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Published on: December 5, 2017
Role of olmesartan in combination therapy in blood pressure control and vascular function
Carlos M Ferrario1, Ronald D Smith
1Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. cferrari@wfubmc.edu
Insights
Fixed-dose combinations of angiotensin receptor blockers and amlodipine are effective for managing hypertension. This therapy improves blood pressure control, vascular function, and reduces target organ damage, enhancing patient adherence.
Area of Science:
- Cardiology
- Pharmacology
- Nephrology
Background:
- Angiotensin receptor blockers (ARBs) are first-line hypertension treatments.
- Guidelines recommend strict blood pressure control (<140/90 mmHg or <130/80 mmHg for comorbidities).
- Achieving these goals often requires combination therapy.
Purpose of the Study:
- To review evidence on ARB and amlodipine combination therapy.
- To assess effects on blood pressure control.
- To evaluate improvements in vascular function and target organ damage.
Main Methods:
- Review of clinical evidence on ARB and amlodipine fixed-dose combinations.
- Analysis of studies focusing on renin-angiotensin system blockade.
- Assessment of outcomes related to blood pressure, vascular health, and organ damage.
Main Results:
- Combination therapy with ARBs and amlodipine provides additive antihypertensive effects.
- This combination demonstrates a safe profile and improves patient adherence.
- Evidence supports benefits in blood pressure control and vascular function.
Conclusions:
- Fixed-dose ARB-amlodipine combinations are effective for hypertension management.
- This therapy aids in achieving guideline-recommended blood pressure goals.
- Benefits extend to improved vascular function and reduced target organ damage.
Abstract:
Angiotensin receptor blockers have emerged as a first-line therapy in the management of hypertension and hypertension-related comorbidities. Since national and international guidelines have stressed the need to control blood pressure to <140/90 mmHg in uncomplicated hypertension and <130/80 mmHg in those with associated comorbidities such as diabetes or chronic kidney disease, these goal blood pressures can only be achieved through combination therapy. Of several drugs that can be effectively combined to attain the recommended blood pressure goals, fixed-dose combinations of angiotensin receptor blockers and the calcium channel blocker amlodipine provide additive antihypertensive effects associated with a safe profile and increased adherence to therapy. In this article, we review the evidence regarding the beneficial effects of renin-angiotensin system blockade with olmesartan medoxomil and amlodipine in terms of blood pressure control and improvement of vascular function and target organ damage.
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