Abstract

Despite increased awareness, poor adherence to treatments for chronic diseases remains a global problem. Adherence issues are common in patients taking antihypertensive therapy and are associated with Increased risks of coronary and cerebrovascular events. Aim and Objective: The present study aimed to analyze medication adherence and its effect on blood pressure (BP) control and assess the prevalence of treatment-resistant hypertension (TRH) among newly treated hypertensive patients. Method and Material: A cross-sectional, observational study was conducted in department of general medicine, Rani Durgawati Medical College, Banda, Uttar Pradesh. 100 adults (age 18 years) with hypertension on treatment for at least 6 months, fulfilling the criteria of apparent treatment resistance, were Observation and Result: Males constituted 70% and females constituted 30% of the study population. The mean age was 52.11 years. 48% were diabetics, 38% had CKD, 27% had COPD, and 22 had CKD. 51% were smoker, and 18% were alcoholics. Almost all the patients with aTRH were found to have low adherence (98%). Female s ex, financial dependency, lower socioeconomic status, alcohol, smoking, knowledge about medication and the presence of depression were significant factors associated with low medication adherence in a RTH. Conclusion: Our study find that significant low medication adherence among patients with TRH. The study stresses that medication adherence be checked in each and very aTRH patient, and specific underlying causes must be addressed

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