A nighttime blood pressure of 160/80 and a heart rate of 105 are elevated, even though you started Cilacar (cilnidipine) and Nebicard (nebivolol) 20 days ago. It can take time for your body to adjust, or your doctor may need to tweak the doses. Additionally, your other medications like Premarin, Lantus (insulin glargine), and Reclimet OD can influence your cardiovascular system. Please keep a log of these readings and share them with your prescribing doctor soon so they can safely adjust your therapy.