommend is lifestyle modifications as outlined in the ACC/AHA guidelines on the treatment of hypertension. Things like 30 min of moderate exercise daily, or 150 min of moderate exercise per week, cutting out alcohol, quitting smoking/nicotine use, and modifying diet. Hell, OP could have hyperkalemia or hyperthyroidism and pop numbers like that, we see it in clinic fairly often.
First line therapy in stage 2 hypertension, and in the absence of any compelling indication, is two drug therapy including ACE inhibitor or ARB and a calcium channel blocker. Appropriate first line therapy here would probably be a non-DHP CCB due to high resting heart rate and something like lisinopril or losartan (but NOT both, one or the other). Honestly OP is lacking any Fhx, Mhx, or any other data points to make a genuine suggestion. In the absence of an immediate doctor's visit, sure a beta blocker like propranolol or metoprolol might help short term, but OP needs a full evaluation and a full workup to find out if this is one off, if it's a trend, or if any extenuating circumstances exist.
