Age-friendly Primary Health Care Centres Toolkit - World Health ...

AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITSTABILISATIO, MAITEACE AD FOLLOW-UP AFTER IITIATIO OFATIHYPERTESIVE DRUG THERAPYAntihypertensive drugtreatment initiatedTarget bloodpressure achievedot at target bloodpressure after threeSignificant sideeffectso response to drug• Substitute a drug orlow dosecombination fromother classes• Intensify lifestylemeasuresPartial response• Increase dose• Add a drug fromanother class, orchange to lowdose combination• Intensify lifestylemeasures• Substitute a drugor low dosecombination fromother classesor• reduce dose andadd a drug fromanother classHypertension satisfactorilymanaged• Manage in general practiceHypertension difficult to manage• Refer to specialist physicianor clinic• Follow up every 3-6 months• Monitor BP and risk factors• Reinforce lifestyle measuresSource: British Cardiac Society; British Hyperlipidaemia Association; BritishHypertension Society; British Diabetic Association. Joint Britishrecommendations on prevention of coronary heart disease in clinical practice.Heart. 1998;80(suppl 2):S1–29, and World Health Organization, InternationalSociety of Hypertension Writing Group. 2003 World Health Organization(WHO)/International Society of Hypertension (ISH). Statement onmanagement of hypertension. J Hypertens.2003;21:1983-199268