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Table 5 Prescription of combination therapy for comorbidities

From: Evaluation of prescribing patterns in a German network of CAM physicians for the treatment of patients with hypertension: a prospective observational study

Antihypertensives

Total

Without comorbidities

Comorbidities3

   

Diabetes

mellitus

Renal

insufficiency

Hypercholesterolaemia

CHD

Post

myocardial

infarction

Heart

failure

Stroke

Obesity

Asthma/COPD

 

[N (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

[n (%)]

2-drug combinations

1613 (100)

186 (100)

215 (100)

86 (100)

358 (100)

247 (100)

36 (100)

30 (100)

139 (100)

218 (100)

98 (100)

Diuretic plus

           

Beta-blocker

           

Fixed-dose coformulation

103 (6.4)

17 (9.2)

11 (5.1)

2 (2.3)

33 (9.2)

14 (5.7)

-

1 (3.3)

4 (2.9)

20 (9.2)

1 (1.0)

Monopreparation

106 (6.6)

14 (7.5)

12 (5.6)

5 (5.8)

20 (5.6)

15 (6.1)

2 (5.6)

-

9 (6.5)

16 (7.3)

13 (13.3)

CCB1

           

Fixed-dose coformulation

2 (0.1)

-

-

-

-

1 (0.4)

-

-

1 (0.6)

-

-

Monopreparation

58 (3.6)

7 (3.8)

2 (0.9)

6 (7.0)

8 (2.2)

9 (3.6)

2 (5.6)

3 (10.0)

5 (3.2)

6 (2.8)

10 (10.2)

ACE inhibitor

           

Fixed-dose coformulation

372 (23.1)

43 (23.1)

54 (25.1)

28 (32.6)

75 (20.9)

52 (21.1)

5 (13.9)

16 (53.3)

36 (26.1)

50 (22.9)

13 (13.3)

Monopreparation

132 (8.2)

4 (2.2)

15 (7.0)

7 (8.1)

24 (6.7)

26 (10.5)

5 (13.9)

2 (6.7)

11 (8.0)

21 (9.6)

17 (17.3)

Angiotensin II antagonist

           

Fixed-dose coformulation

396 (24.6)

52 (28.0)

61 (28.4)

15 (17.4)

91 (25.4)

49 (19.8)

4 (11.1)

5 (16.7)

31 (22.5)

59 (27.1)

29 (29.6)

Monopreparation

23 (1.4)

2 (1.1)

2 (0.9)

2 (2.3)

7 (2.0)

4 (1.6)

-

1 (3.3)

3 (2.2)

1 (0.5)

1 (1.0)

CCB plus

           

Beta-blocker

           

Fixed-dose coformulation

-

-

-

-

-

-

-

-

-

-

-

Monopreparation

77 (4.8)

15 (8.1)

12 (5.6)

5 (5.8)

11 (3.1)

11 (4.5)

4 (11.1)

-

8 (5.8)

7 (3.2)

4 (4.1)

ACE inhibitor

           

Fixed-dose coformulation

1 (0.1)

1 (0.5)

-

-

-

-

-

-

-

-

-

Monopreparation

65 (4.0)

7 (3.8)

8 (3.7)

6 (7.0)

13 (3.6)

13 (5.3)

3 (8.3)

-

4 (2.9)

4 (1.8)

7 (7.1)

Angiotensin II antagonist

           

Fixed-dose coformulation

-

-

-

-

-

-

-

-

-

-

-

Monopreparation

35 (2.2)

7 (3.8)

2 (0.9)

-

8 (2.2)

6 (2.4)

1 (2.8)

-

5 (3.6)

5 (2.3)

1 (1.0)

Beta-blocker plus

           

other antihypertensive

           

Fixed-dose coformulation

9 (0.6)

1 (0.5)

-

-

4 (1.1)

1 (0.4)

-

1 (3.3)

2 (1.3)

-

-

Monopreparation

172 (10.7)

13 (7.0)

26 (12.1)

4 (4.7)

47 (13.1)

37 (14.9)

10 (27.8)

1 (3.3)

13 (9.4)

19 (8.7)

2 (2.0)

Other

62 (3.8)

3 (1.6)

10 (4.7)

6 (7.0)

17 (4.7)

9 (3.6)

-

-

7 (5.1)

10 (4.6)

-

3-drug combinations

222 (100)

15 (100)

42 (100)

17 (100)

52 (100)

32 (100)

2 (100)

1 (100)

15 (100)

25 (100)

21 (100)

Diuretic plus ACE inhibitor plus CCB

           

Monopreparation

           
 

8 (3.6)

-

1 (2.4)

1 (5.9)

2 (3.8)

2 (6.3)

-

-

-

-

2 (9.5)

Diuretic plus beta-blocker plus 2

           

Monopreparation

           
 

120 (54.1)

6 (40.0)

26 (61.9)

5 (29.4)

26 (50.0)

19 (59.4)

1 (50.0)

-

9 (60.0)

17 (68.0)

11 (52.4)

Diuretic plus antiadrenergic agent plus2

           

Monopreparation

           
 

10 (4.5)

2 (13.3)

-

2 (11.8)

3 (5.8)

1 (3.1)

-

-

-

-

2 (9.5)

Other

84 (37.8)

7 (46.7)

15 (35.7)

9 (52.9)

21 (40.4)

10 (31.3)

1 (50.0)

1 (100)

6 (40.0)

8 (32.0)

6 (28.6)

  1. 1 Calcium channel blocker, 2 CCB, ACE inhibitor, angiotensin II antagonist, alpha-blocker, or dihydrazine, 3 double entries possible