Please do not stop taking Nebistar-SA abruptly. Stopping this medication suddenly can cause a dangerous rebound spike in your heart rate and blood pressure. Your consistent readings of 146/94 mmHg over the last 7 days indicate that your hypertension is currently uncontrolled. Over nine years, your cardiovascular needs can change, meaning your current therapy may no longer be sufficient. You should consult your doctor promptly to safely adjust your treatment. They may decide to increase your dosage, add another medication, or switch you to a different class of drugs, such as an ARB (like Telmisartan). Continue taking your medicine as prescribed until your doctor advises otherwise.