Well medications could certainly help. But you also need to determine what other activities in your life need to be changed .. The smoking and drinking seemed to spiral you into a bad place so ..Common sense says you will most likely need to avoid these things.

There are numerous medications that can be tried and see how you respond to them, It's pretty common to try different combos of meds til you find what will work for you.

Until those medication begin to work avoid known triggers and focus on learning coping skills. Do you have a Therapist ? If not you really should .. they can really help you with managing BP ..

Sorry you had such a horrible nite, hopefully you won't repeat it again.