Effectiveness of perindopril/amlodipine fixed-dose combination in the treatment of hypertension: a systematic review

Autor: Truong Van Dat, Vo Linh Tu, Le Nguyen Anh Thu, Nguyen Nhat Anh Quang, Van Binh, Nguyen Thi Quynh Nga, Duong Hoang Loc, Tran Thi Hong Nguyen, Dao Ngoc Hien Tam, Hong-Han Huynh, Tran Dinh Trung, Uyen Do, Nguyen Tuan Phat, Dang The Hung, Quang-Hien Nguyen, Nguyen Thi Hai Yen, Le Huu Nhat Minh
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Pharmacology, Vol 14 (2024)
Druh dokumentu: article
ISSN: 1663-9812
DOI: 10.3389/fphar.2023.1156655
Popis: Background: Uncontrolled blood pressure is a major risk factor for cardiovascular diseases. Fixed-dose combination (FDC) therapy offers a promising approach to addressing this challenge by providing a convenient single-tablet solution that enhances the effectiveness of blood pressure control. In our systematic review, we assess the effectiveness of perindopril/amlodipine FDC in managing blood pressure.Methods: We conducted a comprehensive search across four primary electronic databases, namely, PubMed, Virtual Health Library (VHL), Global Health Library (GHL), and Google Scholar, as of 8 February 2022. Additionally, we performed a manual search to find relevant articles. The quality of the selected articles was evaluated using the Study Quality Assessment Tools (SQAT) checklist from the National Institute of Health and the ROB2 tool from Cochrane.Results: Our systematic review included 17 eligible articles. The findings show that the use of perindopril/amlodipine FDC significantly lowers blood pressure and enhances the quality of blood pressure control. Compared to the comparison group, the perindopril/amlodipine combination tablet resulted in a higher rate of blood pressure response and normalization. Importantly, perindopril/amlodipine FDC contributes to improved patient adherence with minimal side effects. However, studies conducted to date have not provided assessments of the cost-effectiveness of perindopril/amlodipine FDC.Conclusion: In summary, our analysis confirms the effectiveness of perindopril/amlodipine FDC in lowering blood pressure, with combination therapy outperforming monotherapy and placebo. Although mild adverse reactions were observed in a small subset of participants, cost-effectiveness assessments for this treatment remain lacking in the literature.
Databáze: Directory of Open Access Journals