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Published on: May 26, 2022
Aliskiren, amlodipine and hydrochlorothiazide triple combination for hypertension
1University of Alabama at Birmingham, Vascular Biology and Hypertension Program, 115 Community Health Services Building, 933 19th Street South, Birmingham, AL, USA.
Insights
Achieving target blood pressure often requires multiple antihypertensive medications. Single-pill triple combinations, like aliskiren, amlodipine, and hydrochlorothiazide, offer improved efficacy and adherence for patients with hypertension.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Hypertension is a major risk factor for cardiovascular morbidity and mortality.
- Lowering blood pressure effectively reduces cardiovascular risk.
- Most patients require multiple antihypertensive medications to achieve blood pressure goals.
Purpose of the Study:
- To evaluate the safety and efficacy of a single-pill triple combination therapy.
- To assess the utility of aliskiren, amlodipine, and hydrochlorothiazide in patients with resistant hypertension.
Main Methods:
- Review of clinical trial data on antihypertensive medication efficacy.
- Analysis of studies investigating single-pill triple combination therapies.
- Assessment of combination therapy with aliskiren, amlodipine, and hydrochlorothiazide.
Main Results:
- Single-pill triple combinations demonstrate increased efficacy and adherence compared to dual- and mono-therapy.
- The combination of aliskiren, amlodipine, and hydrochlorothiazide is effective in lowering blood pressure.
- This triple combination is safe for patients who have not achieved goal blood pressure with dual therapy.
Conclusions:
- Single-pill triple combination therapy is a viable strategy for managing hypertension.
- Aliskiren, amlodipine, and hydrochlorothiazide combination offers a rational and effective treatment option.
- This regimen improves blood pressure control in patients refractory to dual therapy.
Abstract:
Cardiovascular-related morbidity and mortality is linked to hypertension with proportional gains in cardiovascular risk factor reduction with the lowering of blood pressure. Clinical trial data has shown that attaining goal blood pressure requires, for most patients, at least two antihypertensive medications, with a significant proportion requiring regimens of three or more medications. Single-pill triple combinations have returned to the market following results of increased efficacy and adherence over dual- and mono-therapy. The combination of aliskiren, amlodipine and hydrochlorothiazide is a rational choice for combination therapy and recent studies suggest that it is safe and effective in lowering blood pressure in patients who fail dual combination therapy.
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