@unmanageable When I had just moderately high BP in my 50's & 60's I was on a diuretic. Then my son got a mental illness & the stress made me higher, so was put on a Beta Blocker. The Breast cancer diagnosis meant going on hormone blockers, and those made my BP go even higher. Most people don't have these factors, so it's really very individual. I'm now on Carvedilol (beta blocker), Olmesartan & Amlodipine 5 mg. These control my now very erratic BP well. With difficult BP it is very helpful to see a specialist, not just a primary care doc, unless your BP is only slightly elevated. I was surprised to have a Nephrologist help me more with the BP spikes more than my Cardiologist. Labile Hypertension is no fun.
Hope you find someone to help!