Antihypertensive combinations
What are Antihypertensive combinations?
Antihypertensive combinations have agents that control blood pressure. One pill or dose form contains more than one class of drug, which is indicated to treat hypertension. Having a combination of drugs in one pill may better control hypertension by improving compliance.
For most patients, combination antihypertensive therapy should include an ACEI or ARB, a thiazide diuretic, or a calcium channel blocker. Patients with chronic kidney disease who have proteinuria should be prescribed an ACEI or ARB as part of combination therapy. The combination of an ACEI and an ARB should be avoided.
Combination therapy provides greater antihypertensive power than the use of high doses of monotherapy, adding several mechanisms of action that block various pathways of increased blood pressure, in addition to providing greater protection to target organs than monotherapy, and reduced potential for side effects.
BB can be combined with vasodilators and alpha blockers with good therapeutic benefit. BB with angiotensin converting enzyme inhibitors/angiotensin receptor blockers (ACEI/ARB) is not an ideal combination as both the drugs act in the renin-angiotensin system.
The combination of olmesartan and amlodipine in a single tablet effectively reduces BP and attenuates the adverse events of the amlodipine component in hypertensive patients.





