Those are very high numbers and you should definitely be talking to your doctor and a cardiologist about getting some blood pressure medicine.

Orgovyx is the only drug he is on? That is a common problem if somebody is on Zytiga (abiraterone).

They should try to get him down to the 130s on a regular basis. Even the 120s are considered high according to the American Heart association.

Do not delay, this is important.