Drug Interaction Study of Antihypertension in Geriatric Patients Diagnosed Hypertension at Puskesmas Mauponggo, Nusa Tenggara Timur

https://doi.org/10.22146/farmaseutik.v20i2.84773

Dita Maria Virginia(1*), Maria Anjeline Jago Uko(2)

(1) Fakultas Farmasi, Universitas Sanata Dharma
(2) Fakultas Farmasi, Universitas Sanata Dharma
(*) Corresponding Author

Abstract


Hypertension is one of the main causes of mortality and morbidity in Indonesia. Treatment of hypertension in geriatric patients has the potential to increase the risk of drug-drug interactions because geriatric patients tend to experience polypharmacy. This study aims to analyze differences in mean blood pressure based on the interaction of antihypertensive drugs with other therapies in geriatric patients who suffer from hypertension at the Mauponggo Health Center, Nagekeo, East Nusa Tenggara. This research is a type of analytic observational research using a research design cross sectional. Data collection was carried out retrospectively. Data was collected using medical records collected from January to December 2021. In this study, a sample of 101 patients was obtained who met the predetermined inclusion and exclusion criteria. Data analysis using unpaired T test to analyze the difference of mean blood pressure based on the presence of antihypertensive drug interactions in geriatric patients, regarding on a significance level of p<0.05. The results showed that drug interactions had no effect on the mean systolic (p-value 0.063), or average diastolic (pvalue 0.392) in geriatric patients suffering from hypertension at the Mauponggo Health Center, Nagekeo, East Nusa Tenggara. Antihypertensive drug interactions did not affect the average blood pressure in geriatric patients in this study. Further research is required to classify the types of antihypertensive drugs that significantly impact blood pressure.


Keywords


blood pressure; drug interactions; geriatric; hypertension; polypharmacy

Full Text:

PDF


References

Agrawal, A., Agarwal, S., Kaleekal, T., & Gupta, Y. (2016). Rifampicin and anti-hypertensive drugs in chronic kidney disease: Pharmacokinetic interactions and their clinical impact. Indian Journal of Nephrology, 26(5), 322–328. https://doi.org/10.4103/0971-4065.176145

Akri, N. T., Nurmainah, N., & Andrie, M. (2022). Analisis Kepatuhan Penggunaan Obat Antihipertensi Pasien Hipertensi Rawat Jalan Usia Geriatri Terhadap Tekanan Darah. Journal Syifa Sciences and Clinical Research, 4(2), 437–446.

Ansar, D. et al. (2019). Determinan Kejadian Hipertensi Pada Pengunjung Posbindu Di Wilayah Kerja Puskesmas Ballaparang Kota Makassar. Jurnal Nasional Ilmu Kesehatan, 1(3), 28–35.

Astuti, S. D., & Endang, E. (2018). Kajian Penggunaan Antihipertensi dan Potensi Interaksi Obat Pada Pengobatan Pasien Hipertensi Dengan Komplikasi. Jurnal Farmasi Indonesia, 15(2), 148–162. https://doi.org/10.31001/jfi.v15i2.483

Bacic-Vrca, V., Marusic, S., Erdeljic, V., Falamic, S., Gojo-Tomic, N., & Rahelic, D. (2010). The incidence of potential drug-drug interactions in elderly patients with arterial hypertension. Pharmacy World and Science, 32(6), 815–821. https://doi.org/10.1007/s11096-010-9442-5

Barliana, M. I., Sari, D. R., & Faturrahman, M. (2013). Analisis Potensi Interaksi Obat dan Manifestasi Klinik Resep Anak di Apotek Bandung. Jurnal Farmasi Klinik Indonesia, 2(3), 121–126.

Gili, M., Turwewi, S., & Gerontini, R. (2019). Hubungan Riwayat Mengkonsumsi Alkohol Dengan Hipertensi Di Puskesmas Sikumana Kota Kupang. CHM-K Applied Scientific Journal, 2(1), 19–28.

Hanutami, B., & Dandan, K. L. (2019). Identifikasi potensi interaksi antar obat pada resep umum di Apotek Kimia Farma 58 Kota Bandung bulan April 2019. Farmaka, 17(April), 57–64.

Kartika, M., Subakir, S., & Mirsiyanto, E. (2021). Faktor-Faktor Risiko Yang Berhubungan Dengan Hipertensi Di Wilayah Kerja Puskesmas Rawang Kota Sungai Penuh Tahun 2020. Jurnal Kesmas Jambi, 5(1), 1–9. https://doi.org/10.22437/jkmj.v5i1.12396

Kementerian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riset Kesehatan Dasar. Kementrian Kesehatan RI, 1–582.

Kementrian Kesehatan RI. (2013). RISET KESEHATAN DASAR 2013.

Khomaini, A., Setiati, S., Lydia, A., Dewiasty, E., Ilmu, D., Dalam, P., Kedokteran, F., Indonesia, U., Sakit, R., & Mangunkusumo, C. (2017). Effect of Structured Education and Antihypertensive Medications Elderly : a Randomized Controlled Trial Pengaruh Edukasi Terstruktur dan Kepatuhan Minum Obat Antihipertensi terhadap Penurunan Tekanan Darah Pasien Hipertensi Usia Lanjut : Uji Klinis Acak T. 4(1), 4–10.

Kurniawati, F., Yasin, N. M., Dina, A., Atana, S., & Hakim, S. N. (2020). Kajian Adverse Drug Reactions Terkait Interaksi Obat di Bangsal Rawat Inap Rumah Sakit Akademik UGM. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 10(4), 297–308. https://doi.org/10.22146/jmpf.60228

Kusuma, I. Y., Megasari, P. O. D., & Sukiatno, L. (2018). Identifikasi Potensi Interaksi Obat Pada Pasien Hipertensi Studi Retrospektif Reseppolifarmasi Di Apotek Karya Sehat Purwokerto. Viva Medika, 11(1), 72–80.

Mahamudu, Y. et al. (2017). Pasien Hipertensi Primer Di Instalasi Rawat Jalan Rsud Luwuk Periode Januari – Maret 2016. Jurnal Ilmiah Farmasi, 6(3), 1–9.

Maindoka, F. S., Mpila, D., & Citraningtyas, G. (2017). Kajian Interaksi Obat Pada Pasien Geriatri Rawat Inap Di. PHARMACON Jurnal Ilmiah Farmasi, 6(3).

Mariam, S. (2016). Evaluasi Kejadian Interaksi Obat Pada Pasien Rawat Inap Geriatri Penderita Gagal Jantung. Jurnal Farmamedika (Pharmamedica Journal), 1(1), 28–33. https://doi.org/10.47219/ath.v1i1.42

Muhadi. (2016). JNC 8 : Evidence-based Guideline Penanganan Pasien Hipertensi Dewasa. Cermin Dunia Kedokteran, 43(1), 54–59.

Nugraha, D. P., & Bebasari, E. (2021). Faktor Tekanan Darah yang Terkendali pada Pasien Hipertensi di RSUD Arifin Achmad Provinsi Riau: Studi Potong Lintang. Jurnal Penyakit Dalam Indonesia, 8(2), 88. https://doi.org/10.7454/jpdi.v8i2.571

Patriyani, R. E. H., & Sulistyowati, D. (2020). Menurunkan Tekanan Darah pada Lansia dengan Hipertensi melalui SEFT. Jurnalempathy.Com, 1(1), 9–17. https://doi.org/10.37341/jurnalempathy.v1i1.2

PERHI. (2019). Konsensus Penatalaksanaan Hipertensi 2019. Indonesian Society Hipertensi Indonesia, 34–35.

Ramdani, R., Skarayadi, O., Wiwiek Indrawati, Hermanto, F., & Wahyuni, E. (2022). Potensi Interaksi Obat Antihipertensi Pada Pasien Geriatri Rawat Inap Di Salah Satu Rumah Sakit Kota Bandung. Pharmacoscript, 5(1), 71–92.

Swihasnika, Maudwi Ehnis, Sugiharti, Rosi Kurnia, Haniyah, S. (2021). Gambaran Perubahan Tekanan Darah Lansia yang Melakukan Senam Lansia di Rojinhome Ai Wai Kai Okinawa Jepang. Prosiding.Uhb.Ac.Id, 1273–1280.

Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026

Untari.E, Agilina.A, S. . (2018). Evaluasi Terapi Obat Diare pada Pasien Balita Rawat Jalan di Puskesmas Tanjung Pinang, Kota Jambi Tahun 2019. Pharmaceutical Sciences and Research, 5, 32–39. https://doi.org/10.25026/jsk.v3i6.678

Yuswar, M. A., Rachmadani, E., Untari, E. K., Studi, P., Fakultas, F., & Universitas, K. (2022). Identifikasi Dampak Interaksi Obat Antihipertensi. 8(1), 163–172.



DOI: https://doi.org/10.22146/farmaseutik.v20i2.84773

Article Metrics

Abstract views : 74 | views : 20

Refbacks

  • There are currently no refbacks.


Majalah Farmaseutik Indexed by:

   
 
Creative Commons Licence
 
 
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.