Prescribing Patterns of Antihypertensive Medications in Low- and Middle-Income Countries: A Systematic Review
| Autor: | Verda Arshad, Jai K Das, Bilal Ahmed, Aysha Almas, Tazeen H. Jafar, Nouman Rashid, Zainab Samad, Gerald S. Bloomfield, Salim S. Virani |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
business.industry
Pharmacological management Public Health Environmental and Occupational Health 030204 cardiovascular system & hematology Drug Prescriptions 03 medical and health sciences 0302 clinical medicine Low and middle income countries Environmental health Hypertension Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' business Developing Countries Antihypertensive Agents |
| Zdroj: | Asia Pacific Journal of Public Health. 33:14-22 |
| ISSN: | 1941-2479 1010-5395 |
| DOI: | 10.1177/1010539520965280 |
| Popis: | Hypertension is highly prevalent, but its pharmacological management has not been well evaluated in low- and middle-income countries (LMICs). This review examined the prescribing patterns of antihypertensives in LMICs. Data were extracted from a total of 26 studies spanning the time period 2000 to 2018. In 10 studies, calcium channel blockers (CCBs) were the most frequently prescribed medication for managing hypertension (range = 33% to 72%); in six studies, renin angiotensin system (RAS) blockers (range = 25% to 83%); in five studies, diuretics (range = 39% to 99%); and in five studies, β-blockers (BBs; range = 26% to 49%) were the most commonly prescribed antihypertensive medications. Prescribing sedatives and sublingual administration of captopril for controlling hypertension was also reported in 3 studies. Only 10 studies presented their findings in light of national or international guidelines. This review calls for further antihypertensive utilization and dispensation studies and a better understanding of clinician’s perception and practice of hypertension management guidelines in LMICs. |
| Databáze: | OpenAIRE |
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