Drug resistance, inappropriate dosing and non-compliance in hypertensive patients.

Abstract:

:1 From an understanding of the biological fate and hypotensive effect of debrisoquine (D) we have assessed the relative importance of true drug resistance, inappropriately low dosage and non-compliance as causes of apparent resistance to treatment with this drug. 2 Among 37 hypertensive patients prescribed D, eleven (30%) were non-compliant on the day of testing. 3 Non-compliance was found in 64% of patients with poor blood pressure control but only 15% of patients with intermediate and good blood pressure control (P less than 0.02). 4 Five patients received doses which were too low for pharmacological effect while in a further five an increase in dose may have improved blood pressure control. 5 Resistance to D was uncommon indicating that non-compliance and inadequate dosing are the major causes of apparent resistance to treatment with this compound.

journal_name

Br J Clin Pharmacol

authors

Silas JH,Tucker GT,Smith AJ

doi

10.1111/j.1365-2125.1980.tb01072.x

subject

Has Abstract

pub_date

1980-04-01 00:00:00

pages

427-30

issue

4

eissn

0306-5251

issn

1365-2125

journal_volume

9

pub_type

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