Analyzing ACEI-Furosemide and ARB-Furosemide Drugs Combination on Hypertension and Chronic Kidney Disease Patients

Authors

  • Hesti Effendi Faculty of Pharmacy, Andalas University, Padang, West Sumatra
  • Helmi Arifin Faculty of Pharmacy, Andalas University, Padang, West Sumatra
  • Nasrul Zubir Faculty of Pharmacy, Andalas University, Padang, West Sumatra

DOI:

https://doi.org/10.55324/ijoms.v2i4.407

Keywords:

ACEI-Furosemide, ARB-Furosemide, drugs combination, chronic kidney disease

Abstract

The purpose of this study was to compare the efficacy of ACE-inhibitor + Furosemide and ARB + Furosemide in lowering creatinine, urea, and blood pressure in individuals with hypertension and chronic renal disease. This is a retrospective study in which data were extracted from the medical records of patients with hypertension and chronic kidney disease in the Internal Medicine Ward of the General Hospital dr. M. Jamil Padang in West Sumatera. A 2-by-3 ANOVA hypothesis test design was utilized. The hypothesis was evaluated using an alpha value of 0.05. The results demonstrated that the ARB + Furosemide combination was superior to the ACE-Inhibitor + Furosemide combination by 86.2%. In addition, this study demonstrated that the medication combinations ACE inhibitor plus furosemide and ARB plus furosemide were equally efficient in lowering creatinine, urea, and blood pressure in individuals with hypertension and chronic renal disease. The researchers found that antihypertensive medicines, including the ACE-Inhibitor + Furosemide combination and the ARB + Furosemide combination, can be administered at levels determined by the patient's clinical situation. Also, while selecting a pharmacological combination between an ACE inhibitor and furosemide or an ARB and furosemide, it is important to consider the adverse effects of the drugs. For instance, it is preferable to combine ARB with Furosemide.

References

Bakri, S. (2005). Deteksi dini dan upaya-upaya pencegahan progresifitas penyaki gagal ginjal kronik. Jurnal Medika Nusantara, 26(3).

Becker, G. J., & Wheeler, D. C. (2010). Blood pressure control in CKD patients: Why do we fail to implement the guidelines? In American Journal of Kidney Diseases (Vol. 55, Issue 3). https://doi.org/10.1053/j.ajkd.2009.12.013

Benedict, M. D., Missmer, S. A., Vahratian, A., Berry, K. F., Vitonis, A. F., Cramer, D. W., & Meeker, J. D. (2011). Secondhand tobacco smoke exposure is associated with increased risk of failed implantation and reduced IVF success. Human Reproduction, 26(9). https://doi.org/10.1093/humrep/der226

Brookes, L. (2004). Hypertension: Pervasive and expensive: New guidelines for management of hypertension in chronic kidney disease. Medscape Cardiology, 8(1).

Budiyanto, C. (2009). Hubungan hipertensi dan diabetes mellitus terhadap gagal ginjal kronik. Kedokteran Islam.

Chobanian, A. V., Bakris, G. L., & Black H.R. (2003). The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension, 42.

Diniah, M. N., Rachmawati, H., Hasmono, D., & Kusumaningtyas, A. P. (2022). Furosemide use in chronic kidney disease patients. KnE Medicine, 60–74.

Dipiro, J. T., Talbert, R. L., Yee, G. C., Matzke, G. R., Wells, B. G., & Posey, L. M. (2014). Pharmacotherapy: a pathophysiologic approach (Vol. 4). Appleton and Lange.

Fischer, M. J., & O’Hare, A. M. (2010). Epidemiology of hypertension in the elderly with chronic kidney disease. In Advances in Chronic Kidney Disease (Vol. 17, Issue 4). https://doi.org/10.1053/j.ackd.2010.05.003

Guyton, A. C., & Hall, J. E. (2007). Medical physiology textbook. Elsevier.

Hou, F. F. (2008). Pharmacological intervention of hypertension in proteinuric chronic kidney disease: How and what? Chinese Medical Journal, 121(9). https://doi.org/10.1097/00029330-200805010-00016

Hsieh, M., & Power, D. A. (2009). Abnormal renal function and electrolyte disturbances in older people. In Journal of Pharmacy Practice and Research (Vol. 39, Issue 3). https://doi.org/10.1002/j.2055-2335.2009.tb00460.x

Indonesia’s Ministry of Health. (2013). Riset kesehatan dasar: Riskesdas 2013.

Levey, A. S., Coresh, J., Bolton, K., Culleton, B., Harvey, K. S., Ikizler, T. A., Johnson, C. A., Kausz, A., Kimmel, P. L., Kusek, J., Levin, A., Minaker, K. L., Nelson, R., Rennke, H., Steffes, M., Witten, B., Hogg, R. J., Furth, S., Lemley, K. v., … Briggs, J. (2002). K/DOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification. In American Journal of Kidney Diseases (Vol. 39, Issue 2 SUPPL. 1).

Muchid. (2006). Pharmaceutical care untuk pasien penyakit hipertensi. Departemen Kesehatan Indonesia.

Muchid. (2008). Pharmaceutical care untuk pasien penyakit jantung koroner. Departemen Kesehatan Indonesia.

Mycek, M. J., Harvey, R. A., & Champe, P. C. (2001). Farmakologi ulasan bergambar. Widya Medika.

Prakash, S., & O’Hare, A. M. (2009). Interaction of aging and chronic kidney disease. Seminars in Nephrology, 29(5). https://doi.org/10.1016/j.semnephrol.2009.06.006

Tessy, A. (2006). Hipertensi pada penyakit ginjal. In Buku ajar ilmu penyakit dalam (4th ed.). FKUI.

Toto, R. D. (2005). Treatment of hypertension in chronic kidney disease. Seminars in Nephrology, 25(6). https://doi.org/10.1016/j.semnephrol.2005.05.016

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Published

2023-01-20