I've never had BP issues. I was put on Metoprolol when I had my heart attack in 2005 as a protectant. I went off of it several years ago d/t major nightmares (that my doctor said she never heard of). This high BP issue as of lately, showed up with the "bladder infection" I ended up having. It was a very bad infection and took two rounds of antibiotics to resolve. It frustrates me that the doctor should have looked into more of why my BP was skyrocketing instead of just putting me on something. I am going to f/u with a cardiologist in April. If I do need to still be on something, hopefully she won't recommend the Carvedilol because I will not ever take that again. (I will suggest the lisinopril if she doesn't) Thank you for your feedback.

If you can @lola63, bring a nephrologist on board your medical team and let him/her take the lead. Your kidney and related hormones may be pivotal in your BP problem and lead to its real cause. My HMO has a standing protocol to refer BP cases to nephrology as soon as possible. That's how the unanticipated cause of my hypertension was found and fixed.

why is it you feel a nephrologist should be involved? What do you mean by "kidney and related hormones?"

Good questions @lola63. Here is a list of the most familiar "kidney and related hormones":

Angiotensin II -- causes vasoconstriction including kidney failure and heart failure.
Vasopressin -- ADH(anti-diuretic hormone) increases blood pressure by increasing blood volume, works at the kidneys.
Norepinephrine/Epinephrine (Adrenalin) -- released by the brain and adrenal glands on the kidney to spur cardaic output, raising BP.
Aldosterone -- increasing blood volume, works at the kidneys.
Renin -- enzyme secreted by the kidney and helps regulate blood pressure.
Cortisol -- from the cortex of adrenal glands, responds to stress and low glucose in the blood, also helps metabolize fat.

They are produced by kidneys, the brain, and adrenal glands (which are attached to the wall of the kidneys). They play a role in stimulating or regulating blood pressure by affecting kidney functions and circulatory functions involving the kidneys.

My HMO's standard protocol is to refer patients with high blood pressure to nephrology rather than cardiology as a means to resolve the most common and most severe symptoms causing hypertension. My first nephrologist helped manage my hypertension by leveling it, but he didn't find a cause (or didn't try to find one because he saw it as "essential hypertension" as many doctors do, thinking it's incurable and can be addressed by lifelong reliance on medications). My second-opinion nephrologist is driven to find fundamental causes whenever she can, and she did: I have an inherited kidney malfunction that fails to reclaim potassium from urine, and the resulting hypokalemia causes high blood pressure. Medication is still the answer, but not in the same way as many high BP patients. My cardiologist is dealing with my atrial fibrillation and consults with my nephrologist (whose father is also a cardiologist), but he has not treated my BP at all.

Let me know if I can help further.

Ok, let me rephrase my question to you. What in my post that I wrote is leading you to think this has to do with kidney issues?