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Valsartan-amlodipine-hydrochlorothiazide: the definitive fixed combination?
Vivencio Barrios1, Carlos Escobar
1Department of Cardiology, Hospital Ramón y Cajal, Carretera de Colmenar Viejo, Km 9.100, 28034 Madrid, Spain. vbarrios.hrc@salud.madrid.org
Insights
Many patients require multiple medications for hypertension. Fixed triple therapy, combining valsartan, amlodipine, and hydrochlorothiazide, improves adherence and blood pressure control in difficult-to-treat hypertension.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Resistant hypertension often necessitates multiple antihypertensive agents.
- Fixed-dose combinations enhance medication adherence and blood pressure goal attainment.
Purpose of the Study:
- To update evidence on the efficacy and tolerability of a triple fixed-combination therapy for hypertension.
- To evaluate valsartan-amlodipine-hydrochlorothiazide as a treatment option for uncontrolled hypertension.
Main Methods:
- Review of available clinical evidence on the triple fixed combination therapy.
- Assessment of efficacy and safety data from relevant studies.
Main Results:
- The triple fixed combination of valsartan-amlodipine-hydrochlorothiazide demonstrates effectiveness and safety.
- This combination is a rational choice for patients uncontrolled on dual therapy or to improve compliance in those on triple therapy.
Conclusions:
- Triple fixed-combination therapy with valsartan-amlodipine-hydrochlorothiazide is an effective strategy for managing hypertension.
- Improved adherence and blood pressure control are key benefits of this fixed combination.
Abstract:
A significant proportion of patients with hypertension will need three or more antihypertensive agents to achieve blood pressure goals, particularly those at higher risk. On the other hand, fixed combinations provide an extra beneficial effect, as they improve medication adherence and, secondarily, the attainment of blood pressure goals during follow-up. Triple therapy is recommended in the treatment of hypertension in those patients not adequately controlled with two antihypertensive drugs. In this context, guidelines recommend the combination of a renin-angiotensin system inhibitor, a calcium channel blocker and a diuretic. The triple fixed combination of valsartan-amlodipine-hydrochlorothiazide has been shown to be an effective and safe therapy for treating hypertension and seems a logical approach for those patients uncontrolled with two antihypertensive agents as well as in those patients already treated with three drugs to improve treatment compliance. In this article, available evidence about the efficacy and tolerability of the triple fixed combined therapy valsartan-amlodipine-hydrochlorothiazide for the treatment of hypertension is updated.
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