A072: A comparison of 24 hour blood pressure in hypertensive patients switched from amlodipine to nisoldipine
Blood pressure control and medication costs are two important parts in antihypertensive drug product selection. Within a therapeutic drug class, acquisition costs many times take precedence over efficacy. The purpose of this study was to evaluate 24 hour blood pressure control and adverse effects in...
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Veröffentlicht in: | American journal of hypertension 2000-04, Vol.13 (S2), p.138A-138A |
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container_title | American journal of hypertension |
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creator | Hilleman, D.E. Mohiuddin, S.M. Wurdeman, R.L. Lenz, T.L. |
description | Blood pressure control and medication costs are two important parts in antihypertensive drug product selection. Within a therapeutic drug class, acquisition costs many times take precedence over efficacy. The purpose of this study was to evaluate 24 hour blood pressure control and adverse effects in patients with essential hypertension when switched from Amlodipine (A) to Nisoldipine (N). Hypertensive patients stabilized on A 5 mg or 10 mg were monitored over 24 hours with an ambulatory blood pressure monitor (AMBP). The following day the patients were switched to (N) 10 mg (≥65 yrs old) or 20 mg ( |
doi_str_mv | 10.1016/S0895-7061(00)00605-1 |
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Within a therapeutic drug class, acquisition costs many times take precedence over efficacy. The purpose of this study was to evaluate 24 hour blood pressure control and adverse effects in patients with essential hypertension when switched from Amlodipine (A) to Nisoldipine (N). Hypertensive patients stabilized on A 5 mg or 10 mg were monitored over 24 hours with an ambulatory blood pressure monitor (AMBP). The following day the patients were switched to (N) 10 mg (≥65 yrs old) or 20 mg (<65 yrs old). (N) dose was adjusted to maintain BP equivalent to (A) dose or <140/90, whichever was lower. After 8–16 weeks patients were again monitored with the 24 hour blood pressure monitor. Mean 24 hour, daytime and nighttime blood pressures, diurnal variation, number of dose titrations, significant adverse reactions and cost differences were measured. This study is currently in progress with 48% (11/23) of patients completed. Results thus far have shown no significant difference between (A) and (N) with regards to mean 24 hr AMBP (+1.8 mm Hg/+2.4 mm Hg), daytime (+1.3/+2.5) and nighttime (+2.6/+2) blood pressures and diurnal variation (10.1%/11.3% vs. 9.1%/11.6%, Sys/Dia (A) vs. (N)). Three dose titrations have occurred and no significant adverse events were reported. AWP for low dose (A) is $1.29/day vs. $0.93 of (N). High dose AWP is $2.50 vs. $0.93 for (A) and (N), respectively. Based on the data obtained thus far, patients taking (A) can be safely and effectively switched to (N).</description><identifier>ISSN: 0895-7061</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1016/S0895-7061(00)00605-1</identifier><identifier>CODEN: AJHYE6</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>ambulatory blood pressure ; Amlodipine ; nisoldipine</subject><ispartof>American journal of hypertension, 2000-04, Vol.13 (S2), p.138A-138A</ispartof><rights>Copyright Nature Publishing Group Apr 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Hilleman, D.E.</creatorcontrib><creatorcontrib>Mohiuddin, S.M.</creatorcontrib><creatorcontrib>Wurdeman, R.L.</creatorcontrib><creatorcontrib>Lenz, T.L.</creatorcontrib><title>A072: A comparison of 24 hour blood pressure in hypertensive patients switched from amlodipine to nisoldipine</title><title>American journal of hypertension</title><addtitle>AJH</addtitle><description>Blood pressure control and medication costs are two important parts in antihypertensive drug product selection. Within a therapeutic drug class, acquisition costs many times take precedence over efficacy. The purpose of this study was to evaluate 24 hour blood pressure control and adverse effects in patients with essential hypertension when switched from Amlodipine (A) to Nisoldipine (N). Hypertensive patients stabilized on A 5 mg or 10 mg were monitored over 24 hours with an ambulatory blood pressure monitor (AMBP). The following day the patients were switched to (N) 10 mg (≥65 yrs old) or 20 mg (<65 yrs old). (N) dose was adjusted to maintain BP equivalent to (A) dose or <140/90, whichever was lower. After 8–16 weeks patients were again monitored with the 24 hour blood pressure monitor. Mean 24 hour, daytime and nighttime blood pressures, diurnal variation, number of dose titrations, significant adverse reactions and cost differences were measured. This study is currently in progress with 48% (11/23) of patients completed. Results thus far have shown no significant difference between (A) and (N) with regards to mean 24 hr AMBP (+1.8 mm Hg/+2.4 mm Hg), daytime (+1.3/+2.5) and nighttime (+2.6/+2) blood pressures and diurnal variation (10.1%/11.3% vs. 9.1%/11.6%, Sys/Dia (A) vs. (N)). Three dose titrations have occurred and no significant adverse events were reported. AWP for low dose (A) is $1.29/day vs. $0.93 of (N). High dose AWP is $2.50 vs. $0.93 for (A) and (N), respectively. Based on the data obtained thus far, patients taking (A) can be safely and effectively switched to (N).</description><subject>ambulatory blood pressure</subject><subject>Amlodipine</subject><subject>nisoldipine</subject><issn>0895-7061</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNo9j11LwzAYhYMoOKc_QQh4oxfV903z0Xg35icMFNzF8Ka0Tcoy26Ymnbp_b2Hi1eHAw3M4hJwjXCOgvHmDTItEgcRLgCsACSLBAzJBzTFRjIlDMvlHjslJjBsA4FLihLQzUOyWzmjl274ILvqO-poyTtd-G2jZeG9oH2yM22Cp6-h619sw2C66L0v7YnC2GyKN326o1tbQOviWFm3jjetdZ-ngaTdKm309JUd10UR79pdTsny4X86fksXL4_N8tkiclDzRqs5YyoWxphTclJW2AKUxJaszrTDTgBXWRYZYqqzmmlkJZSVLxiUqoVk6JRd7bR_859bGId-MZ7pxMUdIM-SCIR-pZE-5ONifvA-uLcIuL8JHLlWqRP60es-1eL1bLefzHNNfgy9qpA</recordid><startdate>200004</startdate><enddate>200004</enddate><creator>Hilleman, D.E.</creator><creator>Mohiuddin, S.M.</creator><creator>Wurdeman, R.L.</creator><creator>Lenz, T.L.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>200004</creationdate><title>A072: A comparison of 24 hour blood pressure in hypertensive patients switched from amlodipine to nisoldipine</title><author>Hilleman, D.E. ; Mohiuddin, S.M. ; Wurdeman, R.L. ; Lenz, T.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i664-97f82345dedb54dbc9e00bddb2f89718901c1fa811b78f492e60bc6b246175923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>ambulatory blood pressure</topic><topic>Amlodipine</topic><topic>nisoldipine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hilleman, D.E.</creatorcontrib><creatorcontrib>Mohiuddin, S.M.</creatorcontrib><creatorcontrib>Wurdeman, R.L.</creatorcontrib><creatorcontrib>Lenz, T.L.</creatorcontrib><collection>Istex</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hilleman, D.E.</au><au>Mohiuddin, S.M.</au><au>Wurdeman, R.L.</au><au>Lenz, T.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A072: A comparison of 24 hour blood pressure in hypertensive patients switched from amlodipine to nisoldipine</atitle><jtitle>American journal of hypertension</jtitle><addtitle>AJH</addtitle><date>2000-04</date><risdate>2000</risdate><volume>13</volume><issue>S2</issue><spage>138A</spage><epage>138A</epage><pages>138A-138A</pages><issn>0895-7061</issn><eissn>1941-7225</eissn><coden>AJHYE6</coden><abstract>Blood pressure control and medication costs are two important parts in antihypertensive drug product selection. Within a therapeutic drug class, acquisition costs many times take precedence over efficacy. The purpose of this study was to evaluate 24 hour blood pressure control and adverse effects in patients with essential hypertension when switched from Amlodipine (A) to Nisoldipine (N). Hypertensive patients stabilized on A 5 mg or 10 mg were monitored over 24 hours with an ambulatory blood pressure monitor (AMBP). The following day the patients were switched to (N) 10 mg (≥65 yrs old) or 20 mg (<65 yrs old). (N) dose was adjusted to maintain BP equivalent to (A) dose or <140/90, whichever was lower. After 8–16 weeks patients were again monitored with the 24 hour blood pressure monitor. Mean 24 hour, daytime and nighttime blood pressures, diurnal variation, number of dose titrations, significant adverse reactions and cost differences were measured. This study is currently in progress with 48% (11/23) of patients completed. Results thus far have shown no significant difference between (A) and (N) with regards to mean 24 hr AMBP (+1.8 mm Hg/+2.4 mm Hg), daytime (+1.3/+2.5) and nighttime (+2.6/+2) blood pressures and diurnal variation (10.1%/11.3% vs. 9.1%/11.6%, Sys/Dia (A) vs. (N)). Three dose titrations have occurred and no significant adverse events were reported. AWP for low dose (A) is $1.29/day vs. $0.93 of (N). High dose AWP is $2.50 vs. $0.93 for (A) and (N), respectively. Based on the data obtained thus far, patients taking (A) can be safely and effectively switched to (N).</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1016/S0895-7061(00)00605-1</doi></addata></record> |
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source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
subjects | ambulatory blood pressure Amlodipine nisoldipine |
title | A072: A comparison of 24 hour blood pressure in hypertensive patients switched from amlodipine to nisoldipine |
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