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Medication adherence and associated barriers in hypertension management in India

Authors:

Dennis Thomas,

Department of Pharmacy Practice, Visveswarapura Institute of Pharmaceutical Sciences, Bangalore, IN
About Dennis
Present address: Global Medical Affairs, Dr. Reddy’s Laboratories Ltd., Hyderabad, Andhra Pradesh, India.
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N.K. Meera,

Department of Pharmacy Practice, Visveswarapura Institute of Pharmaceutical Sciences, Bangalore, IN
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K. Binny ,

Melmaruvathur Adhiparasakthi Institute of Medical Sciences & Research, Melmaruvathur, Tamilnadu, IN
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M. Sonal Sekhar,

Department of Pharmacy Practice, Visveswarapura Institute of Pharmaceutical Sciences, Bangalore, IN
About M. Sonal
Present address: Department of Pharmacy Practice, Amrita School of Pharmacy, Kochi, Kerala, India.
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Githa Kishore,

Department of Pharmacy Practice, Visveswarapura Institute of Pharmaceutical Sciences, Bangalore, IN
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Salini Sasidharan

Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College, Salem, Tamilnadu, IN
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Abstract

Hypertension is inadequately controlled in most patients due to poor adherence to treatment. Not much is known about the underlying reasons for poor adherence. The main objective of this study was to assess medication adherence in hypertensive patients and to identify the main barriers associated with medication adherence. A questionnaire-based survey was conducted in the medicine outpatient department of Kempe Gowda Institute of Medical Sciences and Research Centre, Bangalore, India. Self reported adherence was measured by using a short validated questionnaire and detailed patient interviews. Of the 608 patients participated, nonadherence was found in 49.67% of patients. Belief barrier was reported in 39.14% patients. Access barrier and recall barrier were reported by 82.57% and 62.17%, respectively. 78.62% of patients reported that it is difficult to pay for the medication and 54.93% indicated that it is difficult to get a refill on time. It was concluded that about half of the Indian patients studied were not adherent to their antihypertensive regimen and this might result in poor blood pressure control. Non-adherence to hypertension management remains a major limiting factor among Indians in the effective control of hypertension and in the prevention of cardiovascular diseases.

How to Cite: Thomas D, Meera NK, Binny K, Sekhar MS, Kishore G, Sasidharan S. Medication adherence and associated barriers in hypertension management in India. Global Heart. 2011;6(1):9–13. DOI: http://doi.org/10.1016/j.cvdpc.2010.11.001
Published on 01 Jan 2011.

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