Prescribing patterns of antihypertensive medications in low- and middle-income countries: A systematic review
Cardiology; Department of Medicine; Internal Medicine; Nephrology; Paediatrics and Child Health
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 6 studies, renin angiotensin system (RAS) blockers (range = 25% to 83%); in 5 studies, diuretics (range = 39% to 99%); and in 5 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.
Asia Pacific Journal of Public Health
Das, J. K.,
Virani, S. S.,
Bloomfield, G. S.,
Jafar, T. H.,
(2020). Prescribing patterns of antihypertensive medications in low- and middle-income countries: A systematic review. Asia Pacific Journal of Public Health.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_mc/163