Trusting The Proven Treatment for Hypertension

 

October 10

 

High blood pressure is one of the most prevalent risk factors for cardiovascular disease, affecting as many as 800 million people worldwide. It is estimated that at least 80 percent of people with high blood pressure may also have other uncontrolled cardiovascular risk factors, with elevated cholesterol being the most common.

Death from heart disease ranks first as cause of death in the Philippines. According to the National Nutrition and Health Survey, seven million Filipinos suffer from hypertension. Department of Health data shows only 13.6% of hypertensives are aware of their condition since hypertension causes minimal or no symptoms at all.

Patients must be cautioned that hypertension is a very serious problem and proper treatment should not be ignored. Compliance to treatment is crucial to ensure that high blood pressure is managed and to also avoid further heart complications which could eventually lead to death. Most doctors agree that managing high blood pressure is the most cost-effective means of avoiding heart disease and death.

Life is too precious to be taken for granted, that is why patients should not settle for just any medicine in treating hypertension. It is important to make sure that the medicines the patients are taking are proven to be safe and effective to be able to prevent complications of the illness. Getting the right medicine would be much more cost-effective for a patient in the long run.

Dr. Francisco Tranquilino, a cardiologist and training officer at the Philippine General Hospital says, “In managing patients, doctors also consider the long-term effects and complications of a particular medicine on the illness. It may be cost-effective to prescribe a cheaper counterpart drug, even before its efficacy and safety is yet to be proven, but in the end, we may not be able to prevent the complications of the illness if it worsens”.

For treatment of hypertension, a patient should trust only proven safe and effective medicines which are backed by numerous evidences from landmark trials.

In a five-year ASCOT (Anglo-Scandinavian Cardiac Outcomes Trial) study, patients who received the amlodipine besylate-based regimen experienced significant reductions in cardiovascular death, all-cause mortality and total cardiovascular events and procedures, including heart attacks and strokes, as compared to patients who received a beta blocker–based regimen. Patients receiving the amlodipine-based regimen also experienced a reduction of fatal coronary heart disease and non-fatal heart attack, which did not reach statistical significance.

Results from the seven-year ALLHAT (Antihypertensive and Lipid Lowering Therapy to Prevent Heart Attack Trial) study, which is the largest hypertension trial ever conducted, involving over 42,000 patients showed, that its calcium channel blocker amlodipine besylate demonstrated results comparable to a diuretic in the incidence of fatal coronary heart disease, non-fatal heart attacks, strokes and death.

Amlodipine with maleate, camsylate or other salts are different from amlodipine besylate through a change in salt composition. This is based on the declarations made by the Bureau of Food and Drugs on November 30, 2004 and November 24, 2005.

As in all other landmark trials using amlodipine, only amlodipine with the besylate salt was used for ALLHAT, ASCOT and its sub-study CAFÉ (Conduit Artery Function Evaluation). It cannot be gainsaid that the results of these studies will apply to non-besylate amlodipine products.

Amlodipine besylate is a prescription medicine. Patients are advised to seek medical advice before taking any prescription medicine. In clinical trials, the most common side effects for amlodipine besylate versus placebo were edema, headache, fatigue and dizziness.

This health information is brought to you by Pfizer, a global, research-based healthcare company that discovers, develops, manufactures and markets effective, innovative and safe medicines for humans and animals, and many of the best-known consumer products. Pfizer continues to develop safe and effective medicines that are products of many years of research and development which therefore help reduce costly hospitalizations, loss of productivity and disruptions in our daily lives.

http://www.pfizer.com.ph/corporate/news/main.php?page=release&ID=134