A COMPARISON OF VALSARTAN AND CAPTOPRIL IN PATIENTS WITH ESSENTIAL HYPERTENSION IN INDONESIA

Author:

Prabowo P1,Arwanto A2,Soemantri D1,Sukandar E3,Suprihadi H3,Parsudi I2,Sulaiman Markum M4,Kabo P5,Atmoko R1,Prodjosudjadi W4

Affiliation:

1. Dr Sutomo Hospital Surabaya

2. Dr Kariadi Hospital Semarang

3. Dr Hasan Sadikin Hospital Bandung

4. Dr Cipto Mangunkusumo Hospital Jakarta

5. Grestelina Hospital Ujung Pandang Indonesia

Abstract

SUMMARYAdult Indonesian outpatients were randomised to receive either valsartan 80 mg once daily or captopril 25 mg twice daily for 8 weeks. The main criterion for tolerability was the incidence of adverse events. The primary efficacy variable was the change in mean sitting diastolic blood pressure (SDBP) from baseline to endpoint. No valsartan patients experienced dry cough, which was reported by 22 captopril patients (21.6%). Both drugs reduced mean SDBP and SSBP, with a trend in favour of valsartan. The percentage of valsartan patients whose BP normalised was higher than in captopril patiente at week 4 (37% and 22%) and week 8 (45% and 34%), the difference being statistically significant at week 4 (p<0.05). Valsartan 80 mg once daily is as effective as captopril 25 mg twice daily in reducing blood pressure in Indonesian patiente, and has a better tolerability profile in respect of dry cough.

Publisher

Wiley

Subject

General Medicine

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