Your situation is uncommon. Has other causes of hypertension been excluded besides adrenal tumor? Such as thyroid, renal problem, aortic aneurysm, neural problems, etc, you need to seek help from a cardiologist or endocrinologist if your BP is that difficult to control.
Hypertension, depending on its severity, should be treated: 1.-With DASH dietary approach 2.-Diuretics 3.-Diuretics and ACEI (angiotensin converting enzyme inhibitors) 4.-Diuretics, ACEI and Beta Blockers 5.-Diuretics, ACEI, BetaBlockers and ARA II (angiotensin II receptors antagonists) Calcium antagonists can be also used in the mix, they are vasodilators. In case of failure you can change your medication or keep it and increase something else to boost the effect on blood pressure.
In 90 to 95 percent of high blood pressure cases, the cause is unknown. When the cause is unknown, you have what s called essential or primary hypertension. Possible causes could be kidney abnormality, a structural abnormality of the aorta (the large blood vessel leaving the heart) existing since birth or narrowing of certain arteries. Sounds as if you need further testing and see a cardiologist.
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