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ACC: Low-Dose Triple Combo Pill Effective for Rapid BP Control

Greater chance of achieving blood pressure target level with combo pill strategy versus usual care

WEDNESDAY, March 14, 2018 (HealthDay News) — Use of a low-dose triple combination therapy is effective for rapidly achieving blood pressure control among patients with hypertension, according to a study presented at the annual meeting of the American College of Cardiology, held from March 10 to 12 in Orlando, Fla.

Ruth Webster, M.B.B.S., from The George Institute for Global Health in Sydney, and colleagues randomized 700 adults with hypertension requiring initiation or up-titration of drug treatment to triple combo pill therapy or usual care. Patients in the triple combo pill group received a fixed-dose combination pill containing 20 mg telmisartan, 2.5 mg amlodipine, and 12.5 mg chlorthalidone.

The researchers found that 83 percent of patients in the triple combo pill group were still receiving study drug at six months, while a third of the patients in the usual care group were receiving at least two blood pressure lowering drugs. The triple combo pill strategy correlated with greater odds of achievement of blood pressure target levels compared with usual care (70 versus 55 percent; relative risk, 1.23), with the maximum difference seen at six weeks (68 versus 44 percent; relative risk, 1.53). At six months, the mean blood pressure reduction with the triple combo pill versus usual care was 8.7/4.5 mm Hg. There was no between-group difference in adverse events (38.7 versus 34.7 percent).

“The triple pill approach is an opportunity to ‘leap frog’ over traditional approaches to care and adopt an innovative approach that has been shown to be effective,” Webster said in a statement.

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