160 mg Inderal LA everyday and still can't get my BP down.

I have routine blood pressure readings around 135/85 and the diastolic reading will go to 100-106 often. I suffer from chronic anxiety and depression, OCD and PTSD. I take 160 mg Inderal LA everyday and still can't get my BP down. I am also out of breath often and fatigued. I am 23 years old. The only other meds I'm on is Uroxatral ER 10 mg (chronic urinary retention) and Tramadol 200 mg/day (chronic treatment-resistant depression and anxiety). Doctor did blood tests and there is normal organ function and LOW levels of vitamin D. I was advised to take D3 supplements and have been on those for a couple months now and still don't feel well. Any ideas or advice on what to do? I also have pain all over, especially in my hands and feet. This pain is not relieved by Tylenol, Tramadol, or NSAIDs. Neurologist doesn't know what to do either. He never mentioned it possibly being neurological. Sleep is not good, but I take Ambien some days and still don't feel better after good night rest. Thanks