Lose weight. Get a stable regimen of medicine going; work with your doctor but read up on your own on the various options. You should be able to figure out a largely sid-effect free option. Be resigned to the fact that you bp was probably creeping up for years, and you'll have to be on medicine for a while, maybe for the rest of your life. But with luck and big-time lifestyle changes, you may be able to experiment with phasing off medicine sometime down the road.