Hi there --
It's an awkward combination of problems, but it shouldn't be this complicated. It seems very often doctors are prone to the Rube Goldberg approach to blood pressure control, which is something I just don't understand. The need for Adderall or something similar is understood, and it shouldn't really jack the BP that much, especially with all the meds you're already taking for BP. The CPAP mask would help part of this, no doubt, and maybe more than you realize (sleep deprivation not only makes us tired -- it can really up the BP); it's not an easy thing to adapt to, but it may be well worth it.
Meanwhile there really ought to be something that would work better (and be simpler) for the high BP. Since you seemingly did well with atenolol (side effects duly noted and pretty well expected with that drug), there may be a different cardioselective beta blocker that would work for you and spare you some of the really annoying side effects. Metaprolol controlled-release has the same once per day dosing, but seems to have a much better record for tolerance with patients, while performing as well as atenolol. There are some others as well, but this one seems to be the most universally well tolerated. I'm not a fan of adding on and combining different families of blood pressure meds, and you're clearly getting some unwanted effects (ankle swelling -- edema -- isn't helpful, and Norvasc is famous for that).
Sometimes the best approach is to basically clear the table and start over. While you obviously can't be without some measure of BP control -- too risky -- you might tolerate a paring down and even a switch, and in the meantime give the CPAP one more shot, as this could play a really big role in BP control anyway.
It's a difficult position to be in, so we have to try and find the thing that will cause the least difficulty and yield optimum results for you. Some suggestions, as above, may help you find that middle ground at leaast. Hope this is helpful. Please follow up wth us as needed. Good luck to you.
John Kenyon, EMT, CCT
Non-invasive cardiology tech, Emergency and Critical Care technician, Critical Incident Stress Mgmt. specialist