Why the study?
The current problems, advantages, and disadvantages of using combined antihypertensive drugs in the implementation of single-tablet tactics across a wide range of patients with arterial hypertension required review and expert agreement.
Does single-pill combination antihypertensive therapy improve blood pressure control and adherence compared to monotherapy or free combinations in patients with arterial hypertension?
Does single-pill combination antihypertensive therapy improve blood pressure control and adherence compared to monotherapy or free combinations in patients with arterial hypertension?
Expert consensus strongly supports the initial use of single-pill combination therapy to overcome therapeutic inertia, improve adherence, and achieve better blood pressure control in patients with hypertension.
Expert consensus endorses broader single-pill combinations in hypertension; leaves open outcome trials across populations.
In this article the current problems of the use of combined antihypertensive drugs in the implementation of «tactics one tablet» in a wide range of patients with arterial hypertension are discussed. The results of the discussion of such a problem by experts, as well as the main provisions of the agreement document, are given, devoted to approaches to the implementation of tactics of wider use of combined antihypertensive drugs containing 2 or more antihypertensive drugs in one tablet. Both the advantages and disadvantages of «tactics one tablet « are considered. The results of clinical studies are discussed, which confirm the validity of the use of the combined antihypertensive therapy as an initial tactic of treatment of the majority of patients with arterial hypertension. The results of the assessment of pharmacoeconomic indicators are given when using combined antihypertensive therapy.
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Gilyarevskij et al. (2021) studied this question.
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