The use of single-pill combinations as first-line treatment for hypertension: translating guidelines into clinical practice.

Abstract:

:: The 2008 European Society of Cardiology/European Society of Hypertension guidelines recommend the first-line prescription of two antihypertensive drugs in single-pill combinations (SPCs), also known as fixed-dose combinations, for the treatment of most patients with hypertension. This recommendation is based on a large amount of data, which shows that first-line treatment with SPCs supports reaching blood pressure targets rapidly and reducing cardiovascular outcome risk while keeping the therapeutic strategies as simple as possible and fostering adherence and persistence. As this approach constitutes a big shift from the stepped-care approaches that have been dominant for many years, practicing physicians have expressed concerns about using SPCs as first-line agents. In this review, we will discuss the barriers to the uptake of this recommendation. We will also offer suggestions to reduce the impact of these barriers and address specific concerns that have been raised.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Campana E,Cunha V,Glaveckaite S,Gruev I,Lamirault G,Lehmann E,Masi S,Mfeukeu Kuate L,Mishshenko L,Ona DID,Oo MZ,Tautu OGF,Vachulova A,Vintila AM,Wolf J,Zvartau N,Narkiewicz K,Laurent S

doi

10.1097/HJH.0000000000002598

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

2369-2377

issue

12

eissn

0263-6352

issn

1473-5598

journal_volume

38

pub_type

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