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Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas

Arterial hypertension is a lifelong disease, which management is recognized as the most effective way to reduce cardiovascular mortality. Even though there is extensive evidence on the benefits of lifestyle modification and antihypertensive treatment, many patients with hypertension do not reach blo...

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Autores principales: Treciokiene, Indre, Peceliuniene, Jurate, Wettermark, Bjorn, Gulbinovic, Jolanta, Taxis, Katja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433230/
https://www.ncbi.nlm.nih.gov/pubmed/37601158
http://dx.doi.org/10.1016/j.rcsop.2023.100313
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author Treciokiene, Indre
Peceliuniene, Jurate
Wettermark, Bjorn
Gulbinovic, Jolanta
Taxis, Katja
author_facet Treciokiene, Indre
Peceliuniene, Jurate
Wettermark, Bjorn
Gulbinovic, Jolanta
Taxis, Katja
author_sort Treciokiene, Indre
collection PubMed
description Arterial hypertension is a lifelong disease, which management is recognized as the most effective way to reduce cardiovascular mortality. Even though there is extensive evidence on the benefits of lifestyle modification and antihypertensive treatment, many patients with hypertension do not reach blood pressure targets. This paper aims to review the history of antihypertensive treatment of one patient and identify the drug related problems that occurred over the study period. In this case report, the patient's health record was studied, guidelines checked and a semi-structured interview conducted. Drug related problems were identified and possible pharmacist interventions were introduced. Drug related problems that could have contributed to the lack of hypertension control were adherence, side effects and disease-drug interaction. Identified pharmacists' interventions ranged from managing self-medication, to collaboration with general practitioner to change prescribing, and counselling the patient on medication use, including adherence. Even though the drug related problems were not that serious in the studied case, the patient could have valued from pharmacist intervention.
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spelling pubmed-104332302023-08-18 Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas Treciokiene, Indre Peceliuniene, Jurate Wettermark, Bjorn Gulbinovic, Jolanta Taxis, Katja Explor Res Clin Soc Pharm Article Arterial hypertension is a lifelong disease, which management is recognized as the most effective way to reduce cardiovascular mortality. Even though there is extensive evidence on the benefits of lifestyle modification and antihypertensive treatment, many patients with hypertension do not reach blood pressure targets. This paper aims to review the history of antihypertensive treatment of one patient and identify the drug related problems that occurred over the study period. In this case report, the patient's health record was studied, guidelines checked and a semi-structured interview conducted. Drug related problems were identified and possible pharmacist interventions were introduced. Drug related problems that could have contributed to the lack of hypertension control were adherence, side effects and disease-drug interaction. Identified pharmacists' interventions ranged from managing self-medication, to collaboration with general practitioner to change prescribing, and counselling the patient on medication use, including adherence. Even though the drug related problems were not that serious in the studied case, the patient could have valued from pharmacist intervention. Elsevier 2023-07-24 /pmc/articles/PMC10433230/ /pubmed/37601158 http://dx.doi.org/10.1016/j.rcsop.2023.100313 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Treciokiene, Indre
Peceliuniene, Jurate
Wettermark, Bjorn
Gulbinovic, Jolanta
Taxis, Katja
Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title_full Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title_fullStr Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title_full_unstemmed Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title_short Hypertension management and drug-related problems. A case report of the 23-year history of Mr. Jonas
title_sort hypertension management and drug-related problems. a case report of the 23-year history of mr. jonas
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433230/
https://www.ncbi.nlm.nih.gov/pubmed/37601158
http://dx.doi.org/10.1016/j.rcsop.2023.100313
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