Sorry to hear you are still fighting the good fight-b/p that is. Finally, your Dr. is waking up!!! You do need a drug to take at home for back up. Here's my low down on Clondine-you might be sorry you asked :).
I was on Clonidine for 2 yrs. It took me two tries & two months to get off of it. It has extreme withdrawal tendencies with rebound hypertension. I thought of it as a monster with its claws in me. My husband was about to take the pills & throw them in the toilet. In fact, the day he had his heart attack, he went stomping down the stairs to take a nap screaming get off Clonidine.
Clonidine can have a paradoxical effect in some people. That means it can actually raise b/p instead of lower it. I believe that is what it did to me. I was on lebetalol & then
HCTZ at the time so I'm not sure. I know my b/p didn't get any worse when I got off it. My Dr. did not want me to drop it. I finally had to insist.
Patients develop a tolerance to the drug so many Dr's I've read don't like to prescribe a drug in which the dose has to be increased until finally there's no where to go.
For the first two hrs. after taking Clonidine, I was in complete brain fog, I couldn't drive etc. or do anything that required brain activity. I had to take this drug twice a day so forget any semblence of a life-this is what my husband hated the most.
Sleep was impossible with freguent wakings, but I still got the fatigue that went with taking this drug.
It definately caused a feeling of anxiety after taking a dose. The anxiety lasted a few hrs. then it slowly fadedntil the next dose.
I worry about a drug that affects the brain so much-makes one think it will eventually destroy brain cells.
If your b/p stays up so long, I don't see how you would be able to take Clonidine without getting into the withdrawal mode.
When my diastolic was in the range of yours (110-120), my Dr. had me take more labetalol. Lebetalol did a much better job of lowering my b/p. I know you are concerned about crashing but if you take it with enough food & slowly titrate the amount of drug needed, I think you can overcome that aspect. It doesn't suddenly decrease your b/p unless you take it without food. Also, more drug is absorbed with more food eaten. The technical name for that is food increases bioavailibility. So you must include some fat & fiber in your meal while taking it so it will slowly get into your system.
I take up to 1200mg at times with no problems. That would keep my b/p about 120/70-80 with pulse at 65 at the DR's. Otherwise, my b/p might go up to 220-230/100 plus at the Dr's. Normally, I take 900mg a day. But remember I am used to taking lebetalol which has to be slowly introduced to the body a rate of a 100mg every three days if I remember correctly from the pkg insert.
Remember it is both an apha & a beta blocker so you don't get the reflex tachycardia that beta blockers cause. I've found lebetalol a much better than the pure beta blockers which did nothing for me. My Endo is the one who put me on it when my PC was at a loss when I didn't response like the textbook said (she hadn't been out of residency too long.)
I guess I should say something positive about Clonidine. It does dissolve quickly in water. I still had to take it with food cause it irritated my stomach. That's about all I can think of for the moment.
I'll be glad to answer any questions. Take care. Fam