Blood Pressure Monitor Wont Work 4 Antihypertensive Meds And Still Have A High Blood Pressure Within A Range Of 190-200/100-130?

4 Antihypertensive meds and still have a high blood pressure within a range of 190-200/100-130? - blood pressure monitor wont work

I lost a sister 32 years old, weighs 233 in the 5'7''y, recently more than 70 pounds per year. She suffers from hypertension and Catapres 0.2 mg, metoprolol, lisinopril and hydrochlorothiazide per day, and some take 3 times a day. Today was a routine check for a few months and his BP 200/120. The ER doctor ordered and that their control and BP rose to 210/134. At first I thought, ok white coat hypertension. But then she told her doctor that the systolic blood pressure less than 190 are regularly reviewed. They gave Catapres 2mg IV, and something in which I forget. It is also a smoker who started this year. She has no symptoms or headache, dizziness, vision blurred. I am convinced that his habit of BP are due to smoking. But outside of smokers may also be why four non-hypertensive drugs to lower BP? shes also unemployed, so I think that stress is added, its extremely high BP