Key result
Angiotensin receptor blockers were the most commonly prescribed antihypertensive medications, and combination therapy (63.71%) was more frequently utilized than monotherapy (36.28%).
Cross-Sectional (n=226)
No
The prescription pattern of antihypertensives in this setting is driven by disease severity and comorbidities rather than patient age, with ARBs being the most frequently prescribed class.
Comorbidity-driven prescribing predominates over age; leaves open effects on BP control and outcomes.
BACKGROUND: Drug utilization studies conducted at regular intervals help to guide the physician in prescribing drugs rationally.OBJECTIVE: The objective of the present study was to assess the drug utilization patterns of antihypertensive in geriatric and non-geriatric patients in a tertiary care government teaching hospital.METHODS: A prospective cross sectional study was conducted in a tertiary care government teaching hospital.Data was collected from patients who have been diagnosed with hypertension as per JNC-7 guidelines and patients receiving or prescribed with antihypertensive medications were included.Frequency and proportions of utilization of antihypertensive medications in geriatric and Non-geriatric patients were charted and figured.RESULTS: A total of 226 prescriptions were analyzed during the three month study period.The most common medication prescribed for hypertension in the study was ARBs 27.77%, 34.37% in Geriatric and Non-geriatric patients respectively.The ARBs prescribed pattern was followed by ACEIs and CCBs.The most frequently prescribed anti-hypertensive fixed dose combination therapy was ARB+D, ACEI+D followed by CCB+BB in both Geriatric and Non-geriatric groups.CONCLUSION: The present study showed that the prescription pattern of antihypertensive was based upon the duration, severity of illness and the associated co-morbidities, it does not depend on the age of the patients.
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Sujatha Patta (2015) conducted a cross-sectional in Hypertension (n=226). Antihypertensive medications was evaluated on Most common medication prescribed for hypertension. Angiotensin receptor blockers were the most commonly prescribed antihypertensive medications, and combination therapy (63.71%) was more frequently utilized than monotherapy (36.28%).
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