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KMID : 4412620160220010007
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Clinical Hypertension
2016 Volume.22 No. 1 p.7 ~ p.7
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A review on prescribing patterns of antihypertensive drugs
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Jarari Noah
Rao Narasinga
Peela Jagannadha Rao
Ellafi Khaled A.
Shakila Srikumar
Said Abdul R.
Nelapalli Nagaraja Kumari
Min Yupa
Tun Kin Darli
Jamallulail Syed Ibrahim
Rawal Avinash Kousik
Ramanujam Ranjani
Yedla Ramesh Naidu
Kandregula Dhilip Kumar
Argi Anuradha
Peela Laxmi Teja
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Abstract
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Hypertension continues to be an important public health concern because of its associated morbidity, mortality and economic impact on the society. It is a significant risk factor for cardiovascular, cerebrovascular and renal complications. It has been estimated that by 2025, 1.56 billion individuals will have hypertension. The increasing prevalence of hypertension and the continually increasing expense of its treatment influence the prescribing patterns among physicians and compliance to the treatment by the patients. A number of national and international guidelines for the management of hypertension have been published. Since many years ago, diuretics were considered as the first-line drugs for treatment of hypertension therapy; however, the recent guidelines by the Joint National Commission (JNC8 guidelines) recommend both calcium channel blockers as well as angiotensin-converting enzyme inhibitors as first-line drugs, in addition to diuretics. Antihypertensive drug combinations are generally used for effective long-term management and to treat comorbid conditions. This review focuses on the antihypertensive medication utilization, their cost factors, adherence to treatment by patients, and physicians’ adherence to guidelines in prescribing medications in different settings including Indian scenario. The antihypertensive medication prescribing pattern studies help in monitoring, evaluation and necessary modifications to the prescribing habits to achieve rational and cost-effective treatment. Additionally, periodic updating of recommended guidelines and innovative drug formulations, and prescription monitoring studies help in rational use of antihypertensive drugs, which can be tailored to suit the patients' requirements, including those in the developing countries.
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KEYWORD
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Antihypertensive Drug, Blood Pressure Control, Telmisartan, Joint National Committee, Improve Blood Pressure Control
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Listed journal information
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