I notice you're not on an alpha blocker. While we know what works for one may not work for another person it's my understanding from all the reading I've done, the most common recommendation is for a beta blocker, alpha blocker and antidepressant with others as deemed necessary by doctors. I was on Toprol and doxazosin and amlodipine which was changed to atenolol and terazosin. Amlodipine was stopped. I was definitely over drugged in the beginning with side effects. I would encourage you to look into articles by Dr. Samuel Mann. Maybe an alpha blocker would help?