Assessment of Hypertension Treatment Pattern At Selected Health Facilities in Addis Ababa and Consumption of Antihypertensive Drugs
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Date
2009-10
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Addis Ababa University
Abstract
Background : Hypertens ion a long with other chronic diseases is on the rise in I~ thi opia. In fac t,
the threats of non communicable diseases are not emerging rather they are well advanced and
causing do uble burden to the society along with in fectious diseases. Unhealthy life sty le is the
dcterminant for this dilemma. Needless to say, it needs time ly in tervention to tack le the problem.
Despite or this fac t, studies on hypertension arc very few. This study assesses the treatment
pattern to hypertension and consumption of antihypertensi ve drugs.
Objective: To assess hypertension treatment pattern and consumption of anti hypertensive drugs.
Methodology: An institution based cross sectional study involving retrospective data collection
techniques (record review for the last five years and exit interview) was conducted between
September and October 2008 .
Results: The most commonl y prescribed drugs either alone or in combination were methyldopa,
nifed ipine. hydrochlorothiazide. enalapril and atenolol. Treatment sh ift occurs freque ntly from
thera peutic class to another on the basis of in effecti veness of the drug to adeq uate ly control
blood pressu re, reason not known and side effect. Monoth erapy is favo red regard less of scx.
Furosemide is the most consumed antihypertensive drug and nifedipine ranks the first with
regards to cost of sales of antihypertensive drugs.
Conclusion and recommendations: Methyldopa, ni fed ipine, hydrochlorothiazide, enalapri l and
atenolol are widely used drugs for the treatment of hypertens ion whi ch is in accord with standa rd
treatment guideli ne of the country. Future longitudinal research should be done to describc
consumption trend of antihypertensive drugs.
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Assessment of Hypertension Treatment Pattern