Give Blood Pressure Drugs to All

  1. 10
    From Medscape CME:

    May 28, 2009 — Blood-pressure-lowering drugs should be offered to everyone, regardless of their blood pressure level, as a safeguard against coronary heart disease and stroke, researchers who conducted a meta-analysis of 147 randomized trials (comprising 958,000 people) conclude in the May 19 issue of BMJ [1].

    “Guidelines on the use of blood-pressure-lowering drugs can be simplified so that drugs are offered to people with all levels of blood pressure,” write Drs Malcolm R Law and Nicholas Wald (Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine, Queen Mary University of London, UK). “Our results indicate the importance of lowering blood pressure in everyone over a certain age, rather than measuring it in everyone and treating it in some.”

    full piece: http://cme.medscape.com/viewarticle/703463?src=cmenews

    Is it just me, or does this sound like yet another "study" funded by a drug company?
    GCTMT, lamazeteacher, CityKat, and 7 others like this.
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  4. 47 Comments so far...

  5. 4
    Yeah, sounds like some drug company sponsored it....I'd bet money on that.
    ACRN06, Purple_Scrubs, ToxicShock, and 1 other like this.
  6. 5
    Wow, this is one of the dumbest study conclusions I have ever read. I'd be ashamed to have my name and reputation linked to this article.

    And I agree, I smell a pharmaceutical funding this study. How long before the results are included in TV commercials and magazine ads? Next we'll have patients who average SBP's in the 90's -- low 100's demanding to be put on BP meds.
  7. 2
    Quote from Jolie

    Is it just me, or does this sound like yet another "study" funded by a drug company?
    I would not really call this a "study." Read the article, this was a meta-analysis. In essence, they looked at other studies.

    In addition, why is everybody going down the drug company conspiracy road. These guys came out and reported that they hold patents on combination medications and have financial relationships with drug companies. Not like they are hiding anything.
    chare and Spidey's mom like this.
  8. 2
    Why on earth would a professional risk reputation by supporting a blanket statment that all people would benefit from blood pressure medications if he/she DID NOT have some ties to drug companies? What about side effects? What about bad effects from long-term usage? Sometimes the 'cure' causes a whole boatload of OTHER problems.......to make a statement that all people would benefit from a certain drug is a wonderful statement for the drug companies that make the medications and the self-serving 'scientists' who authored the article/analysis....but not in the best interest of the patients. No one medicine is good for everyone. Inaccurate and dangerous statement made to boost the sales of these drugs, IMHO. That's what's wrong with it. Yes, they are not 'hiding' anything, but they are abusing their power by suggesting self-serving conclusions that will boost their portfolios.
    herecomestrouble and elkpark like this.
  9. 4
    Quote from tencat
    Why on earth would a professional risk reputation by supporting a blanket statment that all people would benefit from blood pressure medications if he/she DID NOT have some ties to drug companies? What about side effects? What about bad effects from long-term usage? Sometimes the 'cure' causes a whole boatload of OTHER problems.......to make a statement that all people would benefit from a certain drug is a wonderful statement for the drug companies that make the medications....but not in the best interest of the patient. No one medicine is good for everyone. Inaccurate and dangerous statement, IMHO.

    Did you read the article? It was clearly stated that these guys had financial ties with drug companies, and even had patents on certain combination medications.

    This was a meta-analysis, I do not think these finding are going to be instantly accepted as gospel in the medical community. In fact, the article had two physicians without relevant conflicts of interest make compelling arguments against this meta-analysis.
  10. 7
    Quote from GilaRN
    Did you read the article? It was clearly stated that these guys had financial ties with drug companies, and even had patents on certain combination medications.

    This was a meta-analysis, I do not think these finding are going to be instantly accepted as gospel in the medical community. In fact, the article had two physicians without relevant conflicts of interest make compelling arguments against this meta-analysis.
    Yes, the article revealed the interests of the researchers. I have a feeling however, that that information won't make it into the sensational headlines or texts of the popular press articles and news reports that are sure to follow.

    I took nifedipine for treatment of preterm labor, in combination with terbutaline. I insisted that it be discontinued when it caused me to have such severe dizzy spells that I was unstable on my feet and in danger of falling down stairs. My doc poo-poo'd my concerns stating that the drug was just having its normal effect of lowering my blood pressure. Well, no kidding! But lowering my blood pressure was neither necessary, nor the goal of treatment, and doing so was causing a serious lack of oxygen to my brain (and my placenta, I would have to assume.)

    I'm quite sure that there are plenty of little old ladies out there with low to normal blood pressure who would respond the same way to any number of B/P drugs and end up with preventable hip fractures thanks to this theory.
    PeachPie, VivaLasViejas, CityKat, and 4 others like this.
  11. 7
    A grumpy rn2tobe says:

    You know what would be great?

    If people would get off their butts and try to control their blood pressure with diet and exercise first and their physicians actually spent the time to explain to them that this would actually work if they *actually* did it.

    grumble.
    talaxandra, morte, Purple_Scrubs, and 4 others like this.
  12. 1
    Diet and what? Seriously, people dont' want to work at something when they can just swallow a pill!

    The rational part of me knows that there are some people though who need more than diet and exercise. Those with essential HTN and such.

    BUT, for the most part, the diet and exercise seems to work on probably half of our medical problems.

    Back to the grumpy part of me now where I eat some more gummy worms...
    Spidey's mom likes this.
  13. 11
    if people would get off their butts and try to control their blood pressure with diet and exercise first and their physicians actually spent the time to explain to them that this would actually work if they *actually* did it.

    i am 5'6, 128 pounds. i do not eat candy, chips, cookies, pasta or any processed foods. i eat fish at least 4 times a week. salt has never been a part of my diet, i am a 'health nut'.

    i do 1 full hour of cardio on the elliptical at the gym 6 days a week, and do weight training for another 45minutes to an hour 3-4 days a week.

    boy was i shocked when my bp was 190/110.

    that was back in 2007, and i have had the same good diet and exercise pattern for years.

    you do not have to be overweight and inactive to have hbp, it can be caused by genetic predisposition.

    i take bp meds.


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