I was back in the ER on Monday evening. My blood pressure spiked to an unbelievable 194/104. Of course the visit was for over 5 hours. I had full bloodwork, chest x-ray, and an EKG. All came back normal. I was given some meds and waited there until the BP came down to the 140s. I was given a prescription for Hydrazaline 25mg and only take it when the BP goes over 150. Due to COPD, I could not tell the ER doctor if I had shortness of breath or chest pain. My inhaler (Bevespi) side effects are higher BP and chest pain among others. I had higher BP this morning and took a Hydrazaline, and it brought my BP down to a reasonable level. I have an appointment with my Pulmonologist/PCP on Monday morning as a follow up and see if we can get this under control. It has not been a fun week. High BP anxiety is not helping. I am doing my best to keep it under control. Today is my 44th wedding anniversary and the plans we had went out the door. But such is life. I am still alive and kicking. Will see what the doctor has to say on Monday. I am hoping Bevespi is not the culprit, because it works really well for my breathing. I will update the forum when I know more.