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Strengths and Limitations of Using the Polypill in Cardiovascular Prevention.
Curr Cardiol Rep. 2017 05; 19(5):45.CC

Abstract

PURPOSE OF REVIEW

Polypill and its role in cardiovascular disease (CVD) prevention has been extensively discussed and debated since the inception of the concept in 2003. This article reviews the subsequent accumulated research in this area.

RECENT FINDINGS

Several short and intermediate to long-term studies with different brands of polypills have analysed the impact of polypill in phase II and III trials. The strengths of polypill that have emerged include better adherence, equivalent or better risk factor control and quality of life among polypill users as compared to usual care. The lurking limitations include difficulty with dose adjustment to targets, fear of mass medicalisation and low acceptability among physicians. The current literature supports polypill use in reducing blood pressure and cholesterol levels for CVD prevention with improvement in adherence to medication. However, the long-term outcome of polypill on CVD events and mortality are unavailable and are currently being studied in clinical trials.

Authors+Show Affiliations

President, Public Health Foundation of India, New Delhi, India.President, Public Health Foundation of India, New Delhi, India.Public Health Foundation of India, Delhi National Capital Region, Plot No. 47, Sector 44, Institutional Area, Gurugram, 122002, India. ksrinath.reddy@phfi.org.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28425033

Citation

Roy, Ambuj, et al. "Strengths and Limitations of Using the Polypill in Cardiovascular Prevention." Current Cardiology Reports, vol. 19, no. 5, 2017, p. 45.
Roy A, Naik N, Srinath Reddy K. Strengths and Limitations of Using the Polypill in Cardiovascular Prevention. Curr Cardiol Rep. 2017;19(5):45.
Roy, A., Naik, N., & Srinath Reddy, K. (2017). Strengths and Limitations of Using the Polypill in Cardiovascular Prevention. Current Cardiology Reports, 19(5), 45. https://doi.org/10.1007/s11886-017-0853-y
Roy A, Naik N, Srinath Reddy K. Strengths and Limitations of Using the Polypill in Cardiovascular Prevention. Curr Cardiol Rep. 2017;19(5):45. PubMed PMID: 28425033.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Strengths and Limitations of Using the Polypill in Cardiovascular Prevention. AU - Roy,Ambuj, AU - Naik,Nitish, AU - Srinath Reddy,K, PY - 2017/4/21/entrez PY - 2017/4/21/pubmed PY - 2018/1/2/medline KW - Adherence KW - Cardiovascular diseases KW - Fixed dose combination KW - Polypill KW - Primary prevention KW - Secondary prevention SP - 45 EP - 45 JF - Current cardiology reports JO - Curr Cardiol Rep VL - 19 IS - 5 N2 - PURPOSE OF REVIEW: Polypill and its role in cardiovascular disease (CVD) prevention has been extensively discussed and debated since the inception of the concept in 2003. This article reviews the subsequent accumulated research in this area. RECENT FINDINGS: Several short and intermediate to long-term studies with different brands of polypills have analysed the impact of polypill in phase II and III trials. The strengths of polypill that have emerged include better adherence, equivalent or better risk factor control and quality of life among polypill users as compared to usual care. The lurking limitations include difficulty with dose adjustment to targets, fear of mass medicalisation and low acceptability among physicians. The current literature supports polypill use in reducing blood pressure and cholesterol levels for CVD prevention with improvement in adherence to medication. However, the long-term outcome of polypill on CVD events and mortality are unavailable and are currently being studied in clinical trials. SN - 1534-3170 UR - https://www.unboundmedicine.com/medline/citation/28425033/Strengths_and_Limitations_of_Using_the_Polypill_in_Cardiovascular_Prevention_ DB - PRIME DP - Unbound Medicine ER -