Comparative Efficacy and Safety of Triple Therapy (Ramipril, Telmisartan, Hydrochlorothiazide) Vs Dual Anti Hypertensive Therapy (Ramipril or Telmisartan, Hydrochlorothiazide) in Stage 2 Hypertensive Patients
Aim: To evaluate the comparative efficacy and safety of ramipril 5mg plus hydrochlorothiazide 12.5mg (R + HCTZ), telmisartan 40mg plus hydrochlorothiazide12.5mg (T + HCTZ) and ramipril 2.5mg plus telmisartan 20mg plus hydrochlorothiazide12.5mg (R + T + HCTZ) in patients with stage 2 hypertension...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2014-08-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/4720/8851_CE(%20%20)_F(Sh)_PF1(AJAK)_PFA(AK).pdf |
Summary: | Aim: To evaluate the comparative efficacy and safety of ramipril
5mg plus hydrochlorothiazide 12.5mg (R + HCTZ), telmisartan
40mg plus hydrochlorothiazide12.5mg (T + HCTZ) and ramipril
2.5mg plus telmisartan 20mg plus hydrochlorothiazide12.5mg
(R + T + HCTZ) in patients with stage 2 hypertension.
Materials and Methods: A prospective, open label, randomized
comparative study was conducted to study the comparative
efficacy and safety of R+HCTZ (group 1), T+HCTZ ( group 2)and
R+T+TCTZ (group3) in 88 patients with stage 2 hypertension
without co-morbid conditions. Echocardiography was done to
assess left ventricular function. Patients were followed up to 24
weeks and any ADR occurring in this period was recorded.
Results: All the three treatment groups showed significant fall
in both systolic and diastolic blood pressure compared to the
baseline scores (p<0.0001). Intergroup comparison did not
reveal any significant difference. Total number of adverse drug
events reported were 15. Group III had higher percentage ADRs.
Dry cough (8) was most common ADR. The echocardiography
parameters did not change from baseline values with all three
treatment regimens.
Conclusion: All three medications were of equal efficacy in
patients with stage 2 hypertension without co morbid conditions,
failing to prove superiority over each other. |
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ISSN: | 2249-782X 0973-709X |