Why the study?
Does the combination of telmisartan plus amlodipine improve blood pressure reduction and control in hypertensive patients compared to monotherapy?
Does the combination of telmisartan plus amlodipine improve blood pressure reduction and control in hypertensive patients compared to monotherapy?
The combination of telmisartan and amlodipine offers an effective strategy for improving blood pressure control in hypertensive patients, including high-risk subgroups, compared to monotherapy.
Answers are grounded in this paper and cite their sources.
May support combination for better BP control in hypertension; leaves open prospective RCT confirmation.
The rate of control of hypertension remains suboptimal despite widespread educational programs and an increasing number of novel medications. The combination of drugs with different mechanisms of action has become an alternative to improve blood pressure reduction and control, enhance adherence to the treatment and reduce adverse events. Telmisartan and amlodipine in monotherapy provide effective blood pressure lowering at all clinically relevant doses, but less than 50% of stage 1 and 2 achieve the target blood pressure. This article presents most of the relevant results of combinations of telmisartan plus amlodipine, at different doses, in hypertensive patients and a post hoc analysis of subgroups including the elderly, Type 2 diabetics, those with systolic hypertension and obese patients.
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Oigman et al. (2010) studied this question.
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