Affiliations 

  • 1 Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
  • 2 Mahkota Medical Centre, Melaka, Malaysia
  • 3 Island Hospital, Penang, Malaysia
  • 4 Sunway Medical Centre, Selangor, Malaysia
  • 5 Loh Guan Lye Hospital, Penang, Malaysia
  • 6 KPJ Tawakkal Specialist, Kuala Lumpur, Malaysia
Med J Malaysia, 2023 May;78(3):350-356.
PMID: 37271845

Abstract

INTRODUCTION: In managing hypertension, monotherapy and sometimes a combination of more than one agent are used to achieve blood pressure (BP) control. The objective of this prospective, observational, multi-centre study was to assess the level of BP control in patients receiving one or more anti-hypertensive drugs in private medical centres in Malaysia according to the treatment regimens (monotherapy, free drug combinations and single pill combinations).

MATERIALS AND METHODS: Data were collected through medical records and interview sessions with patients on current pharmacotherapy for hypertension management at baseline and 2-3 months later. Results are expressed as mean ± SD for continuous data and as frequencies and percentages for categorical data.

RESULTS: Among 182 recruited patients, 89 (49%) achieved BP control by the end of the study. Majority (62/89) patients were on single-pill (monotherapy or SPC) antihypertensives. Majority (63/89) required more than two antihypertensives to achieve BP control.

CONCLUSION: Both SPC and free drug combination antihypertensives reduced BPs, but physicians preferred SPC to improve BP control and increase treatment compliance.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.