WEDNESDAY, Dec.15, 2021 (HealthDay News) – Among U.S. adults with hypertension, 18.5% report using drugs that may increase blood pressure (BP), according to a research letter posted online Nov. 22 in JAMA Internal Medicine.
John A. Vitarello, MD, of Beth Israel Deaconess Medical Center in Boston, and colleagues examined data from the National Health and Nutrition Survey from 2009 to 2018 to characterize the prevalence of drug use likely to ” increase BP and their association with BP control and antihypertensive drugs. use. The study population included 27,599 adults, of whom 49.2 percent had hypertension and 35.4 percent had uncontrolled hypertension.
The researchers found that 14.9 percent of American adults said they had used drugs that could cause an increase in BP, including 18.5 percent of adults with hypertension. Antidepressants (8.7%), prescription nonsteroidal anti-inflammatory drugs (6.5%), steroids (1.9%) and estrogen (1.7%) were the most frequently reported classes. In adults not taking antihypertensive drugs concomitantly, but not in those taking concomitant antihypertensive drugs, the use of drugs that may increase BP was associated with a greater likelihood of uncontrolled hypertension (odds ratio: 1, 24). Use of drugs that may increase BP has been associated with increased use of antihypertensive drugs in adults with controlled and uncontrolled hypertension (incidence rate reports for use of drug that may increase BP : 1.27 and 1.13, respectively).
“Our results indicate an important opportunity to improve BP control by optimizing treatment regimens, an approach that has the potential to also reduce polypharmacy and the complexity of drug regimens,” write the authors.
One author has revealed financial ties to Alosa Health.
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