1. Antihypertensive Drug

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Drug interactions of antihypertensive agents

Adverse drug-drug interactions may occur when a major therapeutic mechanism of one drug class (such as bradycardia with a beta blocker) is excessively exaggerated by the addition of another heart-rate slowing antihypertensive, such as verapamil. The most important interactions at the molecular level are those of the hepatic enzyme, cytochrome (CYP) 3A4. A classic example is the inhibitory effec...

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Persistence to antihypertensive drug classes

The aim was to study persistence to, and switching between, antihypertensive drug classes and to determine factors associated with poor persistence.This was an observational cohort study. The Swedish Primary Care Cardiovascular Database includes data from medical records, socioeconomic data, filled prescriptions, and hospitalizations from national registries for 75,000 patients with hypertensio...

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Trends in antihypertensive drug treatment.

To the Editor: It is disappointing to read once again that “b-blockers and thiazide diuretics are the only antihypertensive agents that have been shown to reduce cardiovascular mortality.”1 In these days of evidence-based medicine, we must ask: where is the evidence for this statement? The basic data referenced by Wang et al1 are those of the meta-analysis of Psaty et al,2 which are also shown ...

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Appraisal of antihypertensive drug therapy.

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Individualization of Antihypertensive Drug Treatment

Antihypertensive drug classes are usually classified as 1st, 2nd, 3rd, and 4th or 5th choice to help physicians select the drug most suitable for treatment initiation among the very many classes available to lower blood pressure (BP) in patients with a BP elevation. However, this approach was appropriate decades ago when several drugs had inconveniences that made their use in monotherapy inadvi...

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ژورنال

عنوان ژورنال: Nihon Naika Gakkai Zasshi

سال: 2017

ISSN: 0021-5384,1883-2083

DOI: 10.2169/naika.106.202