Hi, @wigreenthumb. Sounds like you're well on your way to resolving some of your most troublesome symptoms. It's good to hear that Metoprolol worked to bring your blood pressure down. It's hard to guess whether your stomach pain might come from Metoprolol, but I'd be surprised at that. I have been on Clonidine myself for a few months, and it was effective at bringing my blood pressure under control as well. In my case, the Clonidine compromised other medications, so I moved off it. I hope you won't worry so much about bedtime BP spikes, unless your personal medical team (not the ER staff) counsels you to be especially concerned about them. Higher levels of BP are expected as we age (I'm 83), although 200/110 is beyond those expectations and worthy of special attention. Insomnia has never been a problem for me, even these days; if I lose sleep once in a while at night, it's because of some social or financial problem, and I make up for lost sleep with a nap of an hour or two the next day. I hope you can establish a strong conversational relationship with your medical team so that you can get timely answers to your questions and concerns without going to the ER. Martin