The long-term antihypertensive activity and tolerability of irbesartan with hydrochlorothiazide

P. Raskin, R. Guthrie, J. M. Flack, R. A. Reeves, Ravi Saini

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

The long-term safety, tolerability, and antihypertensive effects of irbesartan/hydrochlorothiazide (HCTZ) were assessed in hypertensive patients (seated diastolic blood pressure [SeDBP] 95-110 mmHg). Patients (n = 1098) completing two randomised, double-blind trials of irbesartan alone, HCTZ alone, irbesartan/HCTZ combinations, or placebo, took year of open-label therapy starting with irbesartan 75 mg/HCTZ 12.5 mg once daily. If target blood pressure (BP) (<140/<90 mmHg) was not achieved, the dose was titrated sequentially at 2- to 4-week intervals to irbesartan 150 mg/HCTZ 12.5mg, then to irbesartan 300mg/HCTZ 25mg. If necessary, adjunctive therapies were added. Mean changes in trough seated systolic BP/SeDBP at months 2, 6, and 12 were -19.1/-14.2 mmHg (n = 941), -20.7/ -15.7 mmHg (n = 948), and -20.6/-15.6 mmHg (n = 898), respectively. From months 2 to 12, normalisation rates (trough SeDBP < 90 mmHg) ranged from 75-85% and total responder rates (normalised or ≥ 10 mm Hg trough SeDBP reduction) ranged from 81-91%, while target BP was achieved in 65-75% of patients. At all time-points, most patients (≥ 87%) were receiving irbesartan/HCTZ alone. Eighty-two patients (7.5%) discontinued the study due to adverse events, with half of these events considered unrelated to study medication. There were no reports of serious adverse events related to study medication. Long-term therapy with irbesartan/HCTZ is safe, well tolerated, and maintains normalised BP in > 80% of patients.

Original languageEnglish (US)
Pages (from-to)683-687
Number of pages5
JournalJournal of Human Hypertension
Volume13
Issue number10
DOIs
StatePublished - Jan 1 1999

Keywords

  • Angiotensin II receptor antagonist
  • Combination therapy
  • Diuretic
  • Hydrochlorothiazide
  • Irbesartan

ASJC Scopus subject areas

  • Internal Medicine

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