@joyful556, it's good to hear that a nephrologist is on your medical team. Same for me, and it's been most fortunate. Mine is the daughter of the leading cardiologist in the state of her birth, so she has a strong background for her work on me.

While I'm surprised at your four hypertension meds, I don't question them, especially since they are the offerings of a nephrologist who is in consultation with a cardiologist. My observation was conditioned by the fact that, in over 25 years of treatment for hypertension and chronic kidney disease, I have been treated with over two dozen different medications -- most of which were ruled out within a few weeks or months, but some of which stayed around too long, because my doctors assumed my "essential hypertension" could not be fixed. Ultimately, my nephrologist discovered a genetic problem was at the root of my potassium deficiency, and that unexpected development firmed up the foundation of my treatment.

Your four meds interact in your body, and your doctors may very well see the need for them all. Hopefully, your doctors have been the main source of information on the meds, their interactions, their side effects, the dosages you need, and the results you can expect from taking them. Since the current ceiling on blood pressure for people over 70 is 150 systolic and 90 diastolic, perhaps your doctors would explain whether your 130/80 might reflect somewhat excess medication. With answers to these questions, you'll be better able to understand why your doctors don't seem especially concerned about your current status.