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if you are hypertensive, with maintenance medications, don't. probably you just need to adjust the time of intake of your medication.

if you're not hypertensive, but stressed out or under the influence of alcohol or smoked too many or had an outburst of emotions, don't.

if you're not hypertensive, but have accompanying signs and symptoms, such as dizziness, headache or feeling uneasy, then go to the ER.

or better yet, relax. repeat your bp after 15 or 30 mins, if it is still high, then go the the ER.

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