Dlaczego by nie stosować częściej leków złożonych w terapii nadciśnienia tętniczego? Przestańmy źle leczyć naszych pacjentów! Artykuł przeglądowy

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Juliusz Rawdanowicz
Marek Kuch

Abstrakt

Pomimo dużej zapadalności na nadciśnienie tętnicze (30–70% populacji ogólnej) i prowadzonej od lat wśród lekarzy edukacji na temat diagnostyki i leczenia nadal mniej niż 50% chorych osiąga założone cele terapeutyczne. Coraz częściej zwraca się uwagę na sposób prowadzenia terapii, która ma nie tylko obniżyć ciśnienie, ale również wpływać na ryzyko globalne związane z chorobą. Monoterapia nie daje zadowalających efektów hipotensyjnych ani nie obniża skutecznie ryzyka globalnego, za to wraz ze zwiększaniem się dawek leków rośnie ryzyko powikłań. Kombinacja dwóch lub więcej leków w jednej tabletce zyskała już poparcie w danych opartych na dowodach naukowych, w szczególności zawdzięcza je synergistycznemu działaniu w obniżaniu ciśnienia tętniczego i zapobieganiu rozwojowi powikłań. Co więcej, taka terapia poprawia compliance. Zaobserwowano również zmniejszenie liczby działań niepożądanych, a nawet obniżenie ryzyka globalnego.

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Jak cytować
Rawdanowicz , J., & Kuch , M. (2013). Dlaczego by nie stosować częściej leków złożonych w terapii nadciśnienia tętniczego? Przestańmy źle leczyć naszych pacjentów!. Medycyna Faktów , 6(2(19), 35-44. Pobrano z https://journalsmededu.pl/index.php/jebm/article/view/2412
Dział
Artykuły

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