High BP + Tachy + Tremor

I'm a fit and healthy 27 year old and have had a constant tremor creeping up on me over the past year and getting worse.
My also fit and healthy 25 year old sister recently found out she has hypertension so I measured mine and it was 180/110. My heart rate also never drops below 100 even at rest.
I've started some propranolol 20mg but it makes me sleepy and only really brings my bp down to ~145/105 and HR ~90. It also only marginally helps with the tremor.
The tremor is much worse with exertion/intention. After lifting weights I cant even get a cup of water to my mouth, and trying to dish up food at the family table can get very embarrassing since my hands shaking so bad. I also have the tremor in my legs, trunk and facial muscles. Its not bad in the mornings when i wake up but starts up badly around lunch time.
Other Sx: constantly sweaty palms, generalized sweating, startle easily, vertigo (when i turn my head too fast it feels like the room is tilting), slightly blurry vision

I am starting a new clinical rotation soon and the shakiness could really impede my work. I'm also worried about what long term effects the high bp could have
Any input would be appreciated

[kenkeith]

Your question has produced threads that seem to relate to your medical concern.  If you have any followup questions you are welcome to respond.  Thanks for your quesiton.Take care,

Ken

[neiljohnson]

You've got all these symptoms and not been to the doctors?
You need to get checked out - particularly for thyroid problems and to keep an eye on  your BP. Your sister does too!
Let us know how you get on.