A cross-sectional study on hospital-based evaluation of adverse drug reactions and drug-related issues in hypertensive patients

Authors

  • Aqsa Khan Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India
  • Alhamd Tanveer Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India
  • Amisha Vohra Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India
  • Amin Khan Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India-226026
  • M. Sohel Akhter Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India
  • Abhishek Goyal Department of Medicine, Integral Institute of Medical Sciences and Research (IIMS&R), Integral University, Lucknow, Uttar Pradesh, India
  • M. Afroz Ahmad School of Pharmaceutical Education & Research, Jamia Hamdard University, Hamdard Nagar, New Delhi, India
  • M. Nematullah Department of Pharmacy Practice, Faculty of Pharmacy, Integral University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20262872

Keywords:

Adverse drug reaction, Cross-sectional study, Hypertension

Abstract

Background: The primary goal of the study was to evaluate adverse drug reactions and drug-related problems in patients with hypertension at the tertiary care hospital in Lucknow. The secondary goal was to assess the treatment patterns and outcomes for these patients at the same hospital.

Methods: This was a prospective, observational study. A total of 100 patients who met the inclusion and exclusion criteria were recruited from the outpatient and inpatient departments of the general medicine division at the Integral Institute of Medical Science and Research Hospital. Patients’ data were evaluated to identify Drug-Related Problems using a systematic, evidence-based approach.

Results: Data from 100 patients were collected in this study. The main identified drug-related problems affecting blood pressure control included failure to receive medications, drug-drug interactions and untreated indications. A total of 3 adverse drug reactions (ADRs) were observed among the 100 cases. Hyperkalemia was observed in 02 patients (28.6%), pedal edema in 02 patients (28.6%) and dry cough in 03 patients (42.9%).

Conclusions: Patients taking anti-hypertensive medications frequently encounter adverse drug reactions. Our study recommends regular ADR monitoring in hospital settings to encourage rational medication prescribing.

References

Sudhakar R, George MK, Yasaswini B, Sundararajan N, Mariyam AS. Adverse drug reactions associated with anti-hypertensive drugs and their management. International J Pharma Sci Res. 2016;7(3):898-905.

Joho AA. Factors affecting treatment compliance among hypertensive patients in three DISTRICT hospitals in Dar es Salaam. Doctoral dissertation, Muhimbili University of Health and Allied Sciences. 2020;8(3):85-97.

Hussein M, Lenjisa J, Woldu M, Tegegne G, Umeta G, Dins H. Assessment of drug-related problems among hypertensive patients on follow-up in Adama Hospital Medical College, East Ethiopia. Clin Pharmacol Biopharma. 2014;3(122):2.

Okoro RN, Ngong CK. Assessment of patients’ antihypertensive medication adherence level in non-comorbid hypertension in a tertiary hospital in Nigeria. Int J Pharma Biomed Sci. 2012;3(2):47-54.

Akilew A, Tadesse A, Shitaye A, Berihun M. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community-based cross-sectional study. BMC Cardiovasc Disord. 2012;12(113):1471-2261.

Ramli A, Ahmad NS, ParaidathathuT. Medication adherence among hypertensive patients of primary health clinics in Malaysia. Patient preference and adherence. 2012;6(8):613-22.

Gudina EK, Michael Y, Assegid S. Prevalence of hypertension and its risk factors in southwest Ethiopia: a hospital-based cross-sectional survey. Integrated blood pressure control. 2013;6(7):111-7.

Andros V, Egger A. Blood pressure goal attainment according to JNC 7 guidelines and utilization of antihypertensive drug therapy in MCO patients with type 1 or type 2 diabetes. J Mana Care Pharm. 2006;12(4):303-9.

Kusumawardani LA andrajati R, Nusaibah A. Drug-related problems in hypertensive patients: A cross-sectional study from Indonesia. J Res Pharm Pract. 2020;9(3):140-5.

Skliros EA, Papadodima SA, Sotiropoulos A, Xipnitos C, Kollias A, Spiliopoulou CA. Relationship between alcohol consumption and control of hypertension among elderly Greeks: The Nemea primary care study. Hellenic Journal of Cardiology. 2012;53(1):26-32.

Sesso HD, Cook NR, Buring JE, Manson JE, Gaziano JM. Alcohol consumption and the risk of hypertension in women and men. Hypertension. 2008;51(4):1080-7.

Beilin LJ, PuddeyIB. Alcohol and hypertension: an update. Hypertension. 2006;47(6):1035-8.

Estruch R, Coca A, Rodicio JL. High blood pressure, alcohol and cardiovascular risk. J Hypertension. 2005;23(1):226-9.

Klatsky AL. Alcohol-associated hypertension: when one drinks, it makes a difference. Hypertension. 2004;44(6):805-6.

Kaplan N. Alcohol and hypertension. The Lancet. 1995;8965(345):1588-9.

Clark LT. Alcohol-induced hypertension: mechanisms, complications and clinical implications. J National Med Association. 1985;77(5):385.

Stangier J, Su CA, Roth W. Pharmacokinetics of orally and intravenously administered telmisartan in healthy young and elderly volunteers and in hypertensive patients. J Int Med Res. 2000;28(4):149-67.

Palikhey A, Chaudhary R, Shrestha L, Shrivastava AK, Yadav CK, Giri A, et al. Prevalence of Adverse Drug Reactions of Anti-Hypertensive Drugs in a Tertiary Care Hospital, Bhairahawa, Nepal. JCMS Nepal. 2022;18(4):415-21.

Woo KS, Nicholls MG. High prevalence of persistent cough with angiotensin converting enzyme inhibitors in Chinese. British J Clin Pharmacol. 1995:40(2):141-4.

Vikas S, Ramesh M, Rani VN, Thennarasu P and Kannan G, “Incidence of diuretic-induced adverse drug reactions in an intensive cardiac care unit of a tertiary care teaching hospital. International J Pharma Sci Res. 2017;8(8):3557-62.

Kusumawardani LA, Andrajati R, Nusaibah A. Drug-related problems in hypertensive patients: A cross-sectional study from Indonesia. J Res Pharm Pract. 2020;9(3):140-5.

Downloads

Published

2026-08-24

How to Cite

Khan, A., Tanveer, A., Vohra, A., Amin Khan, T., Sohel Akhter, M., Goyal, A., Ahmad, M. A., & Nematullah, M. (2026). A cross-sectional study on hospital-based evaluation of adverse drug reactions and drug-related issues in hypertensive patients. International Journal of Basic & Clinical Pharmacology, 15(5), 996–1001. https://doi.org/10.18203/2319-2003.ijbcp20262872

Issue

Section

Original Research Articles