and if there are any medications that reduce bp?
Of course there are and you should have been on them for years.
What have your doctors been doing to lower your dangerously high malignant blood pressure? If nothing, then get a new primary physician.
If you don't get your BP down, you won't see 40, really.
Please make this the number one priority in your life...it IS!
Most people have PRIMARY hyspertension (which means the doctors haven't a clue what caused it.)
If they DO know the cause, it's called SECONDARY and here's a complete description from the MAYO CLINIC of all the known secondary causes: