What is the first drug of choice for hypertension Philippines?

The Philippines Hypertension Guidelines, as published by PhilHealth, recommends that in hypertension stage I without compelling indication, thiazide diuretics are the primary drugs of choice.

Which of the following group of drugs are the 1st line treatment in both hypertension and heart failure?

Thiazides are widely used as first-line therapy for hypertension. In patients with HF, the more potent loop diuretics are preferred.

Who JNC 8?

The Eighth Joint National Committee (JNC 8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertension in adults.

Can ACEI and ARB be given together?

Avoid prescribing an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB) for patients at high risk of vascular events or renal dysfunction. The combination does not reduce poor outcomes, and leads to more adverse drug-related events than an ACE inhibitor or ARB alone.

Which medications are the best first line therapy for chronic hypertension?

ACE inhibitors — Angiotensin-converting enzyme (ACE) inhibitors are first-line therapy in all patients who have HF or asymptomatic LV systolic dysfunction, in all patients who have had an ST elevation MI, in patients with a non-ST elevation MI who have had an anterior infarction, diabetes, or systolic dysfunction, and …

What year did JNC 8 come out?

In 2014, the Eighth Joint National Committee (JNC 8) published the evidence-based guideline for the management of high BP in adults.

What is the eighth Joint National Committee JNC 8?

What are the guidelines for JNC 8?

JNC 8 Hypertension Guideline Algorithm Lifestyle changes: • Smoking Cessation • Control blood glucose and lipids • Diet Eat healthy (i.e., DASH diet) Moderate alcohol consumption Reduce sodium intake to no more than 2,400 mg/day •Physical activity Moderate-to-vigorous activity 3-4 days a week averaging 40 min per session.

What are the JNC 8 guidelines on hypertension (high blood pressure)?

In regards to first line medications, JNC 8 stated that thiazide diuretics have the most evidence supporting their use in hypertension; however, the guidelines classify angiotensin converting enzyme inhibitors (ACEIs), angiotensin II receptor blockers (ARBs), calcium channel blockers (CCBs),

What is the JNC 8 panel for diuretics?

Like the JNC 7 panel, the JNC 8 panel recommended thiazide-type diuretics as initial therapy for most patients. Although ACEIs, ARBs, and calcium channel blockers (CCBs) are acceptable alternatives, thiazide-type diuretics still have the best evidence of efficacy.

What is the difference between JNC 8 and ADA standards of care?

While JNC 8 suggests treating patients with both diabetes and hypertension to a blood pres- sure goal <140/90 mmHg, ADA standards of care advise treat- ing to a goal of <140/80 mmHg.