Patterns of antihypertensive medication use in hemodialysis patients

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Mahboob Rahman, Valerie Griffin

Abstract

Patterns of antihypertensive drug use in patients undergoing long-term hemodialysis therapy were studied. Patients attending seven outpatient hemodialysis units in Ohio were eligible for the study if they had been receiving the treatment for at least three months. Demographic and clinical data were obtained from patient interviews and computerized databases, and blood pressure (BP) measurements were obtained before dialysis. Labeled names and dosages of antihypertensive drugs were recorded from containers the patients brought with them. Patients were asked to describe their adherence to the medications, their ability to afford the drugs, and their knowledge and beliefs about hypertension. Physical impairments in taking medication were also evaluated. The frequency of hypertension was 89% in the 270 participants. Antihypertensive drugs were prescribed for 76% of the patients; 25% required three or more drugs. Hypertensive patients who were not receiving antihypertensive drugs (14%) had significantly higher BP than patients who were. Calcium-channel blockers were prescribed for 60% of patients, angiotensin-converting-enzyme inhibitors for 33%, and beta-blockers for 34%. Eighty-three percent said the cost of drugs was never a prob...Continue Reading

Citations

Sep 8, 2009·Hemodialysis International·Yekaterina GinchermanDaniel W Coyne
Nov 17, 2014·BMC Nephrology·Adrian P AbreoKirsten L Johansen
Jun 30, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Tara I ChangWolfgang C Winkelmayer
Nov 14, 2013·BMC Nephrology·Wendy L St PeterUNKNOWN DEcIDE Network Patient Outcomes in End-Stage Renal Disease Study Investigators
Jul 2, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Diane L FrankenfieldKaryn K Anderson
Dec 5, 2015·PloS One·Saurav GhimireSyed Tabish R Zaidi

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