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Published on: July 24, 2021
Single-pill fixed-dose drug combinations to reduce blood pressure: the right pill for the right patient
Riccardo Sarzani1, Giorgia Laureti2, Alessandro Gezzi2
1Internal Medicine and Geriatrics, 'Hypertension Excellence Centre' of the European Society of Hypertension, IRCCS, INRCA, via della Montagnola 81, 60127 Ancona, Italy.
Insights
Managing arterial hypertension effectively requires sustained blood pressure reduction. This review guides physicians in selecting optimal single-pill fixed-dose combinations for personalized cardiovascular risk management.
Area of Science:
- Cardiology
- Pharmacology
- Internal Medicine
Background:
- Arterial hypertension is a leading global cause of cardiovascular morbidity and mortality.
- Effective blood pressure reduction is crucial for mitigating cardiovascular risk.
Purpose of the Study:
- To guide clinicians in selecting appropriate single-pill fixed-dose combinations (SP-FDCs) for hypertension management.
- To align SP-FDC selection with individual patient phenotypes and cardiovascular risk profiles.
Main Methods:
- This is a practical narrative review.
- Focuses on clinical decision-making for SP-FDC selection in daily practice.
Main Results:
- Single-pill fixed-dose combinations offer a valuable therapeutic strategy.
- SP-FDCs can enhance treatment adherence and target multiple pathophysiological mechanisms.
- Personalized selection based on clinical phenotype and risk is emphasized.
Conclusions:
- Optimizing hypertension treatment involves careful selection of SP-FDCs.
- Tailoring therapy to the individual patient improves outcomes and cardiovascular risk management.
Abstract:
Arterial hypertension is one of the major causes of cardiovascular morbidity and mortality worldwide. Effective and sustained reduction in blood pressure is essential to reduce individual cardiovascular risk. In daily clinical practice, single-pill fixed-dose combinations of different drug classes are important therapeutic resources that could improve both treatment adherence and cardiovascular risk management by targeting distinct pathophysiological mechanisms. The aim of this practical narrative review is to help physicians choosing the right single-pill fixed-dose combination for the right patient in the daily clinical practice, based on the individual clinical phenotype and cardiovascular risk profile.
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