Characterization of Adverse Reactions to Antihypertensive Drugs
Keywords:
Antihypertensive Agents, Metabolic Side Effects of Drugs and Substances, Drug-Related Side Effects and Adverse Reactions, Pharmaceutical PreparationsAbstract
Introduction: Cardiovascular diseases are the most frequent cause of morbidity and mortality and although their control is possible with pharmacotherapy, this is not exempt from causing adverse reactions.
Objective: To characterize adverse reactions to antihypertensive medications.
Methods: An observational, descriptive, cross-sectional study was carried out.The universe consisted of 1,711 records in the time period from 2019-2020, the sample was of 127 patients who reported symptoms related to the use of antihypertensive medications, these were registered in the Provincial Pharmacovigilance Coordinating Unit.
Results: Symptoms predominated in the age of 62 years and older with 32.28%, the female sex 66.14% and the respiratory organ system 36.21%. In the case of frequency, causality and severity, it corresponded to frequent with 62.99%, mild with 55.12% and probable with 70.86%. The most reported medication was captopril 37% and the most frequent symptom was cough with 35.43%.
Conclusions: There may be underreporting of adverse reactions to antihypertensives; it is necessary to establish strategies for their identification. The female sex predominates, aged 62 years and older, the most common pharmacological group is angiotensin-converting enzyme inhibitors, the most used medication is captopril, the respiratory system and cough are the prevailing symptoms.
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Colectivo de Autores (Ministerio de Salud Pública de la República de Cuba). Anuario Estadístico de Salud. Edición 51. Podadera Valdés X, Pavón Escalona AR. La Habana, Cuba; 2023. Datos demográficos. [citado 1 de marzo del 2024]. 210p. Disponible en: https://salud.msp.gob.cu/wp-content/Anuario/Anuario-2022.pdf
Amponsah Offeh M, Diaba Nuhoho P, Speier S, Morawietz H. Oxidative stress, antioxidants and hypertension. Antioxidants [Internet]. 2023 [citado 1 de marzo del 2024]; 12 (2): 281. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9952760/
Carrasco Alvarado D, Tamay Rojas LE. Polifarmacia en el paciente adulto mayor con hipertensión arterial atendido en el Hospital Simón Bolivar, Cajamarca 2023 [Tesis para optar por el título profesional de Químico Farmacéutico]. 2023. Universidad Privada de Huancayo Franklin Roosevelt [citado 1 de marzo del 2024]. Disponible en: http://repositorio.uroosevelt.edu.pe/handle/20.500.14140/1991
Rosero Vallejo KE. Adherencia al tratamiento de pacientes hipertensos en el Centro de Salud de Pugacho Bajo, Ibarra [Tesis para optar por Magister en Salud Pública con Mención en Enfermería Familiar y Comunitaria]. 2024. Universidad Técnica del Norte [citado 1 de marzo del 2024]. Disponible en: http://repositorio.utn.edu.ec/handle/123456789/15592
Segura Vega L. Nuevas cifras de la presión arterial en las poblaciones peruanas de altura y la nueva guia americana de hipertension arterial. Rev. peru. ginecol. obstest [Internet]. 2018 [citado 1 de marzo del 2023]; 64 (2): 185-190. Disponible en: http://www.scielo.org.pe/pdf/rgo/v64n2/a05v64n2.pdf
Lauder L, Mahfoud F , Azizi M, Bhatt DL, Ewen S, Kario K, et al. Hypertension management in patients with cardiovascular comorbidities. Euro Heart J [Internet]. 2023 [citado 1 de marzo del 2023]; 44 (23): 2066-2077. Disponible en: https://academic.oup.com/eurheartj/article/44/23/2066/6808663?login=false
Zavala Urtecho ED. Reporte de estudios de farmacovigilancia de medicamentos antihipertensivos en bases de datos electrónicas 2000-2016. Informe de prácticas preprofesionales. Universidad Nacional de Trujillo [Internet]. 2017 [citado 1 de marzo del 2024]. Disponible en: https://hdl.handle.net/20.500.14414/7922
Montané E, Santesmases J. Reacciones adversas a medicamentos. Med Clin (Barc) [Internet]. 2020 [citado 1 de marzo del 2024]; 154(5):178–184. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0025775319306372
Al-Worafi M. Pharmacovigilance. In Drug safety in developing countries. Academic Press [Internet]. 2020 [citado 1 de marzo del 2024]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/B9780128198377000042
Zazzara MB, Palmer K, Vetrano DL, Carfì A, Onder G. Adverse drug reactions in older adults: a narrative review of the literature. Eur Geriatr Med. 2021 [citado 1 de marzo del 2024]; 12(3):463–73. DOI: http://dx.doi.org/10.1007/s41999-021-00481-9
Trifirò G, Crisafulli S. A New Era of pharmacovigilance: Future challenges and opportunities. Front Drug Saf Regul. 2022 [citado 1 de marzo del 2024]; 2. DOI: http://dx.doi.org/10.3389/fdsfr.2022.866898
Patel NM, Stottlemyer BA, Gray MP, Boyce RD, Kane-Gill SL. A pharmacovigilance study of adverse drug reactions reported for cardiovascular disease medications approved between 2012 and 2017 in the United States Food and Drug Administration Adverse Event Reporting System (FAERS) database. Cardiovascular Drugs and Therapy [Internet]. 2022 [citado 1 de marzo del 2024]: 1-14. Disponible en: https://link.springer.com/article/10.1007/s10557-021-07157-3
Moron RF. Farmacología General .1ªEd. La Habana, Cuba: Editorial Ciencias Médicas [Internet]. 2002 [citado 1 de marzo del 2024]. Disponible en: http://www.ecimed.sld.cu/2002/01/01/836/
World Health Organization. International Monitoring of Adverse Reactions to drugs. Adverse reaction terminology. The Uppsala Monitoring Centre. Uppsala: WHO; [Internet] 2012 [citado 1 de marzo del 2024]. Disponible en: https://apps.who.int/iris/handle/10665/61056?show=full
Morales Pérez M, Vega Jiménez J. Factores implicados en la baja notificación de reacciones adversas por fitofármacos. Rev Peru Med Integrativa [Internet]. 2020 [citado 1 de marzo del 2024]; 5(3):113-7. Disponible en: https://dialnet.unirioja.es/descarga/articulo/5376566.pdf
Tarragó Portelles SS, Gravier Hernández R, Gil del Valle L. La Farmacovigilancia en Cuba y la Infranotificaciones de Reacciones Adversas a los Medicamentos. Horiz. sanitario [Internet]. 2019 [citado 1 de marzo del 2024]; 18(1): 7-15. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-74592019000100007&lng=es.
Stable-García Y, González-Atá A, Cuba-Venereo M de las M, Garcia Agustin D. Aspectos de farmacovigilancia: adulto mayor y susceptibilidad de reacciones adversas a medicamentos. Rev CENIC [Internet]. 2021 [citado 1 de marzo del 2024]; 52(2):187–200. Disponible en: http://scielo.sld.cu/scielo.php?pid=S2221-24502021000200187&script=sci_arttext&tlng=en
Kaufman G. Adverse drug reactions: classification, susceptibility and reporting. Nurs Stand [Internet]. 2016 [citado 1 de marzo del 2024]; 30(50):53–63. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27507394/
Rúa-del-Toro M, de la Caridad Benitez-Rojas L, de la Caridad Rojas-Pérez S, Pupo-Pérez Y. Reacciones adversas a los analgésicos no opioides notificadas en Las Tunas, 2017 hasta primer semestre de 2019. Rev electrón [Internet]. 2020 [citado 1 de marzo del 2024]; 45(6). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/2490.
Khonsary SA. Goodman and Gilman’s the pharmacological basis of therapeutics. Surg Neurol Int [Internet]. 2023 [citado 1 de marzo del 2024]; 14(91):91. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070253/
Aspiazu MÁB. Programa de control de la hipertensión arterial en Cuba con enfoque estratégico desde la Atención Primaria de Salud. Rev habanera cienc médicas [Internet]. 2023 [citado 1 de marzo del 2024]; 22(3):5516. Disponible en: https://revhabanera.sld.cu/index.php/rhab/article/view/5516
Zhang Z-Y, Yu Y-L, Asayama K, Hansen TW, Maestre GE, Staessen JA. Starting antihypertensive drug treatment with combination therapy: Controversies in hypertension - con side of the argument. Hypertension [Internet]. 2021 [citado 1 de marzo del 2024]; 77(3):788–98. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33566687/
Kuteesa J, Nasasira M, Kiguba R. Epidemiology of adverse drug reactions to antihypertensive, antithrombotic and antidiabetic medications among adult inpatients at a National Referral Hospital, Uganda. Expert Opin Drug Saf. 2024 [citado 1 de marzo del 2024]; 23(1):129–36. DOI: http://dx.doi.org/10.1080/14740338.2023.2244421
Ardissino M, Slob EAW, Rajasundaram S, Reddy RK, Woolf B, Girling J, et al. Safety of beta-blocker and calcium channel blocker antihypertensive drugs in pregnancy: a Mendelian randomization study. BMC Med. 2022 [citado 1 de marzo del 2024]; 20(1). DOI: http://dx.doi.org/10.1186/s12916-022-02483-1
Puledda F, Silva EM, Suwanlaong K, Goadsby PJ. Migraine: from pathophysiology to treatment. J Neurol. 2023 [citado 1 de marzo del 2024]; 270(7):3654–66. DOI: http://dx.doi.org/10.1007/s00415-023-11706-1
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