Have three stints 2yrs, took lisinopril 40mg, several years, started to not be effective, after stints also taking metoprolol 25, one half tablet M/E. BP still high. started on diovan 160mg/1 per day, for two months. Not helping. Now for 10 days doubled dose. 160 Morning and Evening. still no drop in BP. Average BP is 150/89/58 pulse. I see from medscape that there are contraindications using these meds. also taking paroxetine 40mg/day. what might be some alternatives?