Additionally, patients report not taking their medication because they may have witnessed side effects experienced by a friend or family member who was taking the same or similar medication. From seeing those side effects experienced by someone else, it may have led them to believe the medication caused those problems.
Full Answer
What are the exceptions to the guidelines on hypertension (high blood pressure)?
The exceptions to this general rule are patients with grade 1 hypertension and low overall cardiovascular risk and elderly patients with impaired physical performance or multiple comorbidities (frailty).
What causes increased blood pressure after discontinuation of antihypertensive treatment?
Sieg-Dobrescu D, Burnier M, Hayoz D, Brunner HR, Waeber B. The return of increased blood pressure after discontinuation of antihypertensive treatment is associated with an impaired postischemic skin blood flow response. J Hypertens2001; 19:1387–1392.
What are the reasons for not taking medicine?
The unpleasant outcomes or side-effects of the treatment: Any perceived negative— such as an unpleasant taste of medicine, the prick of a needle, or the pain of physical therapy—may keep you from following through. Also, patients may be reluctant to start a medication after reading about the possible side effects.
Does antihypertensive therapy reduce mortality and morbidity in older adults?
However, a systematic review of hypertension treatment in patients aged at least 80 years, in which HYVET was included, found that antihypertensive therapy did not reduce the risk for total mortality or cardiovascular mortality compared with placebo [4].
Why are some patients non compliant with treatments for hypertension?
Results. Factors identified as influencing treatment compliance fell into three categories: beliefs and attitudes about antihypertensive drugs; beliefs and attitudes about hypertension; and clinical encounters.
What is one of the most common reasons patients demonstrate treatment failure of hypertension?
The influence of nonadherence to antihypertensive medications is the most important cause of uncontrolled BP. Consequently, because of nonadherence, most (nearly 3-quarters) of the hypertensive patients do not achieve optimal BP control.
What is the most common reason why patients do not take their medications?
A major barrier to adherence is often the cost of the medicine prescribed to the patient. The high cost may lead to patients not filling their medications in the first place. They may even ration what they do fill in order to extend their supply.
What factors would help to increase adherence in hypertensive patients?
Several other factors affect medication adherence in hypertensive patients:5, 6 (1) social and economic factors, such as social support and socioeconomic status (cost of medications); (2) factors related to the health care team/system, such as clear communication and time spent explaining the disease and the treatment; ...
What causes uncontrolled hypertension?
Lifestyle and diet The following can all contribute to the development of both hypertension and resistant hypertension: Obesity. Physical inactivity. A diet high in salt.
What is the most common cause of hypertensive crisis?
The most common cause of hypertensive emergency is an abrupt increase in blood pressure in patients with chronic hypertension. Medication noncompliance is a frequent cause of such changes. Blood pressure control rates for patients diagnosed with hypertension are less than 50%.
Why some patients show noncompliance with taking their prescribed drugs?
The most common reasons for patient non-compliance to medications are intentional and include: high drug costs, fear of adverse events, being prescribed multiple medications, and experiencing either instant relief or medication ineffectiveness leading to self-discontinuation of medications.
What causes medication not to work?
Hormonal issues, poor metabolism, poor sleep, high blood pressure, or stomach conditions could change the effect of your medications. It is important to inform all of your doctors about any other conditions you may have to help avoid these problems.
What are the barriers to medication adherence?
The barriers to medication adherence included four concepts, namely, lifestyle challenges, patient incompatibility, forgetting of medicine use, and nonexpert advice. These concepts are always present in the disease process and reduce the patients' efforts to achieve normal living and adhere to the medication.
What is considered hypertensive crisis?
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. Extremely high blood pressure — a top number (systolic pressure) of 180 millimeters of mercury (mm Hg) or higher or a bottom number (diastolic pressure) of 120 mm Hg or higher — can damage blood vessels.
Why is medication adherence important?
Taking your medicine as prescribed or medication adherence is important for controlling chronic conditions, treating temporary conditions, and overall long-term health and well-being. A personal connection with your health-care provider or pharmacist is an important part of medication adherence.
How can medication adherence be improved?
Successful strategies to improve medication adherence include 1) ensuring access to providers across the continuum of care and implementing team-based care; 2) educating and empowering patients to understand the treatment regimen and its benefits; 3) reducing barriers to obtaining medication, including cost reduction ...
Overview
Antihypertensives are medicines that bring your blood pressure down in various ways. Some antihypertensives make your blood vessels widen so blood gets through more easily. Others remove extra fluids from your blood or slow down your heartbeat.
Recovery and Outlook
Many people are successful in controlling their blood pressure with antihypertensive drugs. This helps prevent serious cardiovascular and kidney problems. People who keep their blood pressure in a normal range keep taking their medicine at the same time every day without missing doses.
When to Call the Doctor
Tell your provider if you’re having problems with antihypertensive side effects. They can order a different antihypertensive medication or give you a different amount (dose) of what you’re taking. Also, if your blood pressure readings get too high or too low on your home blood pressure monitor, tell your provider.
Frequently Asked Questions
You can take methyldopa, labetalol or nifedipine during pregnancy, but check with your provider for their recommendation. Many other antihypertensives are not safe for a developing fetus, so be sure to let your provider know when you plan to become pregnant.
Abstract
- Gascón JJ, Sánchez-Ortuño M, Llor B, Skidmore D and Saturno PJ for the Treatment Compliance in Hypertension Study Group. Why hypertensive patients do not comply with the treatment. Results from a qualitative study. Family Practice 2004; 21:125–130.
Introduction
- Hypertension is the single most common and most important risk factor for cardiovascular disease.1 Despite improvements in the detection and treatment of hypertension since the 1970s, recent survey results illustrate that the condition continues to contribute, significantly, to mortality and morbidity in adults and that it is often poorly controlled in clinical practice.2 Similarly, other …
Methods
- Participants
The target population comprised non-compliant hypertensive patients who were diagnosed with and receiving treatment for hypertension. Inclusion criteria were: anyone between the ages of 18 and 80 years, being treated with antihypertensives for >3 months, being non-compliant and havi… - Procedure
In order to determine whether or not the patient was compliant, a telephone survey was first conducted among 267 hypertensive patients, identified from clinic and computer records from two primary health care centres in Murcia (Spain). The Morisky–Green test10 was used in this s…
Results
- Factors identified as influencing treatment compliance fell into three categories: beliefs and attitudes about antihypertensive drugs; beliefs and attitudes about hypertension; and clinical encounters.
Discussion
- This study reveals a complex web of factors that can influence compliance behaviour within a group of patients diagnosed with hypertension (Figure 1). Although all the findings are not new with respect to previous literature, these serve to confirm what has been found previously, in the Spanish context. At first glance, the results indicated negative feelings towards medicines, low a…
Author Notes
- aDepartment of Preventive Medicine and Public Health, bDepartment of Basic Psychology and Methodology, cDepartment of Nursing, University of Murcia, Espinardo 30100, Murcia, Spain and dDepartment of Health Care Studies, Manchester Metropolitan University, Hathersage Road, Manchester M13 OJA, UK