A blood pressure reading of 190 is very high and requires prompt medical attention. Please do not take any new medications or extra doses of your current prescription without consulting a doctor first. Commonly, doctors prescribe daily medications like lisinopril, amlodipine, or metoprolol to manage high blood pressure long-term. However, for a sudden spike like this, you need a professional evaluation. If you are experiencing symptoms like chest pain, shortness of breath, severe headache, or vision changes, please go to the nearest emergency room immediately. Otherwise, contact your doctor right away for guidance on safely managing your levels.