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Current Hypertension Reviews

Eiditor-in-Chief

ISSN (Print): 1573-4021
ISSN (Online): 1875-6506

The Relevance of Long-Term Adherence to Non-Pharmacological and Pharmacological Treatment of Hypertension

Author(s): Bernard Waeber and Francois Feihl

Volume 3 , Issue 3 , 2007

Page: [203 - 207] Pages: 5

DOI: 10.2174/157340207781386729

Price: $58

Abstract

Current hypertension guidelines point to the necessity of achieving sustained and strict blood pressure control in every hypertensive patient. To reach this goal the patient should comply both with hygienic measures and pharmacologic treatment. This remains a difficult task, particularly since hypertension is generally asymptomatic and since any therapeutic intervention might adversely alter the patients quality of life. Long-term persistence with antihypertensive therapy is facilated when the treatment is initiated with well tolerated antihypertensive agents, especially blockers of the renin-angiotensin system. Having a normal blood pressure during treatment is also an important determinant of persistence. This explains the growing interest for fixed-dose combinations, which have the main advantage to be at the same time efficient and well tolerated. These simple to use preparations have even gained acceptance as first-line drug regimen.

Keywords: Antihypertensive therapy, compliance, persistence, tolerability, blood pressure control, cost-effectiveness, treatment withdrawal


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