High bp, pulse is skipping. To metxl 50?

Yes You should switch him to metxl 50 once a day in the morning.. And record his BP regularly, if it's >140/90 more than half of the times then he needs to take one more BP medication.. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. I read your query, by the information i have in hand my advice to you would be 1) Keep a BP daily record for a few week 2) Basic tests should be one to rule out cardiac issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH Get back to me with a detailed history and  old / new records for a better individualized advice.